Mobile Health Application to Support Family Caregivers in Recurrent Stroke Prevention: Scoping Review

Authors

  • Erfin Firmawati Doctoral Program, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
  • Ismail Setyopanoto Doctoral Program, Faculty of Medicine, Health Community and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
  • Heny Suseani Pangastuti Department of Nursing, Faculty of Medicine, Health Community and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7859

Keywords:

Caregivers, Mobile applications, Recurrent stroke

Abstract

BACKGROUND OF THE STUDY: Caregivers play a vital role in continuum care for stroke patients. Involvement of caregivers in stroke care was important. With the advancement of information technology and the rapid growth worldwide in cell-phone use and internet connectivity, additional evidence may be needed in the use of mobile applications to support caregivers in stroke care.

AIM OF THE STUDY: The aims of this review was to identify existing mobile application designed to support family caregivers of people with stroke disease.

METHODOLOGY: A scoping review study framework was carried out in this study, using the EBSCO, Cochrane, PubMed, ProQuest, and Science Direct databases using search keywords: ‘family caregiver’, ‘mobile health application’,  and ‘recurrent stroke or secondary stroke prevention’. This review examined studies published between January 2011 and December 2020. Of a total of 728 papers found, 9 journals were selected. RESULTS: The results founded three categories and their attendant sub-categories. The categories was caregivers support, involvement caregivers in stroke care, and barriers. The majority of mobile application was used to provide video education for caregivers. Caregivers involved in stroke care including emotional care, nutrition, exercise, and recurrent stroke prevention. Poor connection was the most barrier in using mobile application.

CONCLUSION: Mobile application can support caregivers in stroke care. Healthcare providers are expected to utilize mobile applications in helping caregivers in post-stroke care.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Feigin VL, Norrving B, Mensah GA. Global burden of stroke. Circ Res. 2017;120(3):439-48. https://doi.org/10.1161/CIRCRESAHA.116.308413 PMid:28154096

World Health Organization. Stroke: A Global Response is Needed. Vol. 94. Geneva: World Health Organization; 2016. p. 634A-5.

Coull AJ, Rothwell PM. Underestimation of the early risk of recurrent stroke: Evidence of the need for a standard definition. Stroke. 2004;35(8):1925-9. https://doi.org/10.1161/01.STR.0000133129.58126.67 PMid:15192248

Xu G, Liu X, Wu W, Zhang R, Yin Q. Recurrence after ischemic stroke in chinese patients: Impact of uncontrolled modifiable risk factors. Cerebrovasc Dis. 2007;23(117):117-20. https://doi.org/10.1159/000097047 PMid:17124391

Khanevski AN, Bjerkreim AT, Thomassen L, Logallo N, Kvistad CE. Recurrent ischemic stroke: Incidence, predictors, and impact on mortality. Acta Neurol Scand 2019;140(1):3-8. https://doi.org/10.1111/ane.13093 PMid:30929256

Feigin VL, Roth GA, Naghavi M, Parmar P, Krishnamurthi R, Chugh S, Mensah GA, et al. Global burden of stroke and risk factors in 188 countries, during 1990-2013: A systematic analysis for the global burden of disease study 2013. Lancet Glob Health. 2016;4422(16):1-12.

Martinez M, Prabhakar N, Drake K, Coull B, Chong J, Ritter L. Identification of barriers to stroke awareness and risk factor management unique to hispanics. Environ Res Publich Health. 2016;13(23):ijerph13010023.

Lennon OC, Doody C, Choisdealbh CN, Blake C. Barriers to healthy-lifestyle participation in stroke: Consumer participation in secondary prevention design. Int J Rehabil Res. 2013;36(4):354-61. https://doi.org/10.1097/MRR.0b013e3283643d48 PMid:23873221

Al Alshaikh S, Quinn T, Dunn W, Walters M, Dawson J. Predictive factors of non-adherence to secondary preventative medication after stroke or transient ischaemic attack: A systematic review and meta-analyses. Eur Stroke J. 2016;1(2):65-75. https://doi.org/10.1177/2396987316647187 PMid:29900404

Magwood GS, Ellis C, Nichols M, Burns SP, Jenkins C, Woodbury M, et al. Barriers and facilitators of stroke recovery: Perspectives from african americans with stroke, caregivers and healthcare professionals. J Stroke Cerebrovasc. 2019;28(9):2506-16. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.06.012 PMid:31255440

Farahani MA, Bahloli S, Jamshidiorak R, Ghaffari F. Investigating the needs of family caregivers of older stroke patients: A longitudinal study in Iran. BMC Geriatr. 2020;20(1):313. https://doi.org/10.1186/s12877-020-01670-0 PMid:32859159

Jiang S, Shen L, Ruan H, Li L. Family function and health behaviours of stroke survivors. Int J Nurs Sci. 2014;1(3):272-6.

