Therapist portal

Stroke recovery happens at home. You make it possible.

PEER-HOMEcare brings rehabilitation into the everyday - and this portal gives you everything you need to deliver it.

Phase 1

Recruitment

Identify eligible participants, complete screening, and obtain consent.

steps – what to do

  1. Check inclusion and exclusion criteria
  2. Complete MOCA and SAFE screening
  3. Send invitation letter
  4. Obtain written consent after 48h
  5. Contact next of kin (NOK)
  6. Collect discharge information

Resources

Tips Before your first visit — working with a stroke survivor

  1. Build trust from the start. Many stroke survivors feel vulnerable after discharge. Take time to listen before explaining the program.
  2. Involve family and support people. Encourage a support person to be present from the first visit.
  3. Use shared decision-making. Goals should reflect what matters to the participant — ask what they miss doing most.
  4. Set realistic expectations. Progress may be slow — celebrate small wins and normalise setbacks.
  5. Adapt your communication. Some stroke survivors may have aphasia or fatigue. Use plain language and allow extra time.
Phase 2

Week 1 – session 1

First home visit. Focus on sensor training, goal-setting, and baseline data.

what to do

  1. Train participant and support person on sensors
  2. Discuss 3 goals using mod-COPM
  3. Give or send questionnaires via Nettskjema
  4. Introduce the daily diary
  5. Show how to charge and turn off sensors
  6. Agree on two home visits next week

Resources

Phase 3

Week 1 – session 2

Second home visit same week. Collect data, complete assessments, and plan ahead.

what to do

  1. Review sensor data and challenges
  2. Complete ARAT and FMA assessments
  3. Environmental mapping for EE strategies
  4. Encourage daily diary use
  5. Log phone contact

Resources

Phase 4

Week 2–8

1–2 weekly home visits. Taper off based on participant progress. May be replaced by phone or telepractice.

what to do

  1. Review sensor data and daily diary
  2. Adjust EE strategies as needed
  3. Complete T2 re-assessment at week 8
  4. Consider transition to phone consultations

Resources

The science

Why recovery happens at home.

Stroke recovery is driven by neuroplasticity — the brain's ability to rewire itself through meaningful, repeated movement. The home is where that movement happens most naturally.

Traditional rehabilitation focuses on structured exercises in clinical settings. But research shows that the most meaningful gains come from movement embedded in everyday life — reaching for a cup, opening a door, preparing a meal.

PEER-HOMEcare is built on the insight that the home environment itself can be shaped to encourage more and better movement. Instead of adding exercises on top of daily life, we make daily life the rehabilitation.

what to do

  1. Call participant — use 3-month follow-up tab
  2. Review progress on the 3 mod-COPM goals
  3. Log the call

Resources

Key principle

Stroke survivors who use their affected arm more in everyday situations show greater long-term motor recovery. The sensors make this visible — and the program makes it possible.

The science

Built on evidence. Tested in the real world.

PEER-HOMEcare has followed a clear translational path — from theory and co-design to real-world testing.

1

Theory

Grounded in Environmental Enrichment research and neuroplasticity science. Rehabilitation not as physical repair, but as re-education of the whole person.

2

Co-design

Developed with clinicians, researchers, and patients across Norway, Sweden, and Latvia. Real feedback from real people shaped every part of the program.

3

Pilot testing

Piloted at Sunnaas Rehabilitation Hospital in Oslo. Stroke survivors and families reported positive experiences — particularly the value of rehabilitation happening at home.

4

Feasibility study (current)

Now running across Norway, Sweden, and Latvia as part of an EU-funded Transforming Health and Care Systems project. Full launch spring 2026.

what to do

  1. Call participant — use 3-month follow-up tab
  2. Review progress on the 3 mod-COPM goals
  3. Log the call

Resources

Key principle

Stroke survivors who use their affected arm more in everyday situations show greater long-term motor recovery. The sensors make this visible — and the program makes it possible.

The science

Why recovery happens at home.

Stroke recovery is driven by neuroplasticity — the brain's ability to rewire itself through meaningful, repeated movement. The home is where that movement happens most naturally.

Traditional rehabilitation focuses on structured exercises in clinical settings. But research shows that the most meaningful gains come from movement embedded in everyday life — reaching for a cup, opening a door, preparing a meal.

PEER-HOMEcare is built on the insight that the home environment itself can be shaped to encourage more and better movement. Instead of adding exercises on top of daily life, we make daily life the rehabilitation.

what to do

  1. Call participant — use 3-month follow-up tab
  2. Review progress on the 3 mod-COPM goals
  3. Log the call

Resources

You
The therapist
  • Guide the participant through the program
  • Conduct assessments and set goals
  • Adapt the home environment
  • Review sensor data at each visit
  • Taper visits as independence grows
You
The therapist
  • Guide the participant through the program
  • Conduct assessments and set goals
  • Adapt the home environment
  • Review sensor data at each visit
  • Taper visits as independence grows
Meaningful

Activities are chosen because they matter to the participant — meaning drives motivation and repetition.

Key principle

Stroke survivors who use their affected arm more in everyday situations show greater long-term motor recovery. The sensors make this visible — and the program makes it possible.

  1. Build trust from the start. Many stroke survivors feel vulnerable after discharge. Take time to listen before explaining the program.
  2. Involve family and support people. Encourage a support person to be present from the first visit.
  3. Use shared decision-making. Goals should reflect what matters to the participant — ask what they miss doing most.
  4. Set realistic expectations. Progress may be slow — celebrate small wins and normalise setbacks.
  5. Adapt your communication. Some stroke survivors may have aphasia or fatigue. Use plain language and allow extra time.