Pilot Study of Aspirational Rehabilitation Coaching for First-Time Stroke Survivors and Their Family Caregivers A 4-Week Psychosocial Support Program to Improve Wellbeing and Recovery

What this Trial Is About

This research aims to evaluate the Aspirational Rehabilitation Coaching for Holistic Health ARCH programme, a new strength-based, multi-part psychosocial intervention designed to support first-time stroke survivors and their family caregivers. The study focuses on addressing psycho-socio-emotional and spiritual challenges faced after discharge from inpatient care. It uses a pre-post experimental design to assess the impact of the ARCH intervention on wellbeing, self-compassion, independence, quality of life, hope, resilience, self-efficacy, and the quality of the caregiver-survivor relationship. Participants will receive the ARCH intervention over four weekly sessions, each lasting 1.5 hours, totaling six hours. This dyadic programme integrates psychoeducation, psychosocial support, and self-compassion practices. The sessions guide families to understand and cope with post-stroke losses, build on their strengths, set achievable goals, and strengthen family bonds, while encouraging seeking support from wider social networks and care services. During the study, participants will be assessed at four time points before the intervention, immediately after, and then three and six months post-intervention. Measurements include wellbeing, post-stroke reintegration, caregiver burden, self-efficacy, dyadic relationship quality, spiritual wellbeing, anxiety and depression symptoms, social support perception, resilience, and hope. The study also evaluates the acceptability and feasibility of the programme from the participants perspectives. The total duration of participation spans approximately seven months from baseline to final follow-up.

Aspirational Rehabilitation Coaching for Holistic Health (ARCH): A Pilot Pre-Post Experimental Study