Achieve clinical recommendations for stroke recovery intensity using an implanted activity circuit with a change agent


Clinical guidelines for stroke rehabilitation recommend at least 15 hours of mobility intervention and 10 hours of communication intervention per week. However, the current schedule of care in clinical programs does not allow for this level of intensity for rehabilitation. The aim of this participative research project is thus to increase the duration of intervention by providing stroke patients with a circuit of stations where rehabilitation activities can be done autonomously or semi-autonomously, in a group or with relatives to increase their mobility and communication capacities during intensive rehabilitation. Activities would be provided based upon the perceived requirements described by the users, their families and their rehabilitation team. This type of circuit has a good level of evidence in terms of its effect on mobility capacities. The station set-up and activity monitoring will be administered by a change agent, who will also be involved in the organization of collaborations with external partners, who will provide new technologies and social interventions for rehabilitation that will be tested and improved in a real-world setting. Data collection will include data about the change process and about the effect of this implementation. This project will thus have an impact on the implementation process of innovative clinical practices, on the establishment of collaborations with external partners and on the clinical benefits during rehabilitation of individuals with stroke.