Social Participation

Existing social participation interventions are described as limited and often under-address psychological and behavioural mechanisms. The primary endpoint is social participation immediately after the intervention, measured by the USER-P Frequency subscale. USER-P subscale scores are normalized to 0-100, with higher scores indicating better participation frequency, restrictions, or satisfaction outcomes. Social participation impairment after stroke is associated with poorer quality of life, psychological distress, and mortality. Some stroke survivors retain physical capacity for community engagement but still face psychological and adaptive barriers. The trial is designed to improve social participation among stroke survivors with limb dysfunction.