Related Experiment Videos
Recovery-focused Community support to Avoid readmissions and improve Participation after Stroke: a multicentre
Dominique Cadilhac1,2, Jan Cameron1, Monique F Kilkenny1,2
1Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, 3168 Australia.
Summary
Mobile health (eHealth) self-management support did not reduce unplanned hospital presentations for stroke survivors. While goal attainment improved, tailored electronic messages did not significantly decrease emergency visits or admissions within 90 days.
Area of Science:
- Neurology
- Digital Health
- Rehabilitation Medicine
Background:
- Limited evidence exists on the efficacy of mobile technology-facilitated support programs for stroke recovery.
- eHealth interventions show potential for self-management but require rigorous evaluation in stroke populations.
Purpose of the Study:
- To assess the effectiveness of a co-designed, eHealth self-management intervention in reducing unplanned hospital presentations among stroke survivors.
- To evaluate the intervention's impact on goal attainment, self-efficacy, and other health outcomes.
Main Methods:
- A prospective, multicentre randomized trial with blinded outcome assessment was conducted.
- Participants (n=465) received either personalized, goal-centered electronic messages or administrative messages for 12 weeks post-discharge.
- The primary outcome was unplanned hospital presentations within 90 days.
Main Results:
- No significant difference in unplanned hospital presentations was observed between the intervention and control groups (OR: 1.32; 95% CI: 0.52, 3.34).
- While both groups showed non-significant improvements in goal attainment, the intervention group demonstrated stronger within-group changes (Cohen's d = 0.76).
- A slightly higher proportion of the intervention group reported unmet needs or disability at 90 days.
Conclusions:
- Tailored electronic messaging over 12 weeks, combined with structured goal setting, did not reduce unplanned hospital presentations in stroke survivors.
- Further research is necessary to explore the influence of disability, unmet needs, and factors affecting goal attainment in stroke self-management interventions.
