Does a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trial

Abstract Background Developing a stroke health-education mobile app (SHEMA) and examining its effectiveness on improvement of knowledge of stroke risk factors and health-related quality of life (HRQOL) in patients with stroke. Methods We recruited 76 stroke patients and randomly assigned them to eit...

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Main Authors: Yi-No Kang, Hsiu-Nien Shen, Chia-Yun Lin, Glyn Elwyn, Szu-Chi Huang, Tsung-Fu Wu, Wen-Hsuan Hou
Format: Article
Language:English
Published: BMC 2019-12-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:https://doi.org/10.1186/s12911-019-1000-z
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author Yi-No Kang
Hsiu-Nien Shen
Chia-Yun Lin
Glyn Elwyn
Szu-Chi Huang
Tsung-Fu Wu
Wen-Hsuan Hou
author_facet Yi-No Kang
Hsiu-Nien Shen
Chia-Yun Lin
Glyn Elwyn
Szu-Chi Huang
Tsung-Fu Wu
Wen-Hsuan Hou
author_sort Yi-No Kang
collection DOAJ
description Abstract Background Developing a stroke health-education mobile app (SHEMA) and examining its effectiveness on improvement of knowledge of stroke risk factors and health-related quality of life (HRQOL) in patients with stroke. Methods We recruited 76 stroke patients and randomly assigned them to either the SHEMA intervention (n = 38) or usual care where a stroke health-education booklet was provided (n = 38). Knowledge of stroke risk factors and HRQOL were assessed using the stroke-knowledge questionnaire and European Quality of Life–Five Dimensions (EQ-5D) questionnaire, respectively. Results Sixty-three patients completed a post-test survey (the SHEMA intervention, n = 30; traditional stroke health-education, n = 33). Our trial found that patients’ mean knowledge score of stroke risk factors was improved after the SHEMA intervention (Mean difference = 2.83; t = 3.44; p = .002), and patients’ knowledge was also improved in the after traditional stroke health-education (Mean difference = 2.79; t = 3.68; p = .001). However, patients after the SHEMA intervention did not have significantly higher changes of the stroke knowledge or HRQOL than those after traditional stroke health-education. Conclusions Both the SHEMA intervention and traditional stroke health-education can improve patients’ knowledge of stroke risk factors, but the SHEMA was not superior to traditional stroke health-education. Trial registration NCT02591511 Verification Date 2015-10-01.
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spelling doaj.art-14a6291cf5f241c6a3abc0600b8334b92022-12-21T22:27:02ZengBMCBMC Medical Informatics and Decision Making1472-69472019-12-011911910.1186/s12911-019-1000-zDoes a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trialYi-No Kang0Hsiu-Nien Shen1Chia-Yun Lin2Glyn Elwyn3Szu-Chi Huang4Tsung-Fu Wu5Wen-Hsuan Hou6Institute of Health Policy and Management, College of Public Health, National Taiwan UniversityDepartment of Intensive Care Medicine, Chi Mei Medical CenterDepartment of Physical Medicine and Rehabilitation, Taipei Medical University HospitalThe Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth CollegeDepartment of Physical Medicine and Rehabilitation, Taipei Medical University HospitalMaster Program in Long-Term Care and School of Gerontology Health Management, College of Nursing, Taipei Medical UniversityDepartment of Physical Medicine and Rehabilitation, Taipei Medical University HospitalAbstract Background Developing a stroke health-education mobile app (SHEMA) and examining its effectiveness on improvement of knowledge of stroke risk factors and health-related quality of life (HRQOL) in patients with stroke. Methods We recruited 76 stroke patients and randomly assigned them to either the SHEMA intervention (n = 38) or usual care where a stroke health-education booklet was provided (n = 38). Knowledge of stroke risk factors and HRQOL were assessed using the stroke-knowledge questionnaire and European Quality of Life–Five Dimensions (EQ-5D) questionnaire, respectively. Results Sixty-three patients completed a post-test survey (the SHEMA intervention, n = 30; traditional stroke health-education, n = 33). Our trial found that patients’ mean knowledge score of stroke risk factors was improved after the SHEMA intervention (Mean difference = 2.83; t = 3.44; p = .002), and patients’ knowledge was also improved in the after traditional stroke health-education (Mean difference = 2.79; t = 3.68; p = .001). However, patients after the SHEMA intervention did not have significantly higher changes of the stroke knowledge or HRQOL than those after traditional stroke health-education. Conclusions Both the SHEMA intervention and traditional stroke health-education can improve patients’ knowledge of stroke risk factors, but the SHEMA was not superior to traditional stroke health-education. Trial registration NCT02591511 Verification Date 2015-10-01.https://doi.org/10.1186/s12911-019-1000-zStrokeStroke knowledgeHealth-related quality of lifeHealth-education appMobile health care
spellingShingle Yi-No Kang
Hsiu-Nien Shen
Chia-Yun Lin
Glyn Elwyn
Szu-Chi Huang
Tsung-Fu Wu
Wen-Hsuan Hou
Does a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trial
BMC Medical Informatics and Decision Making
Stroke
Stroke knowledge
Health-related quality of life
Health-education app
Mobile health care
title Does a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trial
title_full Does a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trial
title_fullStr Does a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trial
title_full_unstemmed Does a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trial
title_short Does a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trial
title_sort does a mobile app improve patients knowledge of stroke risk factors and health related quality of life in patients with stroke a randomized controlled trial
topic Stroke
Stroke knowledge
Health-related quality of life
Health-education app
Mobile health care
url https://doi.org/10.1186/s12911-019-1000-z
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