Prevent 2nd Stroke: a pilot study of an online secondary prevention program for stroke survivors

Aust N Z J Public Health. 2018 Oct;42(5):484-490. doi: 10.1111/1753-6405.12794. Epub 2018 Jun 11.

Abstract

Objective: The prevalence of modifiable health risk factors and psychological distress following a stroke is high and markedly increase the chance of a second stroke. This study aimed to examine the usability and acceptability of an online secondary prevention program addressing modifiable psycho-behavioural risk factors for stroke survivors.

Methods: A pre-post pilot study was conducted in Australia between 2016 and 2017. Participants were recruited through the Australian Stroke Clinical Registry and completed measures of health-related quality of life, physical activity, smoking status, depression and anxiety, alcohol status, nutrition and internet use. Participants also used an online secondary prevention program (Prevent 2nd Stroke) over a two-week period. At follow-up, acceptability and usability of the program were assessed.

Results: A total of 18 out of 19 participants reported engaging in multiple health risk behaviours. Participants reported that they were interested in receiving an online program that provided health information (73.7%). Participants indicated Prevent 2nd Stroke was easy to use (63.1%) and that they would recommend the program to other stroke survivors (63.1%).

Conclusions: The results indicated that online programs are an acceptable way to address these health outcomes. Implications to public health: Further research is needed to assess the effectiveness of these interventions using powered trials.

Keywords: health behaviour change; online program; pilot study; stroke; stroke survivor.

MeSH terms

  • Adult
  • Australia
  • Exercise
  • Female
  • Health Behavior*
  • Humans
  • Internet
  • Male
  • Middle Aged
  • Pilot Projects
  • Program Evaluation
  • Quality of Life*
  • Risk Reduction Behavior*
  • Secondary Prevention*
  • Stroke / prevention & control*
  • Stroke Rehabilitation*
  • Surveys and Questionnaires
  • Survivors / psychology*
  • Young Adult