Cognitive Priming for Stroke Tele-rehabilitation

The goal of this pilot study is to investigate whether adding cognitive rehabilitation to an existing occupational therapy (OT) stroke telerehabilitation program will improve stroke survivors' functioning. The main question it aims to answer is whether this intervention improves cognition, participation, upper extremity use in real-world activities, and mood/quality of life. Participants will be asked to engage in an 8-week stroke tele-rehabilitation program (13 sessions), which includes both cognitive rehabilitation and OT for arm/hand function, and complete assessments before and after the intervention.

Inclusion Criteria: * Have experienced ischemic or hemorrhagic stroke with resultant paresis of one arm/hand at least 30 days prior * Adults ages 21 years or older * Are able to speak and read English * Have corrected vision to be able to read text on a screen * Have a device on which a telerehabilitation visit can be conducted (i.e., phone, tablet, or laptop) and a Wi-Fi connection or cellular service * Able to participate in the study's assessment sessions as per the judgment of the licensed, experienced stroke telerehabilitation occupational therapist. Exclusion Criteria: * Have moderate-severe or severe aphasia. * Have impaired decision making capacity as determined by a standard protocol for assessing capacity to provide informed consent.