Evidence map›Paper›PMID 37684626›Full record

Trial reportBMC primary care2023

Stroke Riskometer Application (SRA™) influence on lifestyle changes of home bound familial Malaysian stroke caregivers: a randomised controlled trial in a primary care based longer term stroke care facility.

Radhiyah Hussin, Aznida Firzah Abdul Aziz, Mohd Fairuz Ali, Ezura Madiana Md Monoto, H S Arvinder-Singh, Alabed Ali Ahmed Alabed, Wan Asyraf Wan Zaidi, Norlinah Mohamed Ibrahim, FRCPE

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
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

9 authors at 5 institutions in 1 country.

Radhiyah HussinDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Level 14, Preclinical Block, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Kuala Lumpur, Cheras, Malaysia.
Aznida Firzah Abdul AzizDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Level 14, Preclinical Block, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Kuala Lumpur, Cheras, Malaysia. draznida@ppukm.ukm.edu.my.
Mohd Fairuz AliDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Level 14, Preclinical Block, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Kuala Lumpur, Cheras, Malaysia.
Ezura Madiana Md MonotoDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Level 14, Preclinical Block, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Kuala Lumpur, Cheras, Malaysia.
H S Arvinder-SinghCommunity Health Department, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Cheras, Malaysia.
Alabed Ali Ahmed AlabedCommunity Medicine Department, Faculty of Medicine, University of Cyberjaya, Cyberjaya, Selangor, Malaysia.
Wan Asyraf Wan ZaidiNeurology Unit, Department of Internal Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Cheras, Malaysia.
Norlinah Mohamed IbrahimNeurology Unit, Department of Internal Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Cheras, Malaysia.
FRCPE
National University of Malaysia · MYHospital Sungai Buloh · MYMinistry of Health · MYUniversity Kebangsaan Malaysia Medical Centre · MYUniversity of Cyberjaya · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn countries where access to Specialist stroke care services are limited, primary care physicians often manage stroke patients and the caregiving family members. This study aimed to evaluate the impact of Stroke Riskometer Application (SRA™) on promoting healthier lifestyles among familial stroke caregivers for primary prevention.

methodsA parallel, open-label, 2-arm prospective, pilot randomised controlled trial was conducted at a long-term stroke service at a university based primary care clinic. All stroke caregivers aged ≥ 18 years, proficient in English or Malay and smartphone operation were invited. From 147 eligible caregivers, 76 participants were randomised to either SRA™ intervention or conventional care group (CCG) after receiving standard health counselling. The intervention group had additional SRA™ installed on their smartphones, which enabled self-monitoring of modifiable and non-modifiable stroke risk factors. The Stroke Riskometer app (SRA

resultsThe demographic and clinical characteristics of the intervention and control group study participants were comparable. Better improvement in LS7 scores were noted in the SRA™ arm compared to CCG at 3 months: Median difference (95% CI) = 0.88 (1.68-0.08), p = 0.03. However, both groups did not show significant changes in median stroke risk and relative risk scores at 5-, 10-years (Stroke risk 5-years: Median difference (95% CI) = 0.53 (0.15-1.21), p = 0.13, 10-years: Median difference (95% CI) = 0.81 (0.53-2.15), p = 0.23; Relative risk 5-years: Median difference (95% CI) = 0.84 (0.29-1.97), p = 0.14, Relative risk 10-years: Median difference (95% CI) = 0.58 (0.36-1.52), p = 0.23).

conclusionSRA™ is a useful tool for familial stroke caregivers to make lifestyle changes, although it did not reduce personal or relative stroke risk after 3 months usage.

trial registrationNo: ACTRN12618002050235 (Registration Date: 21

Indexed as

CaregiversStrokeHumansLife StylePrimary Health CareProspective StudiesCaregiverInformal caregiverStrokeStroke rehabilitation

Identifiers

PMID37684626
PMCPMC10486033
OpenAlexW4386545438

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.