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The rising burden of mortality and disability from stroke is largely borne in a global stroke belt within the developing world, which has the most challenges and resource constraints for addressing the ongoing rehabilitation needs of stroke survivors. Families already provide much of the practical support for stroke patients in the acute and chronic recovery periods, so the idea of empowering family-nominated caregivers to provide ongoing rehabilitation is particularly appealing.
To test this idea, the ATTEND collaborative group conducted a pragmatic trial across centers in India. In this Australian government-funded trial, 1250 patients with recent stroke and residual disability were recruited from among 14 hospitals in India and openly ran…