‘care for stroke’, a web-based, smartphone-enabled educational intervention for management of physical disabilities following stroke: feasibility in the indian context - touch screen components

Stroke rehabilitation is a process designed to restore or maintain the physical, mental, intellectual and social abilities of individuals affected by stroke. Unlike high-
In income countries, stroke rehabilitation resources are very limited in many low-income countries
Income and middle income
Income country (LMICs).
Provision of fees-Effective, afterwards
Therefore, stroke multi-disciplinary rehabilitation services for stroke survivors are essential to address unmet needs and an increasing disability for lmic stroke survivors.
In order to meet the growing
We have developed a network rehabilitation service in India.
Based on smart phone
Education intervention was provided for the management of physical disability after stroke.
Methods based on the results of the rehabilitation needs assessment study, the guidance of the expert group and the existing evidence of the systematic review, the framework of the intervention content was designed. Web-
It is then designed and developed by professional application developers based on the application.
The result application is called "stroke care ". It is a web-
Basic education intervention for physical disability management after stroke.
This intervention was developed for stroke survivors with any rehabilitation needs who need to be independently involved in his/her family and social roles.
Discussing "care for stroke" is an innovative intervention that can test not only its feasibility and acceptability, but also its clinical and cost
Effectiveness of randomized clinical trials through rigorous design.
It is very important to test this intervention in lmic, where rehabilitation and information needs for stroke survivors appear to be high and are basically not met.
Introduction stroke rehabilitation is a process designed to restore or maintain the physical, mental, intellectual and social abilities of individuals affected by stroke. Unlike high-
In income countries, stroke rehabilitation resources are very limited in many low-income countries
Income and middle income
Income country (LMICs).
Provision of fees-Effective, afterwards
Therefore, stroke multi-disciplinary rehabilitation services for stroke survivors are essential to address unmet needs and an increasing disability for lmic stroke survivors.
In order to meet the growing
We have developed a network rehabilitation service in India.
Based on smart phone
Education intervention was provided for the management of physical disability after stroke.
Methods based on the results of the rehabilitation needs assessment study, the guidance of the expert group and the existing evidence of the systematic review, the framework of the intervention content was designed. Web-
It is then designed and developed by professional application developers based on the application.
The result application is called "stroke care ". It is a web-
Basic education intervention for physical disability management after stroke.
This intervention was developed for stroke survivors with any rehabilitation needs who need to be independently involved in his/her family and social roles.
Discussing "care for stroke" is an innovative intervention that can test not only its feasibility and acceptability, but also its clinical and cost
Effectiveness of randomized clinical trials through rigorous design.
It is very important to test this intervention in lmic, where rehabilitation and information needs for stroke survivors appear to be high and are basically not met.
Background stroke rehabilitation is a process designed to restore or maintain the physical, mental, intellectual and social abilities of individuals affected by stroke.
1 stroke rehabilitation enables stroke survivors to perform daily activities at the best functional level and helps stroke survivors participate in his/her social roles as independently as possible.
2 stroke survivors relearn skills lost or damaged after stroke due to brain damage through rehabilitation.
3 Since stroke damage to the human brain may have various effects on stroke survivors, healthcare professionals from different disciplines must provide patients for stroke survivors-
Comprehensive multi-disciplinary rehabilitation centered on rehabilitation. 4 Unlike high-
Income country (HICs)
Rehabilitation resources, particularly rehabilitation labor and infrastructure, are very limited in many low-and middle-income areas
Income country (LMICs).
If we take India as an example, rehabilitation services tend to be in a single discipline, driven primarily by physical therapists, lacking support from occupational therapists, language therapists, etc.
Many governments
Rehabilitation Center non-run area
There is only one physical therapist in the rehabilitation center of functional hospitals and private hospitals.
In view of the scarcity of resources, the rehabilitation needs of stroke survivors, especially in low-income countries, have remained largely unmet.
7 provision of fees-Effective, afterwards
Therefore, stroke multi-disciplinary rehabilitation services for stroke survivors are essential to address unmet needs and an increasing disability for lmic stroke survivors.
The use of smartphones by health professionals and the public has increased significantly over the past few years.
Recent systematic reviews of evidence suggest that smartphones may be a very useful tool for educating patients about managing health issues.
9 Another systematic review of smartphone apps for stroke rehabilitation also demonstrates the advantages of smartphone apps for stroke rehabilitation
Relevant information.
Health professionals who provide stroke rehabilitation services see these smartphone apps as important.
10 in order to meet the growing demand for later periods
We have developed a network rehabilitation service in India.
Based on smart phone
Education intervention was provided for the management of physical disability after stroke.
The intervention and its development process are described in detail in this paper.
The document also discusses the importance of such rehabilitation interventions to meet the unmet needs of stroke survivors.
Extensive use of the content of the development intervention system review, obtaining evidence of intervention from the systematic review related to stroke rehabilitation, and providing information for stroke survivors and caregivers.
We also conducted a comprehensive and comprehensive systematic review of educational interventions to reduce disability in the acquired brain injury to investigate evidence of developing such interventions.
