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Table 2 Stroke coach curriculum overview

From: Feasibility of deploying peer coaches to mentor frontline home health aides and promote mobility among individuals recovering from a stroke: pilot test of a randomized controlled trial

Topic

Didactic (D); role playing (R); hands-on (H)

Phase 1: Basic sessions

 Stroke overview: causes and after-effects

D

 Falls prevention: risk factors, environmental assessment, and balance/strength exercises to reduce risk

D, R

 Cultural competency/sensitivity training

D, R

 Review of common rehabilitation care plans

D, R

 Depression/anxiety recognition

D, R

 Role and participation in the rehabilitation team

D

 Problem-solving

D, R

Phase 2: Advanced sessions

 Ambulation and transfer

D, R, H

 Range of motion techniques for post-stroke patients

D, R, H

 Speech/communication

D, R

 Preventing another stroke through medication compliance and diet

D and video

 Recognizing another stroke and appropriate response

D and video

 Patient/family engagement, motivation, and goal setting (motivational interviewing coaching refresher)

D, R, H

 Working synergistically with therapists and caregivers

D, R

 Enhanced observe, record, report: recognizing and relaying signs of deteriorating conditions and other factors to prevent emergencies and unnecessary re-hospitalizations

D, R, H

 Train-the-trainer techniques; teach-back techniques

D, R, H

Phase 3: Field observation and support

 Direct observation of peer education field visit

H

 Booster sessions

D, R, H