iN home Telerehabilitation to ENhance phySIcal activiTY after Stroke (iNTENSITY - Stroke)

2 cohorts: Participants will be randomised to a home-delivered telerehabilitation or centre-based community rehabilitation cohort. Participants will receive 6 weeks of rehabilitation delivered over a 6-8 weeks period. Both groups will receive the same amount of total scheduled therapy time related to physical activity: Totaling 2 hours of Physiotherapy and/or Occupational Therapy time and 2 hours of Allied Health Assistant therapy time per week. Both intervention arms will provide individually tailored task-specific exercises targeting physical activity. In addition, both intervention arms will coach, educate and mentor participants in self-managing their physical activities in daily life. Further, both interventions will use patient specific goal setting and follow therapy recommendations as outlined by the Australian Stroke National Guidelines. The need for physiotherapy or occupational therapy, including duration of sessions will be determined based on how participants can best achieve their specific goals. Intervention administration: Participants randomised to home-delivered telerehabilitation will receive rehabilitation delivered at their residential address through a technology device e.g. tablet, computer. Participants will receive 2 hours rehabilitation from a physiotherapist and/or occupational therapist and 2 hours of rehabilitation delivered from an Allied Health Assistant per week. Participants randomised to centre-based community rehabilitation will travel to their nearest centre for rehabilitation. Patient will receive 2 hours rehabilitation from a physiotherapist and/or occupational therapist and 2 hours of rehabilitation delivered from an Allied Health Assistant per week. Mode of therapy administration: Participants randomised to home-delivered telerehabilitation will receive rehabilitation delivered through a technology device. Participants randomised to centre-based rehabilitation will be delivered in a one-on-one or/and in a group session (max 8 people). All aspects of the delivered therapy will be monitored and recorded: Service delivery fidelity 1) Start and end time of intervention session 2) Health professional involved (PT/OT or AHA) 3) Frequency of sessions/ total sessions 4) Attendance/ cancelled/ did not attend/ rescheduled (includes reason technology failures) 5) Caregiver attendance Y/N – Caregiver presence required Y/N Therapy content fidelity 1) Content of sessions in ‘active minutes’ spent on physical activity 2) Content of sessions in minutes on rest, self-management, education, goal setting, documentation, and other non-patient contact time. 3) Time to set up session