The content of rehabilitation needs assessment study intervention was primarily based on the needs expressed by stroke survivors and caregivers involved in the rehabilitation needs assessment study, which was specifically undertaken to develop this intervention.
Rehabilitation needs assessment studies were carried out to guide the development of needs
There are two components based on rehabilitation intervention.
One was a structured survey of 50 stroke survivors and their caregivers to identify the various rehabilitation needs they experienced.
The other one is detailed.
In-depth interviews were conducted on subsamples of stroke survivors and caregivers selected for the survey.
Purpose of In-
In-depth interviews were designed to provide detailed information on the experience of stroke survivors in accessing stroke rehabilitation services and their rehabilitation needs after stroke. In-
In-depth interviews were also conducted with health professionals involved in providing stroke rehabilitation services to find out what health professionals think about providing stroke rehabilitation services, their knowledge of existing smartphones
Based on health interventions and their attitudes and perspectives on smartphone useenabled, care-
Support family stroke rehabilitation education programs.
In addition to the needs assessment, the content development expert group received expert guidance from a team of eight highly qualified and experienced health professionals from a variety of neurorehabilitation disciplines (
Physical Medicine and Rehabilitation, neurology, clinical psychology, occupational therapy, physiotherapy, social science, information technology, public health and sportshealth)
National and global expertise in the field of neuropsychiatric rehabilitation.
The panel also includes three stroke survivors and their primary caregivers.
All the players are from Tamil Nadu. they are Tamil. speaking.
The main features of the expert group, such as their experience, expertise, global exposure and language, promote a culture-specific, patient-
Central intervention in the management of physical disabilities after stroke.
The framework of the intervention content designs the framework of the intervention content based on the results of the rehabilitation needs assessment study, the guidance of the expert group and the available evidence of the systematic review.
The Content Framework includes five important parts related to the post
Stroke recovery.
These parts are: information about stroke (
Learn more about strokes)Exercises (home-Basic exercises)
Training in functional skills (
Prepare for daily life)
Activities of daily life (
Engaged in daily activities)
Auxiliary equipment (
Equipment to assist in daily life).
The system reviews the evidence of intervention available in the systematic review related to stroke rehabilitation and is widely used to inform stroke survivors and caregivers to develop interventions.
We also conducted a comprehensive and comprehensive systematic review of educational interventions to reduce disability in the acquired brain injury to investigate evidence of developing such interventions.
The content of rehabilitation needs assessment study intervention was primarily based on the needs expressed by stroke survivors and caregivers involved in the rehabilitation needs assessment study, which was specifically undertaken to develop this intervention.
Rehabilitation needs assessment studies were carried out to guide the development of needs
There are two components based on rehabilitation intervention.
One was a structured survey of 50 stroke survivors and their caregivers to identify the various rehabilitation needs they experienced.
The other one is detailed.
In-depth interviews were conducted on subsamples of stroke survivors and caregivers selected for the survey.
Purpose of In-
In-depth interviews were designed to provide detailed information on the experience of stroke survivors in accessing stroke rehabilitation services and their rehabilitation needs after stroke. In-
In-depth interviews were also conducted with health professionals involved in providing stroke rehabilitation services to find out what health professionals think about providing stroke rehabilitation services, their knowledge of existing smartphones
Based on health interventions and their attitudes and perspectives on smartphone useenabled, care-
Support family stroke rehabilitation education programs.
In addition to the needs assessment, the content development expert group received expert guidance from a team of eight highly qualified and experienced health professionals from a variety of neurorehabilitation disciplines (
Physical Medicine and Rehabilitation, neurology, clinical psychology, occupational therapy, physiotherapy, social science, information technology, public health and sportshealth)
National and global expertise in the field of neuropsychiatric rehabilitation.
The panel also includes three stroke survivors and their primary caregivers.
All the players are from Tamil Nadu. they are Tamil. speaking.
The main features of the expert group, such as their experience, expertise, global exposure and language, promote a culture-specific, patient-
Central intervention in the management of physical disabilities after stroke.
The framework of the intervention content designs the framework of the intervention content based on the results of the rehabilitation needs assessment study, the guidance of the expert group and the available evidence of the systematic review.
The Content Framework includes five important parts related to the post
Stroke recovery.
These parts are: information about stroke (
Learn more about strokes)Exercises (home-Basic exercises)
Training in functional skills (
Prepare for daily life)
Activities of daily life (
Engaged in daily activities)
Auxiliary equipment (
Equipment to assist in daily life).
The content of the intervention section knows more about strokeAs. As the title suggests, this section enables stroke survivors and caregivers to learn more about stroke, the impact of stroke on individuals experiencing stroke, and expert advice on future development (
Life after a stroke).
Important sections/topics and videos included in this section are shown in Table 1.
View this table: View the inline View pop-up table 1 in the section "learn more about stroke" content the main purpose of this section is to raise awareness, enabling stroke survivors and their caregivers to access because it will help them prevent stroke recurrence, change their lifestyle, and make treatment decisions and plans for life after stroke. Home-
Family is included in this section-based, task-
Stroke survivors can practice targeted exercise at home to maintain or improve their physical health for functional activities.
