Abstract Stroke remains one of the leading causes of disability and death in Nigeria, and its long-term effects on survivors often require continuous management for improved quality of life. As technology evolves, AI-powered smart gadgets like smartwatches and ECG monitors have emerged as promising tools for stroke management, offering survivors personalized healthcare solutions, real-time monitoring, and rehabilitation support. The main objective of this research is to investigate the key factors driving the adoption of AI-powered smart gadgets among stroke survivors, assess the barriers to their usage, and evaluate the perceived effectiveness of these gadgets in managing post-stroke health and recovery. The study was anchored on t The Unified Theory of Acceptance and Use of Technology (UTAUT) which was used to understand the factors that influence the knowledge and utilization of technological innovations like smartwatches and ECG monitors for stroke management. A qualitative research design was employed, utilizing in-depth interviews to gather data from stroke survivors in selected Universities in Southeast Nigeria who are either currently using or have used AI-powered smart gadgets for stroke management. Purposive sampling was used to select participants from various Universities in the region. Findings suggest that while there is growing interest among stroke survivors in adopting AI-powered smart gadgets, the uptake remains relatively low. Factors such as the high cost of devices, limited access to training, and a lack of comprehensive knowledge about the technologies significantly hinder their adoption. However, survivors who have adopted these gadgets report positive outcomes, including improved monitoring of health conditions, enhanced rehabilitation, and a greater sense of control over their recovery. The study recommends increased efforts to promote awareness of AI-powered devices, provide adequate training for stroke survivors and healthcare providers, and explore policy interventions to make these technologies more accessible to the broader population of stroke survivors in the region. Keywords: Adoption, Usage, AI-Powered Smart Gadgets, Stroke, Management, Survivors, Southeast Nigeria