Trial reportMedical science monitor : international medical journal of experimental and clinical research2026
Smart Healthcare-Enabled Information-Motivation-Behavioral Skills Model for Stroke Multimorbidity Rehabilitation: A Transitional Care Study.
Trial report in Medical science monitor : international medical journal of experimental and clinical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Patients with stroke and multimorbidity face complex rehabilitation challenges during the hospital-to-home transition. This study evaluated a smart healthcare-enabled Information-Motivation-Behavioral Skills (IMB) model integrated with traditional Chinese and Western nursing care for its effects on discharge readiness and recovery outcomes. MATERIAL AND METHODS Sixty stroke patients with 2 or more comorbidities admitted between January and June 2025 were randomly assigned to an experimental group (n=30) or control group (n=30). The control group received routine nursing care, while the experimental group received an IMB-based transitional care program supported by smart healthcare technology and integrated nursing interventions. Outcomes included discharge readiness, quality of life (Stroke-Specific Quality of Life [SS-QOL]), functional recovery (Barthel Index, Fugl-Meyer Assessment, National Institutes of Health Stroke Scale), and 30-day readmission rate. RESULTS The experimental group showed significantly higher discharge-readiness scores (P<0.05), improved SS-QOL at 1 month (171.20±26.21 vs 146.55±31.25; P<0.001) and 3 months (186.25±31.35 vs 150.21±21.34; P<0.001), and better functional outcomes across all scales (all P<0.05). The 30-day readmission rate was lower in the experimental group (6.6% vs 26.6%; P=0.041). CONCLUSIONS A smart healthcare-supported, IMB-guided transitional care package integrated with traditional Chinese and Western nursing care was associated with improved discharge readiness, quality of life, and functional recovery, with fewer early readmissions. Because the intervention was multicomponent, the independent contribution of the IMB framework cannot be isolated.
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