These exercises are a compromise treatment based on stroke rehabilitation (
Motor re-learning, functional, Neurodevelopmental framework for therapeutic references)
This enables stroke survivors to use the affected parts of the body and participate in functional activities. These home-
Basic exercises include the use of equipment such as chairs or beds and tables that are common to most families in India.
They don't need to buy any complex sports equipment.
The principles of safety and risk/hazard prevention are fully taken into account in the development of this section.
Table 2 lists some of the important subsections/topics and videos included in this section.
View this table: View the inline View popupTable2 content of the "motion" section the purpose of developing this section is to enable stroke survivors to understand the relevance of conscious use of the affected parts of the body after stroke, and the importance of exercise to engage in functional activities, not just exercise and improve flexibility, the strength and exercise of the affected body parts.
Preparing functional skills for daily life is a prerequisite for participating in daily life.
One should know how to stand up from a lying position.
In order to sit properly, feed or groom, one should know how to transfer from the bed to a chair, or to a toilet that takes a shower or wash.
These are very important for stroke survivors who cannot or find it difficult to move the affected part of their body.
This section focuses on functional-oriented tasks that stroke survivors can learn to participate in daily life --to-day activities.
The exercise training provided by physical therapists to stroke survivors is directly related to the development of functional skills in stroke patients.
Therefore, this section highlights the importance of functional skills to participate in daily life and prepare for daily life by acquiring functional skills.
Table 3 describes some important subsections/topics and videos for this section.
View this table: View the contents of the "exercise" section of the inline View pop-up table 3 participating in daily life activities this part includes adaptive methods and techniques for daily life activities, such as combing, bathing,
Stroke survivors can observe, learn and practice these adaptive techniques to complete daily activities independently.
The contents of this section are shown in Table 4.
View this table: From the perspective of stroke survivors and their caregivers, it is very important to look at the inline View pop-up table 4 content in the activities of daily life section.
This is because learning to be purposefully involved in your daily life seems to be an important need and key task for stroke survivors to be independently involved in individual, family and social roles.
Although stroke survivors learn to do exercise and gain knowledge to manage their problems
Stroke, the overall goal of acquiring these skills and knowledge is to live a functionally independent life and to actively perform their various roles in the family and society (table 5).
View this table: View the contents of the inline View popuptable 5 for the devices that help everyday life section to help everyday life. This is a unique part that enables stroke survivors and their caregivers to understand that using India can help stroke survivors participate in their dayto-
Independent activities every day, also full of confidence.
This section also includes customized devices
Meet the needs of stroke survivors living in southern India, like saree, Velcro-
Based on shirts, adapted dhoti and lungi, etc.
This section also has some equipment that is not available in India, but can be designed and manufactured by stroke survivors themselves and their carers, for example, stroke survivors can be helped to use the universal cuff for affected hand feeding, brushing their teeth, writing and grooming.
Table 5 Provides Key topics covered in this section.
The main purpose of this section is to inform stroke survivors of the importance of assistive devices that can be used to carry out daily activities independently and safely.
AIDS can enhance the confidence of stroke survivors to participate in daily tasks.
It also reduces the assistance and support provided by caregivers, thus reducing the physical stress of providing care and support to stroke survivors in daily life tasks.
As shown in the section title, this section enables stroke survivors and caregivers to learn more about stroke, the impact of stroke on individuals experiencing stroke, and expert advice on future development (
Life after a stroke).
Important sections/topics and videos included in this section are shown in Table 1.
View this table: View the inline View pop-up table 1 in the section "learn more about stroke" content the main purpose of this section is to raise awareness, enabling stroke survivors and their caregivers to access because it will help them prevent stroke recurrence, change their lifestyle, and make treatment decisions and plans for life after stroke. Home-
Family is included in this section-based, task-
Stroke survivors can practice targeted exercise at home to maintain or improve their physical health for functional activities.
These exercises are a compromise treatment based on stroke rehabilitation (
Motor re-learning, functional, Neurodevelopmental framework for therapeutic references)
This enables stroke survivors to use the affected parts of the body and participate in functional activities. These home-
Basic exercises include the use of equipment such as chairs or beds and tables that are common to most families in India.
They don't need to buy any complex sports equipment.
The principles of safety and risk/hazard prevention are fully taken into account in the development of this section.
Table 2 lists some of the important subsections/topics and videos included in this section.
View this table: View the inline View popupTable2 content of the "motion" section the purpose of developing this section is to enable stroke survivors to understand the relevance of conscious use of the affected parts of the body after stroke, and the importance of exercise to engage in functional activities, not just exercise and improve flexibility, the strength and exercise of the affected body parts.
Preparing functional skills for daily life is a prerequisite for participating in daily life.
One should know how to stand up from a lying position.
In order to sit properly, feed or groom, one should know how to transfer from the bed to a chair, or to a toilet that takes a shower or wash.
These are very important for stroke survivors who cannot or find it difficult to move the affected part of their body.
