Evidence map›Paper›PMID 41817131›Full record

ArticleJournal of medical Internet research2026

Creation of EmpowerMe Website to Promote Self-Efficacy in Survivors of Stroke: Co-Design Study.

Elizabeth A Lynch, Adrian O'Malley, Zoe Adey-Wakeling, Billie Bonevski, Dominique A Cadilhac, Saran Chamberlain, Leonid Churilov, Robyn Clark, Richard Cullen, Erin Godecke and 11 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2026. 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. 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

21 authors.

Elizabeth A LynchCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0000-0001-8756-1051
Adrian O'MalleyLived Experience of Stroke, Sydney, Australia.ORCID https://orcid.org/0009-0000-4902-4132
Zoe Adey-WakelingFlinders Medical Centre, Adelaide, Australia.ORCID https://orcid.org/0000-0001-9231-5250
Billie BonevskiFlinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0000-0001-8505-622X
Dominique A CadilhacStroke and Ageing Research, Department of Medicine, School of Clinical Sciences, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0001-8162-682X
Saran ChamberlainCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0009-0006-4166-0701
Leonid ChurilovMelbourne Medical School, The University of Melbourne, Melbourne, Australia.ORCID https://orcid.org/0000-0002-9807-6606
Robyn ClarkCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0000-0002-5063-2618
Richard CullenNational Stroke Foundation, Melbourne, Australia.ORCID https://orcid.org/0009-0007-5883-4322
Erin GodeckeStroke Recovery and Rehabilitation, Perron Institute for Neurological and Translational Science, Perth, Australia.ORCID https://orcid.org/0000-0002-7210-1295
Gillian HarveyCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0000-0003-0937-7819
Fiona JonesPopulation Health Research Institute, City St George's University of London, London, United Kingdom.ORCID https://orcid.org/0000-0002-1452-3895
Natasha A LanninDepartment of Neurosciences, School of Translational Medicine, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-2066-8345
Stacy LarcombeCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0009-0009-1975-5204
Jarrad LawFlinders Digital Health Research Centre, College of Medicine and Public Health, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0009-0005-1861-9527
Annette McGrathLived Experience of Stroke, Port Elliot, Australia.ORCID https://orcid.org/0000-0002-1765-7039
Lisa MurphyNational Stroke Foundation, Melbourne, Australia.ORCID https://orcid.org/0000-0003-0248-0362
Katie NesbittCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0000-0002-3761-0764
Karly ZachariaSchool of Health Sciences, University of Newcastle Australia, Newcastle, Australia.ORCID https://orcid.org/0000-0002-4864-2585
Niranjan Bidargaddi *Flinders Digital Health Research Centre, College of Medicine and Public Health, Flinders University, Adelaide, Australia.ORCID https://orcid.org/0000-0003-2868-9260
Coralie English *School of Health Sciences, University of Newcastle Australia, Newcastle, Australia.ORCID https://orcid.org/0000-0001-5910-7927

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital health innovations are frequently used to support people in managing chronic health conditions. Stroke is common, and people who have survived a stroke and live in the community must learn to manage their health independently. Digital tools can help, but only if designed to match survivors' specific needs. In response to a need expressed by people living with chronic health conditions, the Australian government created a funding stream to support the development of a digital resource to help individuals gain confidence in managing their health.

objectiveThis study aimed to co-design a digital resource to promote self-efficacy to manage life after stroke in community-dwelling survivors of stroke.

methodsCo-design methodology, which emphasized meaningful engagement with intended end-users throughout the design of the website, was used. The project steering group comprised health professional researchers, digital designers, people with lived experience of stroke (survivors and carers), and representatives from the Stroke Foundation (Australia). A systematic review was conducted to inform the core components of the resource. A lived experience workgroup was convened to advise on features of the digital resource and aspects of its evaluation. Iterative review stages and frequent consultation between the steering group and the lived experience workgroup occurred. Online and in-person usability testing was conducted with survivors and carers.

resultsThe lived experience workgroup (workgroup) initially comprised 14 survivors and 1 carer. In total, 11 survivors and 1 carer remained engaged throughout the co-design period. One workgroup member was invited to join the steering group and co-facilitated all co-design workgroup meetings. Defining features of the digital resource were identified by the steering group and the workgroup, including that the resource would be a website that augmented (not reproduced) existing resources, and it needed to be accessible to survivors of stroke with communication changes. Website specifications were determined by the workgroup and included that information needed to be tailored to the individual user, and specific accessibility features were recommended. The workgroup prioritized what content to include on the website and recommended the creation of video stories by Australian survivors and carers. A resource-tailoring tool was created so information could be individualized to the interests of the website user. Overall, 9 web pages containing high-priority content were created, comprising text, video stories, and a downloadable PDF that summarized key information for that page. More than 150 short video stories were created by 26 survivors of stroke and 10 carers for the website. Usability testing indicated that the website was more usable than 83% of all websites.

conclusionsAuthentic co-design with inclusion of people with lived experience of stroke at all stages of development enabled the successful build of a digital resource (website) to improve self-efficacy. An evaluation of the website is underway.

trial registrationAustralia New Zealand Clinical Trials Registry ACTRN12624001018505; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=388255.

Indexed as

InternetSelf EfficacyStrokeSurvivorsAustraliaHumansco-designdigital healthself-efficacystrokewebsite

Identifiers

PMID41817131
PMCPMC13022539

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.