Evidence map›Paper›PMID 41210999›Full record

ReviewmHealth2025

A scoping review of implementation determinants and strategy alignment patterns in mHealth interventions for stroke recurrence prevention between low and high resource settings.

Xiru Yu, Jia Peng, Hua Tong, Keqin Rao, Min Cai, S'thembile Thusini, Yueli Meng, Xiaoling Yan

Abstract readReview
In one paragraph

Review in mHealth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

8 authors.

Xiru Yu *Institute for Hospital Management, Tsinghua University, Shenzhen, China.
Jia Peng *Institute for Hospital Management, Tsinghua University, Shenzhen, China.
Hua Tong *Institute for Hospital Management, Tsinghua University, Shenzhen, China.
Keqin RaoInstitute for Hospital Management, Tsinghua University, Shenzhen, China.
Min CaiCenter for Health Statistics and Information, National Health Commission, PRC, Beijing, China.
S'thembile ThusiniNuffield Department of Population Health, University of Oxford, Oxford, UK.
Yueli MengInstitute of Medical Information, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xiaoling YanInstitute of Medical Information, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stroke remains a major global health burden, with high recurrence rates despite preventability through standardized interventions. Mobile health (mHealth) interventions show promise in stroke recurrence prevention, yet mHealth implementation varies significantly across different resource settings. This study aimed to investigate implementation determinants and strategy alignment patterns in mHealth interventions for recurrent stroke prevention between low and high resource settings. Methods: Six databases [PubMed, Web of Science, Cochrane Library, Scopus, CNKI (China National Knowledge Infrastructure), and Wanfangdata] were searched for the publication period from January 2013 to December 2023. We included empirical studies and evidence syntheses of mHealth interventions for secondary stroke prevention with implementation descriptions, excluding those using specialized medical devices, robot-assisted interventions, or involving participants with significant comorbidities. Implementation determinants were coded using the Consolidated Framework for Implementation Research (CFIR) constructs, and implementation strategies were mapped using Expert Recommendations for Implementing Change (ERIC) taxonomy. Strategy-barrier alignment was summarized by comparing implemented versus expert-recommended strategies across settings. Statistical significance was assessed using non-parametric tests and bootstrap analyses, with sensitivity analyses accounting for study quality. Results: Fifty-five studies were included, with 52.7% conducted in low resource settings. 74.5% were published between 2019-2023, with randomized controlled trials (RCTs) being the most common study design (49.1%). Interventions primarily utilized smartphone applications (APPs) (49.1%) and instant messaging systems (IMS) (25.5%). Key CFIR determinants differed between resource settings. "Relative Advantage" (9/29 Conclusions: Implementation determinants and strategy adoption vary between low and high resource settings. Low-resource settings demonstrate significantly greater adoption of ERIC strategies. Context-tailored policies are critical to bridge know-do gaps in implementing stroke prevention intervention globally.

Indexed as

Consolidated Framework for Implementation Research-Expert Recommendations for Implementing Change framework (CFIR-ERIC framework)implementation sciencelow and high resource settingsMobile health (mHealth)secondary stroke prevention

Identifiers

PMID41210999
PMCPMC12593981

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.