Pilot Study of a Community-Based Train-Your-Brain Programme to Improve Cognitive Function and Return-to-Work for Stroke Survivors Aged 21 to 65

What this Trial Is About

Stroke is a leading cause of disability and death in Singapore, with a rising number of younger adults affected. Many stroke survivors experience ongoing cognitive problems that make returning to work difficult, even if they recover physically. This research aims to test a community-based brain health program designed to improve cognitive function and support return-to-work outcomes for stroke survivors, while also involving caregivers who play a key support role. The study compares a group-based Train-Your-Brain Stroke Recovery Programme, led by clinical neuropsychologists, to usual treatment provided by participants regular care providers. The program includes a needs assessment, multiple group sessions on lifestyle, mood, cognition, and work strategies, and follow-up support. These sessions use both in-person and online formats, supplemented by workbooks and community referrals. Participants will be assessed before, immediately after, and six months post-intervention using various tests and questionnaires measuring cognitive function, return-to-work progress, neuroplasticity through biomarkers and imaging, psychosocial health, fatigue, and self-care. The study will evaluate how feasible and acceptable the program is and monitor recruitment, retention, and participant experiences over an average of six months. Caregivers will also be evaluated for their role and burden during this period.

A Pilot Return-to-Work Cognitive Intervention After Stroke