Background: Stroke events frequently result in profound psychosocial deficits, a domain underserved by contemporary healthcare models prioritizing symptom management. There is an imperative need for holistic post-stroke support. Peer-coaching is a promising intervention support individuals with chronic illnesses; however, evidence for mitigating psychosocial impairment among stroke survivors remains limited. This study develops and evaluates the feasibility and effectiveness of a novel post-stroke peer coaching intervention.
Methods/Design: A Participatory Action Research (PAR) framework, involving co-design with key stakeholders such as patients, caregivers, and healthcare professionals is employed. The intervention uses a longitudinal, pre-post design evaluation of a 5-week peer-led intervention that addresses the following themes i) Bridging the disconnect, ii) Orientation in limbo, iii) Striving to adapt, iv) Setting meaningful goals, and v) Celebrating Strengths. Experienced stroke survivors are recruited and trained as peer-coaches for first-time stroke survivors. Assessments for participants are administered at four time points: baseline, post-intervention, and 5-and 10-week follow-up. Outcomes include mental well-being, resilience, self-efficacy, reintegration, social support, spiritual well-being, and overall quality of life. Intervention feasibility is assessed by indicators that include consent proportion, attrition rate, and assessment completion rate. A nested post-intervention qualitative investigation employing semi-structured interviews to explore acceptability of procedures and experience of support will be conducted.
Discussion: The current protocol expands the growing evidence for peer-coaching to be employed as a cost-effective, brief intervention for first-time stroke patients’ psychosocial care needs embedded within the community. The work provides lessons for development, discusses scalability, and considers future research for more complex RCT designs.

Authors:
Paul Victor Patinadan, Nanyang Technological University, Singapore
Yichao Chen, Nanyang Technological University, Singapore
Geraldine Tan-Ho, Nanyang Technological University, Singapore
Farrah Dewanti, Nanyang Technological University, Singapore
Melanie Chng, Nanyang Technological University, Singapore
Andy Hau Yan Ho, Nanyang Technological University, Singapore

About the Presenter(s)
Dr Paul Victor Patinadan is an Assistant Professor with the Psychology Programme at Nanyang Technological University specialising in health research. He is an Association for Death Education and Counselling (ADEC) certified Thanatologist and plays an

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https://www.linkedin.com/in/paul-victor-patinadan-b2ab46190

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