Wong HJ, Harith S, Lua PL, Ibrahim KA. A qualitative study exploring understanding and perceptions of stroke survivors regarding healthy lifestyle changes for secondary prevention. Malaysian J Med Health Sci. 2021;17(1):33-41.

Kavga A, Govina O, Galanis P, Kalemikerakis I, Vlachou E, Fotos N, et al. determinants of health promotion behaviors among family caregivers of stroke survivors. Diseases. 2021;9:10. https://doi.org/10.3390/diseases9010010 PMid:33499270

Pangastuti HS, Rustina Y, Kamso S, Sitorus R. Success stories from patients with stroke recurrence prevention: A qualitative sttudy. Indones Nurs J Educ Clin. 2020;4(2):168-75.

Parappilly BP, Mortenson WB, Field TS, Eng JJ. Exploring perceptions of stroke survivors and caregivers about secondary prevention: A longitudinal qualitative study. Disabil Rehabil. 2020;42(14):2020-6. https://doi.org/10.1080/09638288.2018.1544296 PMid:30669873

Saad S, Waqar Z, Islam F, Iqbal H, Nomani AZ. The awareness of stroke in caregivers of stroke patients in Pakistan. J Neurol Disord. 2017;5(4):1000359. https://doi.org/10.4172/2329-6895.1000359

Yesilbalkan OU, Karadakovan A, Dogru BV, Akman P, Ozel E, Bozturk Y. Awareness of risk factors and warning signs of stroke among caregivers of patient with and not with stroke: Results from questionnaire. J Pak Med Assoc. 2019;69(8):1114-8. PMid:31431763

Agianto A, Nuntaboot K. Role and function of family in care of patients with stroke in community. Dunia Keperawatan. 2018;6(1):134-44. https://doi.org/10.20527/dk.v6i2.5226

Sjöholm ME, Eriksson G, Bii A, Asungu J, Von Koch L, Guidetti S. Living with consequences of stroke and risk factors for unhealthy diet experiences among stroke survivors and caregivers in Nairobi, Kenya. BMC Public Health. 2021;21:511.

World Health Organization. mHealth New Horizons for Health through Mobile Technologies. Vol. 3. Proceeding International Work Content-Based Multimed Index; 2011. p. 130-5.

Adeoye O, Nyström KV, Yavagal DR, Luciano J, Nogueira RG, Zorowitz RD, et al. Recommendations for the establishment of stroke systems of care: A 2019 update: A policy statement from the American Stroke Association. Stroke. 2019;50(7):e187-210. https://doi.org/10.1161/STR.0000000000000173 PMid:31104615

Demaerschalk BM, Berg J, Chong BW, Gross H, Nystrom K, Adeoye O, et al. American telemedicine association: Telestroke guidelines. Telemed J E Health. 2017;23(5):376-89. https://doi.org/10.1089/tmj.2017.0006 PMid:28384077

Blacquiere D, Lindsay MP, Foley N, Taralson C, Alcock S, Balg C, et al. Canadian stroke best practice recommendations: Telestroke best practice guidelines update 2017. Int J Stroke. 2017;12(8):886-95. https://doi.org/10.1177/1747493017706239 PMid:28441928

Fruhwirth V, Enzinger C, Weiss E, Schwerdtfeger A, Gattringer T. Use of smartphone apps in secondary stroke prevention. Wien Med Wochensschr. 2020;170(1-2):41-54. https://doi.org/10.1007/s10354-019-00707-3 PMid:31535230

Lobo EH, Frølich A, Kensing F, Rasmussen LJ, Livingston PM, Grundy J, et al. mHealth applications to support caregiver needs and engagement during stroke recovery: A content review. Res Nurs Health. 2021;44(1):213-25. https://doi.org/10.1002/ nur.22096

Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol Theory Pract. 2005;8(1):19-32.

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa

Kamal A, Khoja A, Usmani B, Magsi S, Malani A. Effect of 5-minute movies shown via a mobile phone app on risk factors and mortality after stroke in a low- to middle-income country: Randomized controlled trial for the stroke caregiver corresponding author. JMIR mHealth uHealth. 2020;8(1):e12113. PMid:32012080

Vloothuis JD, Mulder M, Nijland RH, Goedhart QS, Konijnenbelt M, Mulder H, et al. Caregiver-mediated exercises with e-health support for early supported discharge after stroke (CARE4STROKE): A randomized controlled trial. PLoS One. 2019;8:e0214241. https://doi.org/10.1371/journal.pone.0214241 PMid:30958833

Ifejika NL, Bhadane M, Cai CC, Noser EA, Grotta JC, Savitz SI. Use of a smartphone-based mobile app for weight management in obese minority stroke survivors: Pilot randomized controlled trial with open blinded end point. JMIR mHealth uHealth. 2020;8(4):e17816. https://doi.org/10.2196/17816 PMid:32319963

