[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100632702":3},{"organization":4,"armGroups":7,"interventions":15,"overallOfficials":26,"centralContacts":31,"locations":41,"responsibleParty":73,"collaborators":76,"id":82,"slug":83,"hasResults":84,"nctId":85,"briefTitle":86,"officialTitle":87,"acronym":88,"eligibilityCriteria":89,"healthyVolunteers":84,"sex":90,"minAge":91,"maxAge":21,"enrollmentInfo":92,"targetDuration":21,"studyType":95,"phases":96,"briefSummary":98,"conditions":99,"keywords":101,"overallStatus":107,"whyStopped":21,"lastUpdateSubmitDate":108,"lastUpdatePostDateStruct":109,"startDateStruct":112,"completionDateStruct":114,"leadSponsor":116,"locationsCount":117},{"fullName":5,"class":6},"Norwegian School of Sport Sciences","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Enriched environment modifications in the home","EXPERIMENTAL","Participants in this arm will receive home-based stroke rehabilitation supported by the PEER-HOMEcare approach. The intervention focuses on applying principles of enriched environments to the participant's home setting in order to increase opportunities for physical, cognitive, and social engagement during daily activities. Rehabilitation professionals will work with participants and, when appropriate, family members to identify meaningful activities, adapt the home environment, and integrate stimulating activities into everyday routines. Environmental and activity-based strategies may include modifying the home layout to encourage safe mobility, introducing materials or tasks that promote cognitive and sensory stimulation, and facilitating social interaction and participation in daily life. The goal is to create a home environment that supports exploration, activity, and engagement throughout the day alongside usual home-based rehabilitation services.",[13,14],"Behavioral: Environmental Mapping Tool (using S.T.E.P.S)","Behavioral: Daily Diary",[16,22],{"type":17,"name":18,"description":19,"armGroupLabels":20,"otherNames":21},"BEHAVIORAL","Environmental Mapping Tool (using S.T.E.P.S)","The environmental mapping tool is used after identifying meaningful tasks with the modified Canadian Occupational Performance Measure (m-COPM). It helps therapists and participants examine how the home environment supports or limits performance of these activities and identify targeted enriched environment (EE) modifications that support rehabilitation goals. Meaningful activities are those that are personally important to the stroke survivor and linked to their identity, independence, roles, or enjoyment, which can enhance motivation and engagement in rehabilitation. The mapping process uses the S.T.E.P.S. framework (Space, Time, Equipment, People, and Safety), to analyse environmental factors influencing task performance. Therapists and participants collaboratively review each activity and consider how the home environment can be adjusted to increase opportunities for safe practice, participation, and engagement in daily life.",[9],null,{"type":17,"name":23,"description":24,"armGroupLabels":25,"otherNames":21},"Daily Diary","The daily diary is used by the stroke survivor to record practice of meaningful activities identified during rehabilitation. It helps ensure that therapy remains focused on the participant's chosen tasks and supports progression by tracking changes in difficulty, level of assistance, and independence over time. The diary also provides a structured record that can be reviewed together with the therapist to reflect on progress, identify challenges, and guide adjustments to activities or environmental strategies to support continued recovery and skill development.",[9],[27],{"name":28,"affiliation":29,"role":30},"James Rudd, Professor","Norwegian School of Sport Sciences (NIH)","PRINCIPAL_INVESTIGATOR",[32,37],{"name":33,"role":34,"phone":35,"phoneExt":21,"email":36},"James R Rudd, Professor","CONTACT","+47 46767926","jamesr@nih.no",{"name":38,"role":34,"phone":39,"phoneExt":21,"email":40},"Arve I Opheim, Associate Prof.","+47 98005122","arve.opheim@sunnaas.no",[42,53,63],{"facility":43,"status":21,"city":44,"state":21,"zip":21,"country":45,"countryCode":46,"cosmosGeoPoint":47,"geoPoint":52,"contacts":21},"Riga Stradins University