Evidence map›Paper›PMID 36401336›Full record

ArticlePilot and feasibility studies2022

A mixed-methods feasibility study of a new digital health support package for people after stroke: the Recovery-focused Community support to Avoid readmissions and improve Participation after Stroke (ReCAPS) intervention.

Janette Cameron, Natasha A Lannin, Dawn Harris, Nadine E Andrew, Monique F Kilkenny, Tara Purvis, Amanda G Thrift, Tharshanah Thayabaranathan, Fiona Ellery, Garveeta Sookram and 5 more

Open access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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  4. Development of a Health Text Message System to Support Stroke Prevention: A Component of the Love Your Brain Digital Platform.Health expectations : an international journal of public participation in health care and health policy · 2025
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  6. Are SMART goals fit-for-purpose? Goal planning with mental health service-users in Australian community pharmacies.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024
    Article
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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

15 authors at 8 institutions in 2 countries.

Janette CameronStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.ORCID https://orcid.org/0000-0002-3335-904X
Natasha A LanninDepartment of Neurosciences, Central Clinical School, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-2066-8345
Dawn HarrisStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.ORCID https://orcid.org/0000-0002-1410-4332
Nadine E AndrewStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.ORCID https://orcid.org/0000-0002-4846-2840
Monique F KilkennyStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.ORCID https://orcid.org/0000-0002-3375-287X
Tara PurvisStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.ORCID https://orcid.org/0000-0003-3332-5357
Amanda G ThriftStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.ORCID https://orcid.org/0000-0001-8533-4170
Tharshanah ThayabaranathanStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.ORCID https://orcid.org/0000-0003-2504-7772
Fiona ElleryStroke Division, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Heidelberg, Australia.ORCID https://orcid.org/0000-0002-7302-1895
Garveeta SookramStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia.
Maree HackettThe George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia.ORCID https://orcid.org/0000-0003-1211-9087
Ian KneeboneGraduate School of Health, University of Technology Sydney, Ultimo, Australia.ORCID https://orcid.org/0000-0003-3324-7264
Avril DrummondFaculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.ORCID https://orcid.org/0000-0003-1220-8354
Dominique A CadilhacStroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Level 3 Hudson Institute Building, 27-31 Wright Street, Clayton, VIC, 3168, Australia. dominique.cadilhac@monash.edu.ORCID http://orcid.org/0000-0001-8162-682X
Recovery-focused Community support to Avoid readmissions and improve Participation after Stroke (ReCAPS) Investigators
Hudson Institute of Medical Research · AUFlorey Institute of Neuroscience and Mental Health · AUThe University of Melbourne · AUAlfred Health · AUMonash Health · AUUNSW Sydney · AUUniversity of Nottingham · GBUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence for digital health programmes to support people living with stroke is growing. We assessed the feasibility of a protocol and procedures for the Recovery-focused Community support to Avoid readmissions and improve Participation after Stroke (ReCAPS) trial.

methodsWe conducted a mixed-method feasibility study. Participants with acute stroke were recruited from three hospitals (Melbourne, Australia). Eligibility: Adults with stroke discharged from hospital to home within 10 days, modified Rankin Score 0-4 and prior use of Short Message System (SMS)/email. While in hospital, recruited participants contributed to structured person-centred goal setting and completed baseline surveys including self-management skills and health-related quality of life. Participants were randomised 7-14 days after discharge via REDCap® (1:1 allocation). Following randomisation, the intervention group received a 12-week programme of personalised electronic support messages (average 66 messages sent by SMS or email) aligned with their goals. The control group received six electronic administrative messages. Feasibility outcomes included the following: number of patients screened and recruited, study retainment, completion of outcome measures and acceptability of the ReCAPS intervention and trial procedures (e.g. participant satisfaction survey, clinician interviews). Protocol fidelity outcomes included number of goals developed (and quality), electronic messages delivered, stop messages received and engagement with messages. We undertook inductive thematic analysis of interview/open-text survey data and descriptive analysis of closed survey questions.

resultsBetween November 2018 and October 2019, 312 patients were screened; 37/105 (35%) eligible patients provided consent (mean age 61 years; 32% female); 33 were randomised (17 to intervention). Overall, 29 (88%) participants completed the12-week outcome assessments with 12 (41%) completed assessments in the allocated timeframe and 16 also completing the satisfaction survey (intervention=10). Overall, trial participants felt that the study was worthwhile and most would recommend it to others. Six clinicians participated in one of three focus group interviews; while they reported that the trial and the process of goal setting were acceptable, they raised concerns regarding the additional time required to personalise goals.

conclusionThe study protocol and procedures were feasible with acceptable retention of participants. Consent and goal personalisation procedures should be centralised for the phase III trial to reduce the burden on hospital clinicians.

trial registrationAustralian New Zealand Clinical Trials Registry, ACTRN12618001468213 (date 31/08/2018); Universal Trial Number: U1111-1206-7237.

Indexed as

Digital healtheHealthFeasibility studyHealthcare technologyStroke

Identifiers

PMID36401336
PMCPMC9675218
OpenAlexW4309371618

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.