{"doi":"10.1016/j.dhjo.2025.101974","title":"Promoting community and social participation in chronic stroke: A pilot study of the ENGAGE intervention","abstract":"BACKGROUND: Survivors of stroke report low levels of community and social participation, even years after stroke. ENGAGE is a community-based intervention that merges social learning, guided problem solving, and supervised practice to collaboratively identify, generate, and apply solutions to challenges with community and social participation after stroke. OBJECTIVE: We examined the feasibility, acceptability, and safety of ENGAGE and characterized within group changes in community and social participation outcomes. METHODS: Community-dwelling survivors of stroke, occupational therapy providers, and occupational therapy scientists partnered to co-design the essential and structural elements of ENGAGE, as well as to evaluate ENGAGE using a multi-site single-arm community-based phase 2a clinical trial design. The 6-week ENGAGE program was co-facilitated by survivors of stroke acting as peer mentors and occupational therapy provider through in-person (Phase I, 12 sessions) or virtual web conference meetings (Phase II, 9 sessions). Feasibility was assessed through participant retention, engagement, acceptability, satisfaction, and safety. Within group change was assessed through the PROMIS Ability to Participation in Social Roles and Activities Scale. RESULTS: Of the 42 participants providing consent, 38 were eligible, and 30 started the intervention program. Retention in the ENGAGE program was 90 % (n = 27). Of these, 85 % engaged actively, 87 % indicated very high satisfaction, and 0 % reported injuries or injurious falls. Participants achieved a medium within group effect size of change in community and social participation (d = 0.38, 95 % CI = -0.11, 0.94). CONCLUSIONS: ENGAGE appears to be a feasible and promising intervention to promote improvements in community and social participation in community-dwelling survivors of stroke.","journal":"Disability and health journal","year":2025,"id":548050,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9534,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":484213,"name":"Carolyn Baum","orcid":"0000-0002-7972-1200","position":1,"is_corresponding":false},{"id":769544,"name":"Jessica Kersey","orcid":"0000-0001-9082-6962","position":2,"is_corresponding":false},{"id":704716,"name":"Emily A. Kringle","orcid":"0000-0003-4958-9568","position":3,"is_corresponding":false},{"id":1441276,"name":"Kelsey Voltz-Poremba","orcid":null,"position":4,"is_corresponding":false},{"id":1441277,"name":"Sular Gordon","orcid":null,"position":5,"is_corresponding":false},{"id":1440790,"name":"Tina M. Harris","orcid":"0000-0001-5116-6906","position":6,"is_corresponding":false},{"id":1440791,"name":"Heidi Fischer","orcid":"0000-0002-8577-670X","position":7,"is_corresponding":false},{"id":1441278,"name":"Maureen R. Gecht","orcid":null,"position":8,"is_corresponding":false},{"id":722420,"name":"Michelle Furman","orcid":null,"position":9,"is_corresponding":false},{"id":516799,"name":"Joy Hammel","orcid":"0000-0002-6909-344X","position":10,"is_corresponding":false},{"id":390607,"name":"Elizabeth R. Skidmore","orcid":"0000-0002-8287-7193","position":0,"is_corresponding":true}],"reference_count":36,"raw_metadata":null,"created_at":"2026-07-19T02:53:53.962932Z","pmid":"41173735","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}