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

Yi No Kang, Hsiu Nien Shen, Chia Yun Lin, Glyn Elwyn, Szu Chi Huang, Tsung Fu Wu, Wen Hsuan Hou

Research output: Contribution to journalArticle

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.

Original languageEnglish
Article number282
JournalBMC Medical Informatics and Decision Making
Volume19
Issue number1
DOIs
Publication statusPublished - Dec 21 2019

Keywords

  • Health-education app
  • Health-related quality of life
  • Mobile health care
  • Stroke
  • Stroke knowledge

ASJC Scopus subject areas

  • Health Policy
  • Health Informatics

Cite this

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. / Kang, Yi No; Shen, Hsiu Nien; Lin, Chia Yun; Elwyn, Glyn; Huang, Szu Chi; Wu, Tsung Fu; Hou, Wen Hsuan.

In: BMC Medical Informatics and Decision Making, Vol. 19, No. 1, 282, 21.12.2019.

Research output: Contribution to journalArticle

@article{527cf723b5dd43bfaa4b72d540b40070,
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",
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.",
keywords = "Health-education app, Health-related quality of life, Mobile health care, Stroke, Stroke knowledge",
author = "Kang, {Yi No} and Shen, {Hsiu Nien} and Lin, {Chia Yun} and Glyn Elwyn and Huang, {Szu Chi} and Wu, {Tsung Fu} and Hou, {Wen Hsuan}",
year = "2019",
month = "12",
day = "21",
doi = "10.1186/s12911-019-1000-z",
language = "English",
volume = "19",
journal = "BMC Medical Informatics and Decision Making",
issn = "1472-6947",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - 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

AU - Kang, Yi No

AU - Shen, Hsiu Nien

AU - Lin, Chia Yun

AU - Elwyn, Glyn

AU - Huang, Szu Chi

AU - Wu, Tsung Fu

AU - Hou, Wen Hsuan

PY - 2019/12/21

Y1 - 2019/12/21

N2 - 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.

AB - 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.

KW - Health-education app

KW - Health-related quality of life

KW - Mobile health care

KW - Stroke

KW - Stroke knowledge

UR - http://www.scopus.com/inward/record.url?scp=85077152011&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85077152011&partnerID=8YFLogxK

U2 - 10.1186/s12911-019-1000-z

DO - 10.1186/s12911-019-1000-z

M3 - Article

C2 - 31864348

AN - SCOPUS:85077152011

VL - 19

JO - BMC Medical Informatics and Decision Making

JF - BMC Medical Informatics and Decision Making

SN - 1472-6947

IS - 1

M1 - 282

ER -