How to build home based stroke rehabilitation using participatory action research: lessons learned from developing regional stroke networks
Year: 2026
Type: article
Abstract: PURPOSE: This study aims to identify lessons learned regarding: 1) regional factors influencing the development and implementation of home-based stroke rehabilitation (HBSR) networks, during participatory action research (PAR) and 2) the role of the PAR-facilitator in this process. By developing a roadmap based on the lessons learned, we aim to support PAR-facilitators in developing HBSR using regional networks. MATERIALS AND METHODS: In each region, data were collected through individual communication, group discussions, process and outcome evaluations, public consultations, and the PAR-facilitator's logbook. Ending each project, regional evaluations and logbooks were synthesized into a process narrative. Key lessons were drawn through critical reflection sessions and translated into a revised process description (roadmap). RESULTS: The study showed that motivated professionals, available preconditions for stroke care coordination, and interprofessional collaboration, influenced HBSR implementation. Participants reported the PAR-facilitator playing a crucial role in process monitoring and facilitating information, collaboration and motivation. Also, PAR-methods were considered valuable. The lessons learned resulted in a roadmap describing recommended actions, methods, key considerations, and questions to support reflexivity. CONCLUSION: PAR is a promising approach for developing and implementing HBSR networks. Project success depends on prerequisites in context, professionals' motivation and collaboration and guidance by a competent PAR facilitator.
Source: Disability and Rehabilitation
Language: English
Subfield: Rehabilitation
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7128924152