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Home Rehabilitation With Virtual Support After Stroke in Underserved Texas Communities

Tests virtual help with home rehabilitation in adults recovering from a stroke.

Plain-language title generated from the registry record
Registry title: Virtually Assisted Home Rehabilitation After Stroke for Underserved Texas Communities

Key facts

Where
Houston, United StatesSee the site

Where in United States

  • The University of Texas Health Science Center at HoustonHouston, United StatesNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
The University of Texas Health Science Center, Houston
Trial code
NCT07597226
Record updated
19 May 2026
Original description
The purpose of this study is to evaluate the clinical effectiveness of Virtually Assisted Home Rehabilitation After Acute STroke (VAST) + post-acute stroke usual care (PASUC) compared to PASUC alone and examine how social determinants of health (SDOH) influence access to and utilization of PASUC rehabilitation.Read full original descriptionShow less

Virtually Assisted Home Rehabilitation After Stroke for Underserved Texas Communities

The purpose of this study is to evaluate the clinical effectiveness of Virtually Assisted Home Rehabilitation After Acute STroke (VAST) + post-acute stroke usual care (PASUC) compared to PASUC alone and examine how social determinants of health (SDOH) influence access to and utilization of PASUC rehabilitation.

Inclusion: Hospital admission with primary ICD-10 discharge diagnosis of Acute Ischemic Stroke (AIS) or Intracerebral Hemorrhage (ICH); o those being referred from the community settings must be within 60 days of post-acute discharge; Post-stroke functional deficits warranting PASUC rehabilitation; Clinically stable and appropriate for discharge per acute care facility; Completion of a rehabilitation evaluation within the acute setting; Planned discharge to home (with or without Home Health (HH)/Outpatient Rehabilitation (OPR), Inpatient Rehabilitation Facility (IRF), or Skilled Nursing Facility (SNF); Ability to speak and read English or Spanish; Ability to provide informed consent (patient or LAR); o If LAR is consenting, patient must be able to follow simple commands; Access to a video-capable device and internet.

Exclusion: Significant language impairment (NIHSS Commands >1 or Best Language >2)- Cognitive impairment (Six-Item, PROMIS) -Severe depression (PHQ-8 >20 or psychiatric hospitalization previous 30 days)- Pre-stroke mRS >3; Clinically unstable medical condition; Poorly controlled severe mental illness; Inability to complete follow-up (psychiatric hospitalization, hospice, incarceration, homelessness); Other neurological or musculoskeletal conditions substantially limiting participation o Patients excluded for one of these criteria may be reassessed at 60-days to see if improvement has occurred; Planned discharge to a long-term care facility (LTACH); Discharge against medical advice.

ClinicalTrials.gov NCT07597226