Stroke survivors routinely report disabling emotional health challenges and inability to find emotional wellness support. This project will increase emotional support within a stroke rehabilitation occupational therapy (OT) and/or speech therapy (ST) rehabilitation program. OT and/or ST provided via telerehabilitation will be enhanced with a type of emotional wellness therapy that teaches stroke survivors various strategies to better address anxiety, worry and dread.

This 10-week study will include 2 groups of participants with subjective cognitive complaints (1) individuals diagnosed with Ehlos Danlos Syndrome (EDS), and older adults without EDS. Participants will complete a 6-week (10-session) cognitive + occupational therapy tele-rehabilitation program (first 4 weeks: 2 sessions per week, last 2 weeks: 1 session per week), for a total of 10 treatment visits. This study integrates cognitive training with an evidence based OT-led tele-rehabilitation program. We will complete a comprehensive battery of cognitive assessments as well as participant reported outcome measures at the pre and post visits to characterize subjective cognitive difficulties and test the feasibility and initial effect of this personalized intervention.

This study will test the effect of a 6-session occupational therapy program delivered via online video visits called telerehabilitation. The study will involve stroke survivors who have had a stroke at least 1 month ago and have weakness of one arm or hand from the stroke. The occupational therapy sessions will take place while the stroke survivor is located in his/her own home. The stroke survivor will interact with a licensed, experienced occupational therapist via a video call on the stroke survivor's own phone, tablet or laptop. The goal of the telerehabilitation program will be to improve the stroke survivor's abilities to be more engaged in meaningful life activities. The entire study will occur over a 6-week period.