Evidence map›Paper›PMID 26839011›Full record

ArticleBMJ open2016

Evaluation of the feasibility and acceptability of the 'Care for Stroke' intervention in India, a smartphone-enabled, carer-supported, educational intervention for management of disability following stroke.

K Sureshkumar, Gvs Murthy, S Natarajan, C Naveen, S Goenka, H Kuper

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Effect of mobile application types on stroke rehabilitation: a systematic review.Journal of neuroengineering and rehabilitation · 2023
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  19. A Blockchain-Enabled Framework for mHealth Systems.Sensors (Basel, Switzerland) · 2021
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  20. mHealth Intervention Applications for Adults Living With the Effects of Stroke: A Scoping Review.Archives of rehabilitation research and clinical translation · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

K SureshkumarDepartment of Clinical Research, International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK.
Gvs MurthyDepartment of Clinical Research, International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK.
S NatarajanTS Srinivasan Institute of Neurological Sciences, VHS Hospital, Chennai, Tamil Nadu, India.
C NaveenIndian Institute of Public Health (Pubic Health Foundation of India) Hyderabad, Amar Cooperative Society, Hyderabad, Telangana, India.
S GoenkaIndian Institute of Public Health (Public Health Foundation of India), Delhi, Haryana, India.
H KuperDepartment of Clinical Research, International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBPublic Health Foundation of India · INVoluntary Health Services Hospital · IN

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectives(1) To identify operational issues encountered by study participants in using the 'Care for Stroke' intervention; (2) to evaluate the feasibility and acceptability of the intervention.

designMixed-methods research design.

settingParticipant's home. Participants were selected from a tertiary hospital in Chennai, South India.

participantsSixty stroke survivors treated and discharged from the hospital, and their caregivers.

intervention'Care for Stroke' is a smartphone-enabled, educational intervention for management of physical disabilities following stroke. It is delivered through a web-based, smartphone-enabled application. It includes inputs from stroke rehabilitation experts in a digitised format.

methodsEvaluation of the intervention was completed in two phases. In the first phase, the preliminary intervention was field-tested with 30 stroke survivors for 2 weeks. In the second phase, the finalised intervention was provided to a further 30 stroke survivors to be used in their homes with support from their carers for 4 weeks. PRIMARY AND SECONDARY OUTCOME MEASURES: PRIMARY OUTCOMES: (1) operational difficulties in using the intervention; (2) feasibility and acceptability of the intervention in an Indian setting. Disability and dependency were assessed as secondary outcomes.

resultsField-testing identified operational difficulties related to connectivity, video-streaming, picture clarity, quality of videos, and functionality of the application. The intervention was reviewed, revised and finalised before pilot-testing. Findings from the pilot-testing showed that the 'Care for Stroke' intervention was feasible and acceptable. Over 90% (n=27) of the study participants felt that the intervention was relevant, comprehensible and useful. Over 96% (n=29) of the stroke survivors and all the caregivers (100%, n=30) rated the intervention as excellent and very useful. These findings were supported by qualitative interviews.

conclusionsEvaluation indicated that the 'Care for Stroke' intervention was feasible and acceptable in an Indian context. An assessment of effectiveness is now warranted.

Indexed as

Mobile ApplicationsPatient Education as TopicSmartphoneStroke RehabilitationCaregiversFeasibility StudiesHumansIndiaPatient Acceptance of Health CarePilot ProjectsSurvivorsGERIATRIC MEDICINEPUBLIC HEALTHREHABILITATION MEDICINE

Identifiers

PMID26839011
PMCPMC4746451
OpenAlexW2261067849

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.