This section focuses on functional-oriented tasks that stroke survivors can learn to participate in daily life --to-day activities.
The exercise training provided by physical therapists to stroke survivors is directly related to the development of functional skills in stroke patients.
Therefore, this section highlights the importance of functional skills to participate in daily life and prepare for daily life by acquiring functional skills.
Table 3 describes some important subsections/topics and videos for this section.
View this table: View the contents of the "exercise" section of the inline View pop-up table 3 participating in daily life activities this part includes adaptive methods and techniques for daily life activities, such as combing, bathing,
Stroke survivors can observe, learn and practice these adaptive techniques to complete daily activities independently.
The contents of this section are shown in Table 4.
View this table: From the perspective of stroke survivors and their caregivers, it is very important to look at the inline View pop-up table 4 content in the activities of daily life section.
This is because learning to be purposefully involved in your daily life seems to be an important need and key task for stroke survivors to be independently involved in individual, family and social roles.
Although stroke survivors learn to do exercise and gain knowledge to manage their problems
Stroke, the overall goal of acquiring these skills and knowledge is to live a functionally independent life and to actively perform their various roles in the family and society (table 5).
View this table: View the contents of the inline View popuptable 5 for the devices that help everyday life section to help everyday life. This is a unique part that enables stroke survivors and their caregivers to understand that using India can help stroke survivors participate in their dayto-
Independent activities every day, also full of confidence.
This section also includes customized devices
Meet the needs of stroke survivors living in southern India, like saree, Velcro-
Based on shirts, adapted dhoti and lungi, etc.
This section also has some equipment that is not available in India, but can be designed and manufactured by stroke survivors themselves and their carers, for example, stroke survivors can be helped to use the universal cuff for affected hand feeding, brushing their teeth, writing and grooming.
Table 5 Provides Key topics covered in this section.
The main purpose of this section is to inform stroke survivors of the importance of assistive devices that can be used to carry out daily activities independently and safely.
AIDS can enhance the confidence of stroke survivors to participate in daily tasks.
It also reduces the assistance and support provided by caregivers, thus reducing the physical stress of providing care and support to stroke survivors in daily life tasks.
Intervention description of the naming app this app is designed to educate stroke survivors and their caregivers to manage physical disabilities after a stroke.
Therefore, the network
The app is named "stroke care" to highlight the importance of enhancing the lives of stroke patients, as well as continuous care that is critical to stroke survivors.
The logo of the app and the logo of the slogan app were created by the chief investigator himself under the supervision of experts in the field of disability, rehabilitation and design (figure 1).
The sign depicts a stroke survivor receiving support from another person in a family setting and trying to mobilize himself.
The design of the Logo highlights the importance of stroke survivors receiving support from others at home and actively participating in functional activities.
Download the app for the new tabDownload figureOpen powerpointFigure1 flag.
The slogan of the app is "smart thinking"Take Control’.
This slogan highlights the importance of active, innovative and intelligent planning of treatment and rehabilitation services that stroke survivors and their caregivers should perform outside the hospital environment.
It also encourages stroke survivors to control problems after a stroke and to work to lead an independent life after a stroke.
Web design-
This intervention was designed as a web-
An application based on a website as an interface (the front end).
The introductory Web page of the app is shown in Figure 2, where users can access the app not only from their smartphones, but also from computers, PDAs, tablets and even digital TVs connected to the Internet using any standard Web browser.
Some key design features of this application are: user interface, content format, language.
Download figureOpen on the introduction page of the new tabDownload powerpoint Figure 2 for the care Touch app.
The user interface enables the user to interact with the system (
Smartphone in this case)
Perform a task.
For example: Navigating to different web pages in this site enables the user to find video content that he/she prefers to watch.
Users can watch videos by browsing users
Friendly interfaces such as touch and swipe options require the user to touch or swipe the icon (
That is, pictures and symbols)
Pages in the app to watch the video they want.
This application is designed to support digital audio-visual content.
More than 75% of the content of this application is in the form of video.
Users can interact with images related to the main parts and watch videos about stroke and post-Physical Disability Management
Stroke through this app.
The requirement for users to read written information in this app is very low.
The app is built with multilingual features and currently it supports both English and Tamil, the native language of Tamil Nadu, India, where a pilot was conducted.
Technical description of the application is built using lights (
Linux, Appache, MySQL, PHP)environment.
The user interface of the application is designed using html 5, CSS3, Bootstrap, Java script, JQuery, Ajax, Google Font API and touch swipe.
It is designed to ensure that the user interface is designed as a response and interaction.
Use these technologies to design applications to support the installation and running of applications on multiple devices such as desktop, laptop, IPhone, IPad, Android devices and windows devices.
The back-end of the application is built in PHP5 (PHP—
Hypertext processorlanguage.
This is to facilitate user interaction with the database (MySQL)
And look at the requested information without any difficulty.
Considering the problem of video streaming in countries like India (
Very slow internet connection and streaming)
, This application uses the cloud Flare CDN (
Content Delivery Network)
This improves the quality and speed of video streaming when a user accesses a video from an app.
