Morning Activation to Improve Mood After Stroke
This pilot randomized controlled trial will evaluate the feasibility and preliminary effects of a six-week behavioral intervention designed to improve mood and daily functioning in adults who have experienced a stroke and report depressive symptoms and difficulty becoming engaged in activities after waking. Participants will be randomly assigned to either the behavioral intervention or a health education program. Assessments will be completed before and immediately after the six-week program and will include questionnaires and seven-day monitoring of sleep, activity, and mood. The study will also examine feasibility indices such as participant retention, intervention attendance, acceptability, and preliminary changes in mood.
• Age 18 years or older.
• History of stroke at least 6 months before enrollment.
• Patient Health Questionnaire-9 score of 10 or higher.
• Difficulty getting started or engaging in activities in the morning.
• Able to provide informed consent.