Remote Therapeutic Monitoring Enhances Adherence to a Home Exercise Program in Chronic Stroke.
Publication Title
Healthcare (Basel)
Document Type
Article
Publication Date
8-20-2026
Keywords
adherence; compliance; gaming; home exercise; rehabilitation; remote therapeutic monitoring; self-management; stroke; telehealth.; oregon; medford
Abstract
BACKGROUND: Poor adherence to home exercise programs is a persistent challenge in physical rehabilitation and beyond. Data suggest that follow-up telehealth visits featuring behavior change techniques can improve adherence. However, the optimal frequency of behavioral support for effective self-management of technology-enabled home exercise programs remains unclear. This paper investigates how adherence to home exercise varies with the number of follow-up visits holding the type of exercise constant and measuring adherence objectively.
METHODS: A secondary analysis of adherence was conducted on participants from the VIGOROUS five-site, single-blind, and randomized controlled trial. Chronic (>6 months) community-resident stroke survivors with mild-to-moderate upper extremity hemiparesis (
RESULTS: Six telehealth visits with remote therapeutic monitoring (RTM) increased home exercise completion by 3.3 h [95% CI: 0.008, 6.60]; each remote or in-person consultation was associated with an estimated 34 min of additional asynchronous home exercise.
CONCLUSIONS: RTM, which does not require travel to a healthcare facility, is a time-efficient modality to enhance therapeutic engagement. Behaviorally focused telehealth visits boost stroke survivors' adherence to a structured home exercise program.
Area of Special Interest
Neurosciences (Brain & Spine)
Specialty/Research Institute
Neurosciences
Specialty/Research Institute
Telemedicine
Specialty/Research Institute
Rehabilitation
DOI
10.3390/healthcare14162634
