Peer coaching, which involves experienced individuals supporting peers with similar experiences, is a promising approach for promoting the psychosocial well-being of stroke survivors. However, there has been no post-stroke peer coaching intervention that is systematically developed with inputs from key stakeholders. The current study aimed to design a post-stroke peer coaching intervention that is informed by stakeholders and addresses the needs of stroke survivors. We conducted a qualitative study using focus group discussions with stroke survivors, caregivers, and healthcare practitioners, who shared their experience and provided suggestions for an ideal peer-coaching intervention for post-stroke recovery. Discussions were audio-recorded, transcribed verbatim, and analysed with thematic analysis. Research rigor and trustworthiness was ensured through peer debriefing and team consensus. The analysis identified three thematic groups: 1) Making the Unfamiliar My Own, informing core psychosocial needs for post-stroke recovery; 2) Coach Competencies, identifying essential requirements for peer coaches; 3) Intervention Delivery, indicating optimal implementation methods. Based on the findings, a novel, evidence-based post-stroke peer coaching intervention was developed. This intervention featured five structured coaching sessions designed as a scaffolding support system to fulfil post-stroke needs. A standardised coach training curriculum was also established, aiming to equip peer coaches with the necessary capacities. Employing a data-driven method, this study developed a peer coaching intervention that is grounded in multi-stakeholder perspectives and offers patient-centered support on post-stroke recovery.

Authors:
Yichao Chen, Nanyang Technological University, Singapore
Paul Patinadan, Nanyang Technological University, Singapore
Andy Hau Yan Ho, Nanyang Technological University, Singapore
Farrah Dewanti, Nanyang Technological University, Singapore
Hui Ling Michelle Chiang, Nanyang Technological University, Singapore
Geraldine Tan-Ho, Nanyang Technological University, Singapore

About the Presenter(s)
Yichao Chen is a Doctoral Researcher at NTU, focusing on health, behavior, and rehabilitation science. His core research is developing a peer coaching intervention to support stroke survivors' long-term recovery.

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