Cao Wenjing, Kadir Azidah Abdul, Wang Yuhui, Wang Juan, Dai Bolin, Zheng Yilin, Mu Pengjuan, Hu Chencheng, Chen Jianlu, Na Luo, Hassan Intan Idiana
School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.
Xiang Nan University, Chenzhou, China.
Digit Health. 2023 Jun 16;9:20552076231181473. doi: 10.1177/20552076231181473. eCollection 2023 Jan-Dec.
As a principal cause of mortality and disability worldwide, stroke imposes considerable burdens on society and effects on the lives of patients, families, and communities. Owing to their growing global popularity, health-related applications (apps) offer a promising approach to stroke management but show a knowledge gap regarding mobile apps for stroke survivors.
This review was conducted across the Android and iOS app stores in September-December 2022 to identify and describe all apps targeting stroke survivors. Apps were included if they were designed for stroke management and contained at least one of the following components: medication taking, risk management, blood pressure management, and stroke rehabilitation. Apps were excluded if they were unrelated to health, not in Chinese or English, or the targeted users were healthcare professionals. The included apps were downloaded, and their functionalities were investigated.
The initial search yielded 402 apps, with 115 eligible after title and description screening. Some apps were later excluded due to duplicates, registration problems, or installation failures. In total, 83 apps were included for full review and evaluated by three independent reviewers. Educational information was the most common function (36.1%), followed by rehabilitation guidance (34.9%), communication with healthcare providers (HCPs), and others (28.9%). The majority of these apps (50.6%) had only one functionality. A minority had contributions from an HCP or patients.
With the widespread accessibility and availability of smartphone apps across the mHealth landscape, an increasing number of apps targeting stroke survivors are being released. One of the most important findings is that the majority of the apps were not specifically geared toward older adults. Many of the currently available apps lack healthcare professionals' and patients' involvement in their development, and most offer limited functionality, thus requiring further attention to the development of customized apps.
作为全球死亡和残疾的主要原因，中风给社会带来了巨大负担，并影响着患者、家庭和社区的生活。由于与健康相关的应用程序（应用）在全球越来越受欢迎，它们为中风管理提供了一种有前景的方法，但在针对中风幸存者的移动应用方面存在知识空白。
2022年9月至12月在安卓和iOS应用商店进行了这项综述，以识别和描述所有针对中风幸存者的应用。如果应用是为中风管理而设计的，并且包含以下至少一个组件：服药、风险管理、血压管理和中风康复，则将其纳入。如果应用与健康无关、不是中文或英文，或者目标用户是医疗专业人员，则将其排除。下载纳入的应用，并对其功能进行调查。
初步搜索产生了402个应用，经过标题和描述筛选后有115个符合条件。一些应用后来由于重复、注册问题或安装失败而被排除。总共83个应用被纳入全面审查，并由三位独立评审员进行评估。教育信息是最常见的功能（36.1%），其次是康复指导（34.9%）、与医疗服务提供者（HCP）沟通以及其他功能（28.9%）。这些应用中的大多数（50.6%）只有一项功能。少数应用有医疗服务提供者或患者的参与。
随着智能手机应用在移动健康领域的广泛普及和可用性，越来越多针对中风幸存者的应用被发布。最重要的发现之一是，大多数应用并非专门针对老年人。目前许多可用的应用在开发过程中缺乏医疗专业人员和患者的参与，并且大多数功能有限，因此需要进一步关注定制应用的开发。
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