Occupational Therapy at Home E-Rehabilitation (OTHER): a feasibility study of post-stroke intervention for transition to home

Sanne Pellegrom; Ton Satink; Margo van Hartingsveldt; Maud Graff; Bianca Buurman; Margriet Pol

doi:10.1080/09638288.2026.2643929

Occupational Therapy at Home E-Rehabilitation (OTHER): a feasibility study of post-stroke intervention for transition to home

Disabil Rehabil. 2026 Apr 1:1-20. doi: 10.1080/09638288.2026.2643929. Online ahead of print.

Authors

Sanne Pellegrom^{1

2}, Ton Satink^{3

4}, Margo van Hartingsveldt¹, Maud Graff^{5

6}, Bianca Buurman^{2

7

8}, Margriet Pol^{1

2

8}

Affiliations

¹ Research Group, Occupational Therapy: Technology and Participation, Faculty of Health, Sport and Physical Activity. Centre of Expertise Urban Vitality, Amsterdam University of Applied Science, Amsterdam, the Netherlands.
² Department of Medicine for Older People, Amsterdam UMC, location Vrije Universiteit, Amsterdam, the Netherlands.
³ Research Group Neurorehabilitation - Self-Regulation and Participation, HAN University of Applied Sciences, Nijmegen, the Netherlands.
⁴ European Masters of Science in Occupational Therapy, Faculty of Health, Sport and Physical Activity. Centre of Expertise Urban Vitality, Amsterdam University of Applied Science, Amsterdam, the Netherlands.
⁵ Department of Rehabilitation, Research Group Occupational Therapy, Radboud University Medical Center, Nijmegen, the Netherlands.
⁶ Department of IQ Health, Radboud University Medical Center, Nijmegen, the Netherlands.
⁷ Department of Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC, Amsterdam, the Netherlands.
⁸ Amsterdam Public Health, Ageing & Later Life, Amsterdam, the Netherlands.

PMID: 41918405
DOI: 10.1080/09638288.2026.2643929

Abstract

Purpose: To evaluate the feasibility of the Occupational Therapy at Home E-Rehabilitation (OTHER) intervention for persons post-stroke (age > 55) transitioning to home.

Methods: A mixed-methods feasibility study was conducted. Qualitative data included semi-structured interviews with persons post-stroke (n = 8) and informal caregivers (n = 4), a focus group with occupational therapists (OTs) (n = 4), and logbooks. Inductive thematic analysis explored the experiences of persons post-stroke and OTs, while feasibility was assessed deductively using Bowen's areas of feasibility. Quantitative data were the Canadian Occupational Performance Measure (COPM), Self-Management Ability Scale (SMAS-30), and the Montreal Cognitive Assessment to assess differences between baseline and 3 months.

Results: Eight persons post-stroke received OTHER. Inductive thematic analysis resulted in three themes from the perspectives of persons post-stroke and OTs: activity monitoring was appreciated; doing and talking were real supports; and the intervention was inspiring and challenging. Feasibility was acceptable based on Bowen's areas. A pre-post intervention change was observed on the COPM: 1 on performance and 1.5 on satisfaction, and for SMAS-30, a positive change of 4.67 was observed.

Conclusion: The OTHER intervention and research protocol are feasible for home-based rehabilitation, and a larger trial is recommended.

Keywords: Stroke; coaching and activity monitoring; daily activities; geriatric rehabilitation; self-management.

Plain language summary

The OTHER intervention was developed for persons post-stroke to improve daily functioning and self-management at home.OTHER is feasible and acceptable for persons post-stroke transitioning to home from geriatric rehabilitation.