Recovering my way: Stroke survivors from rural and remote Queensland using technology to exploit their recovery potential.

Stroke survivor participants will undertake the Living My Life Program, which is designed to support the participant to work towards their goals, using technology in a way that works for them, in their world. The participant works through 5-steps, guided by an allied health clinician, over a 3-month period. The Program begins with an initial interview by the therapist to determine what matters to the participant, their goals (e.g., going to church) and the strengths they can draw on, and the limitations they need to accommodate, in their world. In the following session (step 2), the therapist and participant co-design a home program in the form of an action plan. The action plan is goal-directed, incorporating activities related to goal practice, part-practice (e.g., walking on different surfaces), and addressing underlying impairments (e.g., strength). In step 3, the participant tries out their plan in their home. In step 4, the participant continues working through their plan independently, interspersed with coaching sessions with the therapist. Coaching sessions begin weekly, reducing to no less than monthly, as the participant gains confidence with their program. In the final step, the participant and therapist review the participant's progress and plan for continuing to work towards their goals. The participant records their activities throughout the Program in an electronic multimedia journal and monitors their progress using patient-reported outcomes. The therapist documents the sessions using purposefully designed templates. The participant is expected to attend 9 sessions, each lasting 30 - 60 minutes, over the 3 months. Digital health technologies are used by the participant to undertake their planned activities and communicate with the therapist. All sessions are conducted via online videoconferencing.