This application also has an administrator module in which administrators can monitor all activities of users logging into the application.
It can also generate different types of reports that the user interacts with the application.
Some of the key information that can be monitored is: the part viewed and the title of the video, the duration of the login session, the date and time of the session, the number of sections and videos watched during the login session.
Device used to record the time spent on the application
Location information.
Naming app this app is designed to educate stroke survivors and their caregivers to manage physical disabilities after a stroke.
Therefore, the network
The app is named "stroke care" to highlight the importance of enhancing the lives of stroke patients, as well as continuous care that is critical to stroke survivors.
The logo of the app and the logo of the slogan app were created by the chief investigator himself under the supervision of experts in the field of disability, rehabilitation and design (figure 1).
The sign depicts a stroke survivor receiving support from another person in a family setting and trying to mobilize himself.
The design of the Logo highlights the importance of stroke survivors receiving support from others at home and actively participating in functional activities.
Download the app for the new tabDownload figureOpen powerpointFigure1 flag.
The slogan of the app is "smart thinking"Take Control’.
This slogan highlights the importance of active, innovative and intelligent planning of treatment and rehabilitation services that stroke survivors and their caregivers should perform outside the hospital environment.
It also encourages stroke survivors to control problems after a stroke and to work to lead an independent life after a stroke.
Web design-
This intervention was designed as a web-
An application based on a website as an interface (the front end).
The introductory Web page of the app is shown in Figure 2, where users can access the app not only from their smartphones, but also from computers, PDAs, tablets and even digital TVs connected to the Internet using any standard Web browser.
Some key design features of this application are: user interface, content format, language.
Download figureOpen on the introduction page of the new tabDownload powerpoint Figure 2 for the care Touch app.
The user interface enables the user to interact with the system (
Smartphone in this case)
Perform a task.
For example: Navigating to different web pages in this site enables the user to find video content that he/she prefers to watch.
Users can watch videos by browsing users
Friendly interfaces such as touch and swipe options require the user to touch or swipe the icon (
That is, pictures and symbols)
Pages in the app to watch the video they want.
This application is designed to support digital audio-visual content.
More than 75% of the content of this application is in the form of video.
Users can interact with images related to the main parts and watch videos about stroke and post-Physical Disability Management
Stroke through this app.
The requirement for users to read written information in this app is very low.
The app is built with multilingual features and currently it supports both English and Tamil, the native language of Tamil Nadu, India, where a pilot was conducted.
The user interface enables the user to interact with the system (
Smartphone in this case)
Perform a task.
For example: Navigating to different web pages in this site enables the user to find video content that he/she prefers to watch.
Users can watch videos by browsing users
Friendly interfaces such as touch and swipe options require the user to touch or swipe the icon (
That is, pictures and symbols)
Pages in the app to watch the video they want.
This application is designed to support digital audio-visual content.
More than 75% of the content of this application is in the form of video.
Users can interact with images related to the main parts and watch videos about stroke and post-Physical Disability Management
Stroke through this app.
The requirement for users to read written information in this app is very low.
The app is built with multilingual features and currently it supports both English and Tamil, the native language of Tamil Nadu, India, where a pilot was conducted.
Technical description of the application is built using lights (
Linux, Appache, MySQL, PHP)environment.
The user interface of the application is designed using html 5, CSS3, Bootstrap, Java script, JQuery, Ajax, Google Font API and touch swipe.
It is designed to ensure that the user interface is designed as a response and interaction.
Use these technologies to design applications to support the installation and running of applications on multiple devices such as desktop, laptop, IPhone, IPad, Android devices and windows devices.
The back-end of the application is built in PHP5 (PHP—
Hypertext processorlanguage.
This is to facilitate user interaction with the database (MySQL)
And look at the requested information without any difficulty.
Considering the problem of video streaming in countries like India (
Very slow internet connection and streaming)
, This application uses the cloud Flare CDN (
Content Delivery Network)
This improves the quality and speed of video streaming when a user accesses a video from an app.
This application also has an administrator module in which administrators can monitor all activities of users logging into the application.
It can also generate different types of reports that the user interacts with the application.
Some of the key information that can be monitored is: the part viewed and the title of the video, the duration of the login session, the date and time of the session, the number of sections and videos watched during the login session.
Device used to record the time spent on the application
Location information.
The structure and functionality of the application registration website
You can access the app-based from the registered website name page. The app has a home page that briefly describes strokes and strokes-
Related Disabilities in vernacular (Tamil). First-
The user cannot access the intervention without registration.
This is to ensure the active participation of users, observe their usage patterns and generate usage reports for future assessments.
The home page provides details of the registration and provides icons for registering the first icontime users.
Users who have registered for access intervention can access the signature using the same icon-in page (figure 2).
There's a drop-
The down icon in the home page, you can change the language of the application if needed.
Currently, the app page has descriptions in English and Tamil. Sign-
In the page and registration, this page contains the first-
The time the user is registered, and the login box of the user name and password section to be filled in when the user logs in to the app.
