Development and effectiveness testing of a mobile health education package for stroke prevention among stroke survivors

Odetunde, Marufat Oluyemisi, Ibrahim, Sekinat Omowumi, Oluwagbade, Gideon Tolu, Odole, Adesola Christiana, Mbada, Chidozie Emmanuel ORCID: https://orcid.org/0000-0003-3666-7432 and Komolafe, Morenikeji A (2022) Development and effectiveness testing of a mobile health education package for stroke prevention among stroke survivors. Journal of Health Care Communications, 7 (9). pp. 101-112. ISSN 2472-1654

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Abstract

Background: Addressing limited stroke literacy among stroke survivors based on social cognitive theory, using trending Mobile Health (m-health) devices can be a valuable interventional approach to reduce secondary stroke risk. Objectives of this study were to develop and test effectiveness of m-health based educational package for stroke prevention among stroke survivors. Method: This was a multimodal methodology involving content development and effectiveness testing using Delphi protocol and pre-test and post-test design respectively. Role shifting involved a physiotherapist administering stroke prevention education. Development comprised items selection, rating and retention; script writing, translation and recording into an audio and video educational packages. Effectiveness testing involved 30 consenting, consecutively assigned SSVs in each of audio (AIG) and video (VIG) intervention group. Stroke literacy was assessed at baseline, 2nd and 4th week post-intervention. Data was summarized using descriptive and inferential statistics at p<0.05 Alpha value. Results: Participants were majorly males (63.3%), over 60 years old (51.7%), hypertensive (83.3%) and had tertiary education (31.7%). Knowledge of stroke risk factors improved between AIG and VIG from baseline (11 23 ± 4 01 and 10.07 ± 3.24) to 2nd week (17 73 ± 0.78 and 15.30 ± 1.78) and 4th week (17.97 ± 0.18 and 16.77 ± 1.01) post-intervention respectively. There were significant differences between the two groups (p<0.01). Conclusion: Mobile health education based on social cognitive theory effectively improves stroke literacy among SSVs and should be tested among larger samples in the community.