Evidence map›Paper›PMID 42396802›Full record

ArticleJournal of the American Heart Association2026

Long-Term Effect of Intensive Education in Patients With First-Ever Ischemic Stroke.

Yeong Wook Kim, Minsoo Jeon, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Gyung-Jae Oh, Yang-Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Yeong Wook KimDepartment of Rehabilitation Medicine, College of Medicine Chungnam National University Daejeon Republic of Korea.ORCID 0000-0003-3282-1164
Minsoo JeonDepartment of Rehabilitation Medicine, College of Medicine Chungnam National University Daejeon Republic of Korea.ORCID 0000-0003-2205-3210
Min Kyun SohnDepartment of Rehabilitation Medicine, College of Medicine Chungnam National University Daejeon Republic of Korea.ORCID 0000-0002-2548-545X
Jongmin LeeDepartment of Rehabilitation Medicine Konkuk University School of Medicine Seoul Republic of Korea.ORCID 0000-0001-8718-0099
Deog Young KimDepartment and Research Institute of Rehabilitation Medicine Yonsei University College of Medicine Seoul Republic of Korea.ORCID 0000-0001-7622-6311
Gyung-Jae OhDepartment of Preventive Medicine Wonkwang University, School of Medicine Iksan Republic of Korea.ORCID 0000-0001-9869-1564
Yang-Soo LeeDepartment of Rehabilitation Medicine School of Medicine, Kyungpook National University, Kyungpook National University Hospital Daegu Republic of Korea.ORCID 0000-0002-8855-1231
Min Cheol JooDepartment of Rehabilitation Medicine Wonkwang University School of Medicine Iksan Republic of Korea.ORCID 0000-0003-2778-4194
So Young LeeDepartment of Rehabilitation Medicine Jeju National University Hospital, Jeju National University School of Medicine Jeju City Republic of Korea.ORCID 0000-0002-0433-4548
Min-Keun SongDepartment of Physical and Rehabilitation Medicine Chonnam National University Medical School Gwangju Republic of Korea.ORCID 0000-0001-8186-5345
Sung-Hwa KoDepartment of Rehabilitation Medicine Pusan National University School of Medicine, Pusan National University Yangsan Hospital Yangsan Republic of Korea.ORCID 0000-0003-4900-5972
Junhee HanDepartment of Statistics Hallym University Chuncheon Republic of Korea.ORCID 0000-0001-5736-8752
Jeonghoon AhnDepartment of Health Convergence Ewha Womans University Seoul Republic of Korea.ORCID 0000-0002-0177-0192
Yong-Il ShinDepartment of Rehabilitation Medicine Pusan National University School of Medicine, Pusan National University Yangsan Hospital Yangsan Republic of Korea.ORCID 0000-0001-7894-0930
Young-Hoon LeeDepartment of Rehabilitation Medicine Wonkwang University School of Medicine Iksan Republic of Korea.ORCID 0000-0003-1367-025X
Won Hyuk ChangDepartment of Physical and Rehabilitation Medicine Center for Prevention and Rehabilitation, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine Seoul Republic of Korea.ORCID 0000-0002-4969-7895

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated the long-term effects of intensive education on functional recovery and quality of life in patients with first-ever mild ischemic stroke.

methodsThis propensity score-matched cohort study was conducted within the KOSCO (Korean Stroke Cohort for Functioning and Rehabilitation). Four of 9 institutions participated in the educational intervention substudy, recruiting patients between November 2016 and January 2020. Eligible participants were adults aged 19 to 74 years hospitalized within 7 days of a first-ever ischemic stroke, with mild neurological deficits (Korean version of National Institutes of Health Stroke Scale score 1-5), who consented to participate in the study. The intervention consisted of 3 structured education sessions delivered over 3 months. Functional and quality-of-life outcomes were assessed at baseline and at multiple intervals up to 48 months. A matched control group was selected from the primary KOSCO cohort.

resultsAfter matching, 138 participants were included in each group. Baseline characteristics were well balanced. Over the 48-month follow-up period, the intervention group demonstrated greater improvements in the EuroQol-5 Dimension (β=-0.005 [95% CI, -0.009 to -0.001]), Geriatric Depression Scale-Short Form (β=0.147 [95% CI, 0.015-0.279]), and modified Rankin Scale (β=11.48 [95% CI, 0.05-22.92]), compared with controls. No significant group-by-time interactions were found for other functional measures, including the Functional Independence Measure, Korean version of Modified Barthel Index, Fugl-Meyer Assessment, and Korean Mini-Mental State Examination.

conclusionsStructured, intensive, multisession education for patients with first-ever mild ischemic stroke produced favorable long-term effects on quality of life, psychological well-being, and disability, highlighting the value of comprehensive education as part of stroke rehabilitation and secondary prevention. REGISTRATION: URL: http://cris.nih.go.kr; Unique identifier: KCT0003277.

Indexed as

Ischemic StrokePatient Education as TopicQuality of LifeStroke RehabilitationAdultAgedFemaleFunctional StatusHumansMaleMiddle AgedRecovery of FunctionRepublic of KoreaTime FactorsTreatment OutcomeYoung Adultdepressiondisabilityeducationischemic strokequality of life

Identifiers

PMID42396802
PMCPMC13477309

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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.