Registration page This page contains a drop-down list-
Under the box, users can identify and register themselves as caregivers for stroke survivors or stroke survivors.
This helps researchers or administrators individually monitor the participation and use of the app by stroke survivors and caregivers.
Depending on the option selected, the user will be redirected to a specific registration page with a drop-down menu
Fill in the requested user details and register to the down options and text boxes for the app.
After the registration is completed, the user will be redirected back to the signature-in page.
Registration requires the user to have a username and password to ensure identity and privacy (figure 3).
Download the new tabDownload figureOpen powerpointFigure3 registration page.
After the user has successfully logged into the app, the app is redirected to the main intervention page.
This page contains brief written information about the intervention, as well as five important parts that contain the content of the care stroke intervention (figure 4).
Download the new tabDownload figureOpen powerpointFigure4 intervention page.
Part: There are five main sections on the intervention page that are displayed as photo icons for further touch and exploration (figure 4).
These five parts contain digital information (videos)
About stroke and stroke survivors can view and understand all aspects of the management of physical disability after stroke (figure 5).
Download Page 1 of the new tabDownload figureOpen powerpointFigure5.
Subpart: when the user touches the icon on a partial page, it is redirected to the corresponding Subpart paging surface containing the subject (subsections)
The content contained in the corresponding section.
For example, the main intervention page will contain photos of stroke survivors performing daily life activitiesADL (
Intervention page);
If the user touches this icon, he or she will enter the daily life section (figure 5).
If the user touches this daily life section icon, the web page will be redirected to the daily life section page containing the theme with the video icon (images)
In this case, stroke survivors associated with their ability to live a daily life perform brushing, feeding, dressing, etc.
Please find the section web page in figure 6.
Download Page 1 of the new tabDownload figureOpen powerpointFigure6.
Content digitized video: When a user touches a topic in a subsection, the web page will be redirected to a page that contains details about the topic in the form of a 3-5 minute video clip.
For example, if the user touches the theme "wearing a Horn", the web page will be redirected to a video clip related to the topic.
These videos are transmitted online through the internet or mobile Internet networks and can be viewed by touching the play button on the video clip.
Please find the video section of the app in figure 7 below.
Download the app for the new tabDownload figureOpen powerpointFigure7 video.
Shuffle between web pages users can shuffle between web pages by pressing the back button on the smartphone, press the back icon on the web page, and swipe the web page back and forth using the touch screen option on the smartphone.
In addition to this, users can return to the main intervention page at any time by touching the logo located at the top of each web page of the app.
Smart phone administrator module-
The enabled intervention is built using the administrator module, if the user's usage and usage patterns of the application can be tracked continuously, and reports can be generated to inform the feasibility of such intervention, and monitor the progress of any program/research program when expanded to a larger community of stroke survivors, is associated with this intervention.
The administrator can also add the video (
Or delete videos from)
Apply when needed, so as to customize or improvise intervention content to the needs of the user.
The module is protected and strictly protected by the user name and password to ensure the privacy and secrecy of the user's information.
Registered website this website-
You can access the app-based from the registered website name home page. The app has a home page that briefly describes strokes and strokes-
Related Disabilities in vernacular (Tamil). First-
The user cannot access the intervention without registration.
This is to ensure the active participation of users, observe their usage patterns and generate usage reports for future assessments.
The home page provides details of the registration and provides icons for registering the first icontime users.
Users who have registered for access intervention can access the signature using the same icon-in page (figure 2).
There's a drop-
The down icon in the home page, you can change the language of the application if needed.
Currently, the app page has descriptions in English and Tamil. Sign-
In the page and registration, this page contains the first-
The time the user is registered, and the login box of the user name and password section to be filled in when the user logs in to the app.
Registration page This page contains a drop-down list-
Under the box, users can identify and register themselves as caregivers for stroke survivors or stroke survivors.
This helps researchers or administrators individually monitor the participation and use of the app by stroke survivors and caregivers.
Depending on the option selected, the user will be redirected to a specific registration page with a drop-down menu
Fill in the requested user details and register to the down options and text boxes for the app.
After the registration is completed, the user will be redirected back to the signature-in page.
Registration requires the user to have a username and password to ensure identity and privacy (figure 3).
Download the new tabDownload figureOpen powerpointFigure3 registration page.
After the user has successfully logged into the app, the app is redirected to the main intervention page.
This page contains brief written information about the intervention, as well as five important parts that contain the content of the care stroke intervention (figure 4).
Download the new tabDownload figureOpen powerpointFigure4 intervention page.
Part: There are five main sections on the intervention page that are displayed as photo icons for further touch and exploration (figure 4).
These five parts contain digital information (videos)
About stroke and stroke survivors can view and understand all aspects of the management of physical disability after stroke (figure 5).
Download Page 1 of the new tabDownload figureOpen powerpointFigure5.
Subpart: when the user touches the icon on a partial page, it is redirected to the corresponding Subpart paging surface containing the subject (subsections)
The content contained in the corresponding section.
