teleABLE: Adapting a Behavioral Activation-Based Intervention to Reduce Post-Stroke Sedentary Behavior Using Telehealth (Pilot Randomized Controlled Trial)

Inclusion Criteria

Inclusion Criteria: * Age: 18 years or older * Diagnosis: Stroke diagnosis ≤12 months prior to study enrollment * ≥6 hours of sedentary behavior on a typical weekday (Sedentary Behavior Questionnaire) * Able to walk 150 feet or more without physical assistance from another person, with or without assistive device (assessed by Functional Independence Measure, mobility score ≥5) * Able to access an electronic device (smartphone, tablet, or computer) that is compatible with a videoconferencing application * Able to identify a support person with whom they have a face-to-face interaction at least one time per week. * Able and willing to participate fully in the study and provide informed consent Exclusion Criteria: * Currently receiving care in an inpatient rehabilitation, transitional care unit, or skilled nursing facility * Severe cognitive or communication impairments (inability to respond accurately to complete study telephone screening or complete informed consent) * Comorbid neurodegenerative disorder (e.g. Parkinson's disease, multiple sclerosis, amyotrophic lateral sclerosis, myasthenia gravis, dementia, Alzheimer's disease, Huntington's disease, glioblastoma) * Comorbid cancer, currently undergoing chemotherapy or radiation treatment * Comorbid major depressive disorder (Patient Health Questionnaire-2, score ≥2) * Received inpatient treatment or hospitalized for psychiatric condition and/or alcohol or substance abuse within the past 12 months * Diagnosis of a terminal illness and/or currently receiving hospice care * Currently pregnant or expecting to become pregnant in the next 6 months * History of skin sensitivity that precludes the use of medical tape necessary for adherence to activity monitor measure * Inability to speak, read, or understand English * Concurrent participation in any other rehabilitation intervention research study (including cognitive and/or physical rehabilitation studies) * Investigator discretion for safety or adherence reasons