In english

a novel digital follow-up tool for facilitating patient-tailored rehabilitation in the post-acute continuum of care after stroke - A multicenter pragmatic randomized controlled trial

Despite the heavy burden of stroke and the demands from ‘Socialstyrelsen’ of improving post-acute care, an effective structured follow-up to promote a patient-tailored rehabilitation remains largely lacking in the current stroke care.

The overall aim of this study is to find a cost-effective solution to facilitate patient-tailored rehabilitation that improves daily and social activities and health-related quality of life for persons discharged from hospital after stroke. We have recently developed a novel digital graphic tool, Rehabkompassen®, which based on patient-reported outcome measurements captures the patient's complex health status after stroke, see Figure 1 and 2. Here, this tool will be used in a parallel, open-label, 2-arm prospective and multicenter pragmatic randomized controlled trial between 2022-2026. All participants (n = 1106) will be randomized according to permuted block design, and receive a usual out-patient visit without (control group, n = 553) or with (intervention group, n = 553) Rehabkompassen®, at 3-month after stroke. The effectiveness of the tool on daily and social activities, quality of life and its health- economic effects will be compared at 12-month out-patient visit post stroke. See flowchart of study in Figure 3.

We hypothesize that the Rehabkompassen® may provide a patient-tailored rehabilitation that improves recovery, independence, and quality of life among people with stroke in a cost-effective way. The tool may thus be implemented in the post-acute continuum of stroke care.

Figure 1. Example of Rehab Compass images that visualize more (A) or less (B) rehabilitation needs.   

Figure 2. The patient-reported outcome measurements are visualized in the tool for health care staff.

Figure 3. Flowchart of the study.