For example, the main intervention page will contain photos of stroke survivors performing daily life activitiesADL (
Intervention page);
If the user touches this icon, he or she will enter the daily life section (figure 5).
If the user touches this daily life section icon, the web page will be redirected to the daily life section page containing the theme with the video icon (images)
In this case, stroke survivors associated with their ability to live a daily life perform brushing, feeding, dressing, etc.
Please find the section web page in figure 6.
Download Page 1 of the new tabDownload figureOpen powerpointFigure6.
Content digitized video: When a user touches a topic in a subsection, the web page will be redirected to a page that contains details about the topic in the form of a 3-5 minute video clip.
For example, if the user touches the theme "wearing a Horn", the web page will be redirected to a video clip related to the topic.
These videos are transmitted online through the internet or mobile Internet networks and can be viewed by touching the play button on the video clip.
Please find the video section of the app in figure 7 below.
Download the app for the new tabDownload figureOpen powerpointFigure7 video.
Shuffle between web pages users can shuffle between web pages by pressing the back button on the smartphone, press the back icon on the web page, and swipe the web page back and forth using the touch screen option on the smartphone.
In addition to this, users can return to the main intervention page at any time by touching the logo located at the top of each web page of the app.
Smart phone administrator module-
The enabled intervention is built using the administrator module, if the user's usage and usage patterns of the application can be tracked continuously, and reports can be generated to inform the feasibility of such intervention, and monitor the progress of any program/research program when expanded to a larger community of stroke survivors, is associated with this intervention.
The administrator can also add the video (
Or delete videos from)
Apply when needed, so as to customize or improvise intervention content to the needs of the user.
The module is protected and strictly protected by the user name and password to ensure the privacy and secrecy of the user's information.
Worldwide, stroke is one of the main causes of death and disability.
Globally, nearly 6 million people die of a stroke each year, and the burden of such a stroke is mostly borne by lmic.
Although the main focus of many lmic, including India, is to prevent stroke by reducing the prevalence of stroke risk factors, similar attention should also be given to those who survived and disabled after strokestroke.
Unlike HICs, many lmic do not have a multi-disciplinary rehabilitation service for stroke survivors.
15-17 in view of the scarcity of rehabilitation labor and rehabilitation resources for many low-income groups, the Post-development of innovation
More and more post-stroke rehabilitation interventions can be solved.
Meet the growing demand for rehabilitation services in these countries.
According to the International Telecom Union, 6 billion people worldwide used mobile phones in 2011, equivalent to 87% of the world's population.
The report also records that India is one of the world's leading markets for smartphone sales.
A recent systematic review describes the use of smartphone technology to manage chronic diseases.
This review identifies 15 smartphone apps for chronic disease management.
Of these 15 apps, only one is similar to the "careforstroke" app, called Mayo Clinic Meditation.
The Mayo Clinic app helps patients practice meditation with a 15-minute meditation training video.
Some smartphone apps in HICs for stroke rehabilitation include the Dr Droid app, which helps therapists manage and track upper limb movements for stroke rehabilitation
Quick app with stroke prevention information and list of stroke unit locations in Australia 21 and PTX, a physiotherapy exercise app for individuals with any neurological disorder, including picture descriptions of stroke survivor movements.
22 National Institute of Clinical Excellence (NICE)
Long term guidelines
The term stroke rehabilitation also recommends the use of a smartphone to address communication problems in stroke patients.
Chronic diseases like stroke require uninterrupted treatment care and continuous monitoring throughout the rehabilitation process.
24 in the absence of any organized stroke care service, in the case of limited rehabilitation resources, smartphones-
Enabling Disability Management education intervention may be a strategy to meet the needs of substantial rehabilitation for stroke survivors in India.
Evidence about the use of smartphones in chronic disease care in India has just emerged, and research on smartphones used in health interventions to combat diseases such as diabetes, hypertension and cardiovascular diseases is gradually unfolding.
25 adoption of this strategy may reduce barriers to access and delivery of stroke rehabilitation services.
It also contributes to effective and continuous monitoring of patient progression throughout the care process.
"Take care of touch" is a smartphone
Education intervention was provided for the management of physical disability after stroke.
The content of the intervention is systematic, primarily based on the needs of stroke survivors and based on available global evidence.
It includes input from highly qualified and experienced multi-disciplinary stroke rehabilitation professionals, in a digital audio-visual format, compared to other methods of patient education (such as education workbooks, this way is more interesting and collective teaching or lectures.
This intervention is culture.
Specific and language specific, so users can easily understand and adapt to the technology of managing their postsstroke-
Related disability
Since the intervention is loaded onto the smartphone, the user can access the intervention when needed.
Unlike TV and DVD players, the smartphone is portable and handheld, so it may help users to easily access the intervention (
No need to plug in, operate the remote control to watch the video or rely on power). This smartphone
Based on technology
Compared to other educational interventions such as attending group meetings, driven interventions may require less in terms of the physical abilities that users need to learn, using stroke workbooks or viewing DVD educational materials about strokes.
The application for access intervention is web-
Therefore, users can also access content through laptops, desktops and tablets if needed.
