Feasibility of Using a Mobile Application for the Monitoring and Management of Stroke-Associated Risk Factors
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Background and Purpose Recent advances in information technology have created opportunities for advances in the management of stroke. Te objective of this study was to testthe feasibility of using a smartphone sofware application (app) for the management of vascular risk factors in patients with stroke. Methods Tis prospective clinical trial developed a smartphone app, the ‘Korea UniversityHealth Monitoring System for Stroke: KUHMS2 ,’ for use by patients with stroke. During a6-month follow-up period, its feasibility was assessed by measuring the changes in their vascular risk-factor profles and the number of days per patient with data registration into theapp. Te efect of the app on the achievement rate of risk-factor targets was assessed by classifying subjects into compliant and noncompliant groups. Results At the end of the trial, data on 48 patients were analyzed. Te number of days onwhich data were registered into the app was 60.42±50.17 (mean±standard deviation). Amongpredefned vascular risk factors, the target achievement rate for blood pressure and glycatedhemoglobin (HbA1c ) improved signifcantly from baseline to the fnal measurement. Te serial changes in achievement rates for risk-factor targets did not difer between the compliantand noncompliant groups. Conclusions Many challenges must be overcome before mobile apps can be used for patients with stroke. Nevertheless, the app tested in this study induced a shif in the risk proflesin a favorable direction among the included stroke patients.
Abstract
Background and Purpose Recent advances in information technology have created opportunities for advances in the management of stroke. Te objective of this study was to testthe feasibility of using a smartphone sofware application (app) for the management of vascular risk factors in patients with stroke. Methods Tis prospective clinical trial developed a smartphone app, the ‘Korea UniversityHealth Monitoring System for Stroke: KUHMS2 ,’ for use by patients with stroke. During a6-month follow-up period, its feasibility was assessed by measuring the changes in their vascular risk-factor profles and the number of days per patient with data registration into theapp. Te efect of the app on the achievement rate of risk-factor targets was assessed by classifying subjects into compliant and noncompliant groups. Results At the end of the trial, data on 48 patients were analyzed. Te number of days onwhich data were registered into the app was 60.42±50.17 (mean±standard deviation). Amongpredefned vascular risk factors, the target achievement rate for blood pressure and glycatedhemoglobin (HbA1c ) improved signifcantly from baseline to the fnal measurement. Te serial changes in achievement rates for risk-factor targets did not difer between the compliantand noncompliant groups. Conclusions Many challenges must be overcome before mobile apps can be used for patients with stroke. Nevertheless, the app tested in this study induced a shif in the risk proflesin a favorable direction among the included stroke patients.
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