Hospital","Riga","Latvia","LV",{"type":48,"coordinates":49},"Point",[50,51],24.10589,56.946,{"lat":51,"lon":50},{"facility":54,"status":21,"city":55,"state":21,"zip":21,"country":56,"countryCode":57,"cosmosGeoPoint":58,"geoPoint":62,"contacts":21},"Sunnaas Rehabilitation Hospital","Nesoddtangen","Norway","NO",{"type":48,"coordinates":59},[60,61],10.66308,59.86244,{"lat":61,"lon":60},{"facility":64,"status":21,"city":65,"state":21,"zip":21,"country":66,"countryCode":67,"cosmosGeoPoint":68,"geoPoint":72,"contacts":21},"Sahlgrenska University Hospital","Gothenburg","Sweden","SE",{"type":48,"coordinates":69},[70,71],11.96679,57.70716,{"lat":71,"lon":70},{"type":30,"investigatorFullName":74,"investigatorTitle":75,"investigatorAffiliation":5,"oldNameTitle":21,"oldOrganization":21},"James Robert Rudd","Professor",[77,78,80],{"name":54,"class":6},{"name":79,"class":6},"Göteborg University",{"name":81,"class":6},"Riga Stradins University","100632702","home-based-stroke-rehabilitation-using-enriched-environments-peer-homecare-100632702",false,"NCT07517120","Home-Based Stroke Rehabilitation Using Enriched Environments (PEER-HOMEcare)","Pedagogy and Enriched Environment for Rehabilitation in the Home After Stroke (PEER-HOMEcare): Study Protocol for a Single-Group Feasibility Study","PEERHOMEcare","Inclusion Criteria:\n\n* adults (≥18 years old)\n* diagnosed with first or second haemorrhagic or ischaemic stroke\n* stroke onset no more than six months before study enrolment\n* discharged to their home following inpatient rehabilitation\n* reporting functional impairments in the upper extremity that affect functioning and participation in everyday life due to the latest stroke.\n* score at least 4 points on the Shoulder Abduction + Finger Extension (SAFE) measure.\n* adequate language skills and cognitive functioning to be able to understand intervention material, perform outcome assessments and co-operate throughout the intervention\n* willing to participate and able to provide written consent\n* consent for participation also by closest family members, if they live in the same household\n\nExclusion Criteria:\n\n* presence of other neurological conditions\n* reported limited life expectancy due to other medical conditions during the study period\n* severe mental health disorders, including substance use disorders\n* a history of violence\n* severe communication and\u002For cognition deficits (MoCA below 10 points) that prevent participants from being able to participate in the intervention, understand interview questions, or study-related instructions\n* unwillingness of persons sharing the household to participate and accept the intervention\n* uncontrolled medical issues such as unstable angina, severe hypertension, or severely limiting orthopaedic conditions","ALL","18 Years",{"count":93,"type":94},45,"ESTIMATED","INTERVENTIONAL",[97],"NA","The goal of this clinical trial is to learn whether the PEERHOMEcare intervention is a feasible and acceptable methodology that may have the potential to improve recovery for adults who are recovering from stroke and receiving rehabilitation at home. PEERHOMEcare adapts research on enriched environments to support brain recovery by creating stimulating and supportive home rehabilitation settings and by involving healthcare professionals and family members. The main questions it aims to answer are whether the PEERHOMEcare approach is feasible to implement in home-based stroke rehabilitation in Norway, Sweden, and Latvia, and whether it improves patient engagement and participation in rehabilitation during the first six months after stroke. Researchers will assess the delivery of the PEERHOMEcare approach to see if the intervention is feasible and acceptable and if the educational material can be used to improve engagement and recovery. Participants will receive home-based stroke rehabilitation, work with project therapists and family members to adapt their home environment to support rehabilitation activities, and complete assessments and follow-up visits to measure engagement, upper limb motor recovery, and feasibility of the intervention.",[100],"Stroke",[102,103,104,105,106],"Enriched environment","Rehabilitation","Home based rehabilitation","Upper limb motor function","Activities of Daily Living (ADL)","NOT_YET_RECRUITING","2026-04-01",{"date":110,"type":111},"2026-04-08","ACTUAL",{"date":113,"type":94},"2026-03-15",{"date":115,"type":94},"2027-04",{"name":5,"class":6},3]