Community Participation Transition after Stroke (COMPASS) is a compensatory intervention for people returning home from rehabilitation after a stroke. COMPASS consists of one pre-discharge and five post-discharge home visits by an occupational therapist to supplement usual care. This intervention is focused on resolving barriers to independence in daily activities and participation using environmental support and active practice of daily activities. This is a new combination of evidence-based compensatory treatments delivered in a novel treatment setting (transition from inpatient rehabilitation to home).
Training
We are in the process of developing a fully manualized, evidence-based training program for occupational therapists to deliver the COMPASS intervention. We will have more information on training as we enter the next phase of our study process. If you would like to be notified when more information becomes available, please email us at peplab@wustl.edu, and we will add your name to our waiting list.
Evidence
Bollinger RM, Krauss MJ, Holden BM, Somerville EK, Hollingsworth H, Carter A, Yan Y, Stark SL. Process evaluation of a randomized controlled trial of an enhanced rehabilitation transition program for stroke survivors. Archives of Physical Medicine and Rehabilitation. doi: 10.1016/j.apmr.2025.10.016
Krauss MJ, Holden BM, Somerville E, et al. Community Participation Transition After Stroke (COMPASS) Randomized Controlled Trial: Effect on adverse health events. Archives of Physical Medicine and Rehabilitation. 2024;105:1623-1631. doi: 10.1016/j.apmr.2024.05.015
Bollinger RM, Krauss MJ, Somerville EK, et al. Rehabilitation transition program to improve community participation among stroke survivors: A randomized clinical trial. JAMA Network Open. 2024;7:e2437758-e2437758. doi: 10.1001/jamanetworkopen.2024.37758
Somerville E, Minor B, Keglovits M, Yan Y, Stark S. Effect of a novel transition program on disability after stroke: A trial protocol. JAMA Network Open. 2019;2:e1912356-e1912356. doi: 10.1001/jamanetworkopen.2019.12356
Stark S, Keglovits M, Somerville E, Hu Y-L, Conte J, Yan Y. Feasibility of a novel intervention to improve participation after stroke. British Journal of Occupational Therapy. 2017;81(2):116-124. doi: 10.1177/0308022617736704
Funding
Funding for the development of COMPASS was provided by a National Center for Medical Rehabilitation Research grant (1611R03HD079841-01A1).