| Autor: |
Allan LP; Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Victorian Heart Institute, Monash University, Clayton, VIC 3168, Australia.; Australian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, Australia., Silvera-Tawil D; Australian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, Australia., Cameron J; Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Victorian Heart Institute, Monash University, Clayton, VIC 3168, Australia.; Australian Centre for Heart Health, Royal Melbourne Hospital, Parkville, VIC 3052, Australia., Li J; Australian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, Australia., Varnfield M; Australian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, Australia., Smallbon V; Australian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, Australia., Bomke J; Australian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, Australia., Olaiya MT; Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Victorian Heart Institute, Monash University, Clayton, VIC 3168, Australia., Lannin NA; Department of Neuroscience, School of Translational Medicine, Monash University, Melbourne, VIC 3004, Australia.; Alfred Health, Melbourne, VIC 3004, Australia., Cadilhac DA; Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Victorian Heart Institute, Monash University, Clayton, VIC 3168, Australia.; Stroke Theme, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, VIC 3010, Australia. |
| Abstrakt: |
Evidence is increasing for digital health programs targeting the secondary prevention of stroke. We aimed to determine the feasibility of the novel Care Assistant and support Program for people after Stroke (CAPS) or transient ischaemic attack (TIA) by combining person-centred goal setting and risk-factor monitoring through a web-based clinician portal, SMS messages, a mobile application (app), and a wearable device. We conducted a 12-week mixed-methods, open-label feasibility study. Participants (6 months-3 years after stroke or TIA, access to the internet via a smartphone/tablet) were recruited via the Australian Stroke Clinical Registry. Participants set one or two secondary prevention goals with a researcher and provided access and training in technology use. Feasibility outcomes included recruitment, retention, usability, acceptability, and satisfaction. Secondary outcomes included goal attainment, health outcomes, and program costs. Following 600 invitations, 58 responded, 34/36 (94%) eligible participants commenced the program (one withdrawal; 97% retention), and 10 were interviewed. Participants (27% female, 33% TIA) generally rated the usability of the mobile application as 'Good' to 'Excellent' (System Usability Scale). Most (94%) agreed the program helped with engagement in health self-monitoring. Overall, 52 goals were set, predominantly regarding exercise (21/52), which were the most frequently achieved (9/21). At 12 weeks, participants reported significant improvements ( p < 0.05) in self-efficacy (Cohen's d = 0.40), cardiovascular health (d = 0.71), and the mental health domain of the PROMIS GH (d = 0.63). CAPS was acceptable, with good retention and engagement of participants. Evaluation of this program in a randomised controlled trial is warranted. |
