Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility Study
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-...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-11-01
|
| Series: | Sensors |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1424-8220/24/22/7253 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850228027118583808 |
|---|---|
| author | Liam P. Allan David Silvera-Tawil Jan Cameron Jane Li Marlien Varnfield Vanessa Smallbon Julia Bomke Muideen T. Olaiya Natasha A. Lannin Dominique A. Cadilhac |
| author_facet | Liam P. Allan David Silvera-Tawil Jan Cameron Jane Li Marlien Varnfield Vanessa Smallbon Julia Bomke Muideen T. Olaiya Natasha A. Lannin Dominique A. Cadilhac |
| author_sort | Liam P. Allan |
| collection | DOAJ |
| description | 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 (<i>p</i> < 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. |
| format | Article |
| id | doaj-art-2a23fc2eaaae4f30af7efb92c7a848ea |
| institution | OA Journals |
| issn | 1424-8220 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj-art-2a23fc2eaaae4f30af7efb92c7a848ea2025-08-20T02:04:40ZengMDPI AGSensors1424-82202024-11-012422725310.3390/s24227253Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility StudyLiam P. Allan0David Silvera-Tawil1Jan Cameron2Jane Li3Marlien Varnfield4Vanessa Smallbon5Julia Bomke6Muideen T. Olaiya7Natasha A. Lannin8Dominique A. Cadilhac9Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Victorian Heart Institute, Monash University, Clayton, VIC 3168, AustraliaAustralian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, AustraliaStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Victorian Heart Institute, Monash University, Clayton, VIC 3168, AustraliaAustralian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, AustraliaAustralian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, AustraliaAustralian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, AustraliaAustralian e-Health Research Centre, Commonwealth Scientific and Industrial Organisation (CSIRO), Herston, QLD 4006, AustraliaStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Victorian Heart Institute, Monash University, Clayton, VIC 3168, AustraliaDepartment of Neuroscience, School of Translational Medicine, Monash University, Melbourne, VIC 3004, AustraliaStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Victorian Heart Institute, Monash University, Clayton, VIC 3168, AustraliaEvidence 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 (<i>p</i> < 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.https://www.mdpi.com/1424-8220/24/22/7253strokesecondary preventionmobile healthtelemedicinepilot projects |
| spellingShingle | Liam P. Allan David Silvera-Tawil Jan Cameron Jane Li Marlien Varnfield Vanessa Smallbon Julia Bomke Muideen T. Olaiya Natasha A. Lannin Dominique A. Cadilhac Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility Study Sensors stroke secondary prevention mobile health telemedicine pilot projects |
| title | Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility Study |
| title_full | Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility Study |
| title_fullStr | Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility Study |
| title_full_unstemmed | Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility Study |
| title_short | Novel Multicomponent Digital Care Assistant and Support Program for People After Stroke or Transient Ischaemic Attack: A Pilot Feasibility Study |
| title_sort | novel multicomponent digital care assistant and support program for people after stroke or transient ischaemic attack a pilot feasibility study |
| topic | stroke secondary prevention mobile health telemedicine pilot projects |
| url | https://www.mdpi.com/1424-8220/24/22/7253 |
| work_keys_str_mv | AT liampallan novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT davidsilveratawil novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT jancameron novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT janeli novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT marlienvarnfield novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT vanessasmallbon novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT juliabomke novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT muideentolaiya novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT natashaalannin novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy AT dominiqueacadilhac novelmulticomponentdigitalcareassistantandsupportprogramforpeopleafterstrokeortransientischaemicattackapilotfeasibilitystudy |