Online program improves well-being for stroke victims

Access to an online program that provides easily accessible, interactive, and personalized behavior change and healthy lifestyle techniques has been associated with improved health-related quality of life, according to a new study published April 19. in adult stroke survivors.and in the open access journal OLP Medicine by Ashleigh Guillaumier of the University of Newcastle, Australia, and colleagues.

Stroke can have serious consequences for those who survive in terms of physical and cognitive disability. Improving lifestyle and health-risk behaviors, including tobacco and alcohol consumption, physical activity, diet, depression and anxiety, can significantly improve the quality of life of stroke survivors.

In the new study, researchers randomized 399 adult stroke survivors to complete a telephone survey and then either receive a list of generic health information websites or receive 12 weeks of access to the online “Prevent 2n/a Stroke” (P2S), which encourages users to set goals and track progress in various health risk areas. The group with P2S access received additional text messages encouraging use of the program. 356 participants (89%) completed a follow-up survey six months later.

At six-month follow-up, the median between-group difference in health-related quality of life (HRQOL) score was higher in the group with access to P2S (85 vs 80, difference = 5, 95% CI 0 .79-9.21, p=0.020). Compared to those in the control group, significantly higher proportions of people in the group who had access to P2S reported having no problems with self-care (OR 2.17, 95% CI 1.05-4.48 , p = 0.0359) and an ability to participate in their usual daily activities (OR 1.66, 95% CI 1.06-2.60, p = 0.0256). The main limitation of the study is that most participants were generally “healthy” stroke survivors, with little or no disability, and therefore the results may not be generalizable to all stroke survivors. a stroke.

Guillaumier adds, “Online platforms are a viable and impactful model for addressing the health information needs and behavior change challenges of stroke survivors.

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In your coverage, please use this URL to provide access to the article available for free in OLP Medicine:

http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003966

Quote: Guillaumier A, Spratt NJ, Pollack M, Baker A, Magin P, Turner A, et al. (2022) Evaluation of an online intervention to improve the health-related quality of life of stroke survivors: a randomized controlled trial. PLoS Med 19(4): e1003966. https://doi.org/10.1371/journal.pmed.1003966

Author countries: Australia

Funding: This study was supported by a National Health and Medical Research Council (NHMRC) grant (APP1125429) awarded to BB, NJS, MP, AB, PM, AT, CO, CC, RC; https://www.nhmrc.gov.au/. AG is supported by a Heart Foundation post-doctoral fellowship, award number 101303, https://www.heartfoundation.org.au/. The NJS was supported by an Australian NHMRC/National Heart Foundation Career Development/Future Leader Fellowship [GNT1110629/100827]. AB is supported by an NHMRC Fellowship (G1200044). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.


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Karen O. Fielding