Feasibility and Acceptability of the Living My Life Program for Rural and Remote Stroke Survivors.

Only five stroke survivors were studied, so the findings cannot show how the Program would work in a larger or less motivated group. Participants were recruited through community networks and social media and were motivated to improve recovery, which may limit how well the findings apply to stroke survivors who are less inclined to use technology. The lead researcher also delivered the Program as the coach, and this dual role may have affected engagement and responses. The study used a multiple case study design, so it was not built to test effectiveness. One participant could not complete the Program because of illness and poor internet access at home, so feasibility was not equal across participants. Participants' ratings could be influenced by their feelings, expectations, life circumstances and changing priorities.

Do not read the high acceptability scores and goal improvements as evidence that the Program works. Five stroke survivors were studied, one did not complete, and the Program combined coaching, goal setting, motivational interviewing, action planning and chosen technologies. The contribution of any single component cannot be separated.