Farombi, Temitope, Khan, Hafiz T.A. ORCID: https://orcid.org/0000-0002-1817-3730, Lawal, Muili ORCID: https://orcid.org/0000-0002-1502-3884 and Japhet, Sharry Leah (2026) Development of a culturally adaptable intermediate care model for older adult stroke survivors. Journal of Brain Health, 1 (2). ISSN 3088-6953

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Abstract

Introduction:
Intermediate care is vital for maximizing post-stroke functional recovery and maintaining a continuum of rehabilitation. However, robust evidence validating the development or practical deployment of home-based intermediate care models for older adults in Nigeria is currently absent.

Objective(s):
To develop and validate a home-based intermediate care model for improved functional outcomes and quality of life in older adult stroke survivors.

Methods:
This study employed a two-round Delphi consensus process involving stakeholders in stroke care, including clinicians from geriatrics, neurology, nursing, physiotherapy, and medical social work, to develop and validate a home-based intermediate care model for family caregivers of stroke survivors. The model was developed through a multi-stage process. First, a systematic review was conducted to identify existing intermediate care models and their gaps. Subsequently, a qualitative study explored stakeholders’ perspectives on the home-based care needs of older adult stroke survivors. Findings from the systematic review and qualitative study were integrated to develop a preliminary intermediate care model, which was subsequently refined and validated through the Delphi consensus process.

Results:
The development and validation of the intermediate care model resulted in 10 domains of caregiving. These include stroke knowledge, seizure management, medication management, mobility and fall prevention, vital signs, service referral, reminiscence therapy, speech therapy, nutrition, and financial education.

Discussion:
This model provides a structured framework to facilitate the transition of hospital to home care for older adult stroke survivors.

Item Type:	Article
Identifier:	10.65104/001c.168525
Subjects:	Medicine and health > Person centered care Medicine and health > Neurology / Neurological conditions > Stroke Social sciences > Communication and culture
Date Deposited:	24 Sep 2026
Dates:	Date Publication status 17 August 2026 Accepted 1 September 2026 Published
School, department or research centre:	College of Nursing, Midwifery and Healthcare
URI:	https://repository.uwl.ac.uk/id/eprint/15314
Sustainable Development Goals:	Goal 3: Good Health and Well-Being

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