School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, New South Wales.
Hunter Medical Research Institute, New South Wales.
Aust N Z J Public Health. 2018 Oct;42(5):484-490. doi: 10.1111/1753-6405.12794. Epub 2018 Jun 11.
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.
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 2 Stroke) over a two-week period. At follow-up, acceptability and usability of the program were assessed.
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 2 Stroke was easy to use (63.1%) and that they would recommend the program to other stroke survivors (63.1%).
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.
可改变的健康风险因素和心理困扰在中风后普遍存在,且显著增加再次中风的几率。本研究旨在检验针对中风幸存者的可改变心理行为风险因素的在线二级预防项目的可用性和可接受性。
2016 年至 2017 年在澳大利亚进行了一项预-后试点研究。通过澳大利亚中风临床登记处招募参与者,并完成了与健康相关的生活质量、身体活动、吸烟状况、抑郁和焦虑、酒精状况、营养和互联网使用的测量。参与者还在两周内使用了在线二级预防计划(Prevent 2 Stroke)。在随访时,评估了该计划的可接受性和可用性。
19 名参与者中有 18 名报告参与了多种健康风险行为。参与者表示他们有兴趣接收提供健康信息的在线计划(73.7%)。参与者表示,Prevent 2 Stroke 易于使用(63.1%),并且他们会将该计划推荐给其他中风幸存者(63.1%)。
结果表明,在线程序是解决这些健康结果的一种可接受的方式。对公共卫生的影响:需要进一步研究,使用有力的试验评估这些干预措施的有效性。