Kim J, Lee S, Kim J. Effects of a web-based stroke education program on recurrence prevention behaviors among stroke patients: A pilot study. Helath Educ Res. 2013;28(3):488-501. https://doi.org/10.1093/her/cyt044 PMid:23515115

Smith GC, Egbert N, Dellman-Jenkins M, Nanna K, Palmieri PA. Reducing depression in stroke survivors and their informal caregivers: A randomized clinical trial of a web-based intervention. Rehabil Psychol. 2012;57(3):196-206. https://doi.org/10.1037/a0029587 PMid:22946607

Skolarus LE, Piette JD, Pfeiffer PN, Williams LS, Mackey J, Hughes R, et al. Interactive voice response an innovative approach to post-stroke depression self-management support. Transl Stroke Res. 2017;8(1):77-82. PMid:27394917

Sureshkumar K, Murthy GV, Natarajan S, Naveen C, Goenka S, Kuper H. Evaluation of the feasibility and acceptability of the ‘care for stroke’ intervention in India, a smartphone-enabled, carer-supported, educational intervention for management of disability following stroke. BMJ Open. 2016;6(2):e009243. https://doi.org/10.1136/bmjopen-2015-009243 PMid:26839011

Chang H, Zhao J, Qiao Y, Yao H, Wang X, Li J, et al. Mobile phone application for self-Assessment of acute stroke patients. Medicine (Baltimore). 2018;97(26):e11263. https://doi.org/10.1097/MD.0000000000011263 PMid:29952998

Kamwesiga JT, Eriksson GM, Tham K, Fors U, Ndiwalana A, von Koch L, et al. A feasibility study of a mobile phone supported family-centred ADL intervention, F@ceTM, after stroke in Uganda. Global Health. 2018;14(1):82. https://doi.org/10.1186/s12992-018-0400-7 PMid:30111333

Mahmood A, Blaizy V, Verma A, Sequeira JS, Saha D, Ramachandran S, et al. Acceptability and attitude towards a mobile-based home exercise program among stroke survivors and caregivers: A cross-sectional study. Int J Telemed Appl. 2019;2019:5903106. https://doi.org/10.1155/2019/5903106 PMid:31186627

Sala-González M, Pérez-Jover V, Guilabert M, Mira JJ. Mobile apps for helping informal caregivers: A systematic review. Int J Environ Res Public Health. 2021;18(4):1702. https://doi.org/10.3390/ijerph18041702 PMid:33578819

Dalvandi A, Fallahi-Khoshknab M, Sciences R. Family caregivers’ experiences of stroke recovery among older adults living in Iran: A qualitative study. Iran Red Crescent Med J. 2015;20.

Olafsdottir SA, Jonsdottir H, Bjartmarz I, Magnusson C, Caltenco H, Kytö M, et al. Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study. BMC Health Serv Res. 2020;20:562. https://doi.org/10.1186/s12913-020-05432-x PMid:32571316

Van Mierlo LD, Meiland FJ, Dröes RM. Dementelcoach: Effect of telephone coaching on carers of community-dwelling people with dementia. Int Psychogeriatr. 2012;24(2):212-22.

Grossman MR, Psych BA, Zak DK, Psych MA, Zelinski EM. Mobile apps for caregivers of older adults: Quantitative content analysis. JMIR mHealth uHealth. 2018;6(7):e162. https://doi.org/10.2196/mhealth.9345 PMid:30061093

Fuller-Tyszkiewicz M, Richardson B, Little K, Teague S, Hartley- Clark L, Capic T, et al. Efficacy of a smartphone app intervention for reducing caregiver stress: Randomized controlled trial. JMIR Ment Health. 2020;7(7):e17541. https://doi.org/10.2196/17541 PMid:32706716

Pugliese M, Ramsay T, Johnson D, Dowlatshahi D. Mobile tablet-based therapies following stroke: A systematic scoping review of administrative methods and patient experiences. PLoS One. 2018;13(1):e0191566. https://doi.org/10.1371/journal.pone.0191566 PMid:29360872

Peng W, Kanthawala S, Yuan S, Hussain SA. A qualitative study of user perceptions of mobile health apps. BMC Public Health. 2016;16(1):1158. https://doi.org/10.1186/s12889-016-3808-0 PMid:27842533

Downloads

Published

2022-01-06

How to Cite

1.
Firmawati E, Setyopanoto I, Pangastuti HS. Mobile Health Application to Support Family Caregivers in Recurrent Stroke Prevention: Scoping Review. Open Access Maced J Med Sci [Internet]. 2022 Jan. 6 [cited 2022 Aug. 15];9(T5):142-51. Available from: https://oamjms.eu/index.php/mjms/article/view/7859

Most read articles by the same author(s)