Evidence map›Paper›PMID 41205849›Full record

Trial reportArchives of physical medicine and rehabilitation2026

Process Evaluation of a Randomized Controlled Trial of an Enhanced Rehabilitation Transition Program for Stroke Survivors.

Rebecca M Bollinger, Melissa J Krauss, Brianna M Holden, Emily K Somerville, Holly Hollingsworth, Alexandre Carter, Yan Yan, Susan L Stark

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rebecca M BollingerProgram in Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO.
Melissa J KraussProgram in Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO.
Brianna M HoldenProgram in Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO.
Emily K SomervilleProgram in Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO.
Holly HollingsworthProgram in Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO.
Alexandre CarterDivision of Neurorehabilitation, Department of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO.
Yan YanDepartment of Surgery, Washington University School of Medicine in St. Louis, St. Louis, MO.
Susan L StarkProgram in Occupational Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO. Electronic address: sstark@wustl.edu.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
COMPASS: A NOVEL TRANSITION PROGRAM TO REDUCE DISABILITY AFTER STROKER01HD092398 · NICHD · WASHINGTON UNIVERSITY · PI Susan Lynn Stark · 2017 to 2026
$2.8M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NICHD NIH HHS R01 HD092398
6 · The paper itself

Abstract

objectiveTo fully describe the key elements for implementation of the Community Participation Transition after Stroke (COMPASS) intervention for stroke survivors returning home from inpatient rehabilitation (IR) using the Reach, Effectiveness, Adoption, Implementation, Maintenance framework.

designProcess evaluation of a randomized controlled trial of the COMPASS intervention.

settingIR and participants' homes.

participantsOne hundred eighty-five (N=185) stroke survivors who were 50 years of age or older, experienced an acute ischemic stroke or intracerebral hemorrhage, were independent in activities of daily living before their stroke, and planned to discharge home from IR.

interventionsParticipants were randomized to receive the COMPASS intervention (home modifications and strategy training, n=85) or attentional control (AC; stroke education, n=100). Both groups received 4 visits in the home.

main outcome measuresComponents of the Reach, Effectiveness, Adoption, Implementation, Maintenance framework.

resultsIn this study, 51.8% of eligible stroke survivors participated. More COMPASS participants completed the intervention than AC participants (94.1% vs 75.0%; reach). COMPASS participants experienced greater improvements in self-rated performance and satisfaction and barrier severity than AC participants at 12-month follow-up (effectiveness). Approximately 89% of intervention components were implemented in an average of 5.5 postdischarge home visits (average, 289min; SD=172). An average of 9.9 home modifications/recommendations was made per participant, and the median cost of adaptive equipment and contractor labor and materials was $544 ($275-$754; implementation). Adherence to home modifications at 12 months was 82.4% (SD=0.24; maintenance).

conclusionsCOMPASS had good reach and was effective in improving stroke survivors' self-rated performance and satisfaction and in reducing environmental barriers to daily activities. COMPASS was implemented with fidelity and low cost in a sample of stroke survivors.

Indexed as

Stroke RehabilitationActivities of Daily LivingAgedFemaleHumansMaleMiddle AgedPatient DischargeStrokeSurvivorsEvidence-based practiceHome environmentOccupational therapyRehabilitationStroke

Identifiers

PMID41205849
PMCPMC12874605

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.