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The aim of this study is to establish PAtient-Centered Computerized Educating System for Stroke (PACCESS) for patients with different demands and lack of knowledge.Those in the intervention group will receive the PACCESS and the control groups will receive traditional health education to test the effects of PACCESS in increasing clinical decision-making, health behavior, activities of daily living and knowledge of stroke, and health care quality.
To prevent recurrent stroke and improve the health-related quality of life (HRQOL) in patients with stroke, education regarding the risk factors of recurrent stroke is a crucial part of effective care for patients with stroke. The aim of this study was to develop an application capable of providing health education for recurrent-stroke prevention. We also examined the effectiveness of this app for improving stroke-related knowledge and HRQOL in patients with stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| health-education app | Experimental | Smart phone and pad is a stroke-related health education app intervention group |
|
| health education manuals | Active Comparator | stroke-related health education manual control group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| smart phone and pad | Device | Smart phone and pad is the mobile include the smart phone and pad, that can download the APP from internet. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Stroke Health Education Knowledge Questionnaire | The stroke knowledge questionnaire is the primary outcome of this study. The questions are single-choice questions. The content of the questions are based on the stroke health education manual and adapted to APP format in this study. For the 12 risk factors, each risk factor was sorted out 3 questions. There are total of 36 (3x12 = 36) questions of stroke knowledge, a score of 1 for each question, the highest score of 3 for each risk factor, the highest score of 36 points and the lowest score of 0 point. The higher score represents the better outcome. | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Wen-Hsuan Hou, PHD | Taipei Medical University | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34813082 | Derived | Crocker TF, Brown L, Lam N, Wray F, Knapp P, Forster A. Information provision for stroke survivors and their carers. Cochrane Database Syst Rev. 2021 Nov 23;11(11):CD001919. doi: 10.1002/14651858.CD001919.pub4. | |
| 31864348 | Derived | Kang YN, Shen HN, Lin CY, Elwyn G, Huang SC, Wu TF, Hou WH. 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. BMC Med Inform Decis Mak. 2019 Dec 21;19(1):282. doi: 10.1186/s12911-019-1000-z. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Health-education App |
|
| FG001 | Health Education Manuals |
|
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Health-education App | (1) assisting the subjects in installing the app onto their personal smartphones; (2) teaching the patients about the content of the app and explaining its method of operation. |
| BG001 | Health Education Manuals |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Stroke Health Education Knowledge Questionnaire | The stroke knowledge questionnaire is the primary outcome of this study. The questions are single-choice questions. The content of the questions are based on the stroke health education manual and adapted to APP format in this study. For the 12 risk factors, each risk factor was sorted out 3 questions. There are total of 36 (3x12 = 36) questions of stroke knowledge, a score of 1 for each question, the highest score of 3 for each risk factor, the highest score of 36 points and the lowest score of 0 point. The higher score represents the better outcome. | Posted | Mean | Standard Deviation | score on a scale | 4 weeks |
|
3 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Health-education App | (1) assisting the subjects in installing the app onto their personal smartphones; (2) teaching the patients about the content of the app and explaining its method of operation |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Chia-Yun Lin | Taipei medical university | +886919986391 | windoct@hotmail.com |
| ID | Term |
|---|---|
| D006266 | Health Education |
| ID | Term |
|---|---|
| D000099060 | Adherence Interventions |
| D055118 | Medication Adherence |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
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| stroke-related health education manual | Other | stroke-related health education manual is the manual mainly contained information regarding the prevention of stroke risk factors. |
|
(1) giving the stroke-related health education manuals to subjects; (2) teaching the patients about the content of the manual.
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Stroke knowledge questionnaire | Mean | Standard Deviation | participants |
|
| OG001 |
| Health Education Manuals |
(1) giving the stroke-related health education manuals to subjects; (2) teaching the patients about the content of the manual. |
|
|
| 0 |
| 30 |
| 0 |
| 30 |
| 0 |
| 30 |
| EG001 | Health Education Manual | (1) giving the stroke-related health education manuals to subjects; (2) teaching the patients about the content of the manual. | 0 | 33 | 0 | 33 | 0 | 33 |
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| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |