Remote Management of Poststroke Patients With a Smartphone-Based Management System Integrated in Clinical Care: Prospective, Nonrandomized, Interventional Study

Journal of Medical Internet Research
Do Yeon KimYoung Seob Chung

Abstract

Advances in mobile health (mHealth) have enabled systematic and continuous management of patients with chronic diseases. We developed a smartphone-based mHealth system and aimed to evaluate its effects on health behavior management and risk factor control in stroke patients. With a multifaceted stroke aftercare management system that included exercise, medication, and educational materials, we performed a 12-week single-arm intervention among eligible poststroke patients in the stroke clinic from September to December 2016. The intervention consisted of (1) regular blood pressure (BP), blood glucose, and physical activity measurements; (2) stroke education; (3) an exercise program; (4) a medication program; and (5) feedback on reviewing of records by clinicians. Clinical assessments consisted of the stroke awareness score, Beck Depression Inventory-II (BDI), EuroQol-5 Dimensions (EQ-5D), and BP at visit 1 (baseline), visit 2 (4 weeks), and visit 3 (12 weeks). Temporal differences in the parameters over 12 weeks were investigated with repeated-measures analysis of variance. Changes in medication adherence at visit 1-2 (from visit 1 to visit 2) and visit 2-3 (from visit 2 to visit 3) were compared. System satisfaction was evaluat...Continue Reading

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Citations

Mar 9, 2021·JMIR Formative Research·Imama Ali NaqviJennifer Elizabeth Sanner Beauchamp
Mar 30, 2021·Archives of Rehabilitation Research and Clinical Translation·Suzanne P BurnsElla Elaine Cox

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Software Mentioned

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Smart Aftercare
R Foundation for Statistical
Smart

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