This study used a pretest–post-design approach utilizing quasi-experimental techniques. The study research question lends itself to an experimental design. However, we conducted a nonrandomized experimental study for several reasons. First, mental health difficulties are not subject to random design (White & Sabarwal, 2014 ). Furthermore, we considered ethical and practical reasons and the nature of the clinical course of stroke when we chose to conduct non-randomized intervention study. Therefore, quasi-experimental techniques, which do not require random assignment, are more frequently used to assess medical treatments in the vulnerable cohort.