Effects of Patient-centered Stroke Educating System: a Randomized Controlled Trial

Effects of Health-education Application on Improving Stroke-related Knowledge and Health Related Quality of Life in Patients With Stroke: a Randomized Controlled Trial

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.

Inclusion Criteria:

• first time diagnosis of stroke (International Classification of Diseases, ninth revision, clinical modification [ICD-9] codes) of cerebral hemorrhage (ICD-9, 431) or cerebral infarction (ICD 9, 434)
• ability to follow instructions and complete the interviews
• having a designated caregiver who agrees to participate in the survey
• >6 years of education
• have smartphone or the other mobile device can download the APP from internet.

Exclusion Criteria:

• cognitive impairment (Mini-Mental State Examination (MMSE scores<24)
• having major mental diseases (i.e., depression, dementia, delirium, etc.)
• the inability to read/answer questionnaires