Adapting a Telehealth Physical Activity and Diet Intervention to a Co-Designed Website for Self-Management After
Lee Ashton1, Brian A Beh2, Meredith Burke3,4
1Food and Nutrition Program, Hunter Medical Research Institute, Newcastle, Australia.
Journal of Medical Internet Research
|October 22, 2024
Summary
Stroke survivors face challenges accessing secondary prevention. This study adapted telehealth programs into an accessible website, i-REBOUND after stroke, to improve modifiable risk factors and reduce recurrent stroke risk globally.
Area of Science:
- Digital Health Interventions
- Stroke Secondary Prevention
- User-Centered Design
Background:
- Individuals who have experienced a stroke have a higher risk of recurrent stroke.
- Modifiable risk factors like physical inactivity and poor diet contribute significantly to stroke risk.
- Survivors often face barriers accessing traditional risk reduction services, including wait times, transportation, and functional limitations.
Purpose of the Study:
- To describe the systematic process of adapting existing telehealth interventions (i-REBOUND - Let's get moving and i-REBOUND - Eat for health) into a website prototype.
- To focus on navigation requirements and accessibility for stroke survivors in the website design.
- To provide a roadmap for creating accessible digital resources for stroke secondary prevention globally.
Main Methods:
- Utilized a design thinking framework and integrated knowledge translation principles.
- Engaged diverse stakeholders, including stroke survivors, researchers, and digital health experts.
- Employed a 3-phase adaptation process: understand, explore, and materialize, with iterative user testing and co-design.
Main Results:
- Successfully adapted two telehealth programs into a website prototype (i-REBOUND after stroke).
- Established functional and technical requirements for an accessible, easy-to-navigate website through user engagement and testing.
- Co-created digital content in partnership with individuals with lived experience of stroke.
Conclusions:
- Website-based health interventions can extend the reach of secondary prevention programs for stroke survivors.
- A systematic, user-centered design process is crucial for developing accessible and effective digital health tools.
- The i-REBOUND after stroke website offers a scalable solution to improve access to vital secondary prevention information worldwide.
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