Evidence map›Paper›PMID 38831803›Full record

ArticleJournal of multidisciplinary healthcare2024

Perspectives of People with Stroke, Caregivers and Healthcare Professionals on an Adaptive mHealth Intervention for Physical Activity in the Prevention of Secondary Stroke: A Qualitative Study.

Nathan Cardy, Andrew Hunter, Daniel Carter, Mairead O'Donoghue, Márcia Carvalho, Emma Carr, Jane C Walsh, Julie Bernhardt, Claire Fitzsimons, Ita Richardson and 9 more

Abstract read
In one paragraph

Article in Journal of multidisciplinary healthcare, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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

19 authors.

Nathan CardySchool of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
Andrew HunterSchool of Nursing and Midwifery, University of Galway, Galway, Ireland.
Daniel CarterSchool of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
Mairead O'DonoghueSchool of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
Márcia CarvalhoSchool of Psychology, University of Galway, Galway, Ireland.ORCID 0000-0002-3711-6176
Emma CarrSchool of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
Jane C WalshSchool of Psychology, University of Galway, Galway, Ireland.
Julie BernhardtFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Victoria, Australia.
Claire FitzsimonsPhysical Activity for Health Research Centre, Institute Sport, Physical Education and Health Sciences, University of Edinburgh, Edinburgh, Scotland.
Ita RichardsonDepartment of Computer Science and Information Systems, University of Limerick, Limerick, Ireland.
Jon SalsbergSchool of Medicine, University of Limerick, Limerick, Ireland.
Liam GlynnSchool of Medicine, University of Limerick, Limerick, Ireland.ORCID 0000-0002-6153-9363
Cathal WalshSchool of Medicine, Trinity College Dublin, Dublin, Ireland.
Edina O'DriscollHealth Service Executive, Dublin, Ireland.
Pauline BolandSchool of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.
Nora CunninghamUniversity Hospital Limerick, Limerick, Ireland.
John ForbesSchool of Medicine, University of Limerick, Limerick, Ireland.
Rose GalvinSchool of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.ORCID 0000-0002-8171-224X
Sara HayesSchool of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, Ireland.ORCID 0000-0002-7128-2194

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Engaging in regular physical activity (PA) is associated with lower mortality following stroke, and PA reduces the chance of recurrent stroke. Despite recent guidelines to optimise PA following stroke, people with stroke are known to be less active than their age-matched counterparts. Given the heterogenous nature of stroke, adaptive PA interventions are recommended for people with stroke. Empirical data is lacking on adaptive PA or behavioural change interventions following stroke. Suggested strategies in the prevention of stroke recommend the use of mobile health (mHealth) interventions in the primary prevention of stroke. A structured stakeholder consultation process is key to successful implementation of complex interventions. This paper reports the findings of our consultation process to inform the development of an adaptive mHealth PA. Methods: We used a qualitative study design to explore the perspectives of key stakeholders on the development of an adaptive PA intervention delivered via mHealth post-stroke. Healthcare workers, carers and people with stroke participated in semi-structured one-to-one or focus group interviews. A reflexive thematic analysis was undertaken on transcribed interviews; key themes and sub-themes were developed using coding and summarised by two researchers, then reviewed by the full research team. Results: Twenty-eight stakeholders were interviewed and three main themes were identified; Key feature of a mHealth intervention, delivering a mHealth intervention, Challenges to development and use. There was widespread agreement across stakeholder groups that an adaptive mHealth PA intervention following stroke would be beneficial to people with stroke, following discharge from acute care. Conclusion: Our consultation supports the development of an adaptive PA programme that addresses specific impairments that can hinder exercise participation after stroke.

Indexed as

adaptive interventionintervention designphysical activitystroke

Identifiers

PMID38831803
PMCPMC11146341

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.