From the perspective of programme managers and evaluators, this network
Education-based interventions can continuously monitor the usage and usage patterns of each user's intervention, and it may be helpful to generate reports to monitor the efficiency and effectiveness of such interventions while scaling up, no need to contact the user.
Because intervention is a smartphone. Enable and web-
Based on this, the user can contact the service provider directly by dialing the contact number on the smartphone or using the mobile Internet service to make a skype call. This smartphone
Enabling the intervention may also motivate caregivers and family members to understand the importance of stroke rehabilitation and support stroke survivors to leverage critical aspects of the intervention in their daily lives.
From a financial point of view, the cost of using this smartphone
Compared to other ways of accessing stroke information and ways of managing a stroke, enabled interventions may cost less
A stroke in a rehabilitation specialist or hospital is physically disabled.
The "Stroke care" application is currently conducting a pilot test of feasibility and acceptability for a small group of Stroke survivors and their caregivers in Chennai, India.
If this application is found to be feasible and acceptable, the researchers intend to study the clinical and cost
The effectiveness of this intervention.
As far as we know, there is no network so far.
Based on smart phone
Educational Applications and interventions were provided for stroke survivors, focusing primarily on rehabilitation aspects of stroke.
Globally, from a public health perspective, "stroke care" is an innovative intervention that can test not only its feasibility and acceptability, but also its clinical and cost
Effectiveness of randomized clinical trials through rigorous design.
It is very important to test this intervention in lmic, where rehabilitation and information needs for stroke survivors appear to be high and are basically not met.
The author thanks the student for conducting the study at the London School of Health and Tropical Medicine as part of his PhD study.
The authors thank the ethics committee of the London School of Health and Tropical Medicine
Indian Institute of Public Health
The study was approved by Hyderabad and the Voluntary Health Service hospital.
The author also thanked Suchirsoftech for its professional software and technical consultants (India)
Who developed the network?
Based on the application.
The authors thank the members of the committee of experts for their assistance in developing the content of the intervention.
The author thanks the media professionals of Selva photography company (India)
Digitize intervention content.
The author also thanked the model for taking action for content digitization.
The authors also thank all stroke survivors and their caregivers for their involvement and involvement in this intervention.
George, Alexander D, Bishop DS and others. Rehabilitation. Stroke 1997; 28:1522–6.
Legg L Langhorne P.
Evidence of stroke rehabilitation
Neurosurgery Psychiatry 2003; 74(Suppl iv):iv18–21.
Full text of OpenUrlFREE sugden M, Brindley LWarlow CP, Dennis MS, Van Jean J, et al.
Integrated management of stroke based on problem.
In: brden M, Brindley L, eds.
Itinerary: Practical Guide to Management.
Oxford: Blackwell Science, 2001: 572-653. ↵Roth EJ.
Medical rehabilitation for stroke patients
National Association of stroke communications 1992; 8:8.
The World Health Organization.
World report on disability. Geneva, 2011.
Pandian JD, Sudhan page.
Stroke epidemiology and stroke care services in India. J Stroke 2013; 15:128–34. doi:10. 5853/jos. 2013. 15. 3.
Bonita R, Bigg Hall R.
Stroke Prevention in poor countries: it's time for action. Stroke 2007; 38:2871–2. doi:10. 1161/STROKEAHA. 107.
Full text ventventola CL 504589 OpenUrlFREE.
Mobile devices and applications for healthcare professionals: use and benefits. P T 2014; 39:356–64.
OpenUrlPubMed is the same as mommosa, but I, Zhang Chang.
System Review of smart phone medical applications.
BMC Med informs Decis Mak 2012; 12:67. doi:10. 1186/1472-6947-12-
67 openurlcrosspubmedim im H, Song JY, Cho YK and others.
Smartphone Application in stroke rehabilitation in South Korea.
Rehabilitation of the brain nerve 2013; 6:33–40. doi:10. 12786/bn. 2013. 6. 1.
33 openurlozano R, Naghavi M, Foreman K, etc.
Global and regional mortality of 2010 causes of death in 20 age groups in 1990 and 235: a systematic analysis of the Global Burden of Disease Study 2010. Lancet 2012; 380:2095–128. doi:10. 1016/S0140-6736(12)61728-
Month of openurlcrossfood Web Science.
Stroke in developing countries: can the epidemic stop and improve outcomes?
The Lancet and Neurology 2007; 6:94–7. doi:10. 1016/S1474-4422(07)70007-
Month OpenUrlCrossRefPubMedWeb Science, P, Bhattacharjee, Vairale J, etc.
UN Millennium Development Goals: can we stop the stroke epidemic in India?
Acad Neurol 2007, India; 10:130–6. doi:10. 4103/0972-2327.
34791OpenUrlCrossRef alimdurai Pandian J, Lotus, Vijaya P, etc.
Stroke and thrombolysis in developing countries
Int J travel 2007; 2:17–26. doi:10. 1111/j. 1747-4949. 2007. 00089.
Scientific xopenurlcrosspubmedweb Langhorne P, de Villiers L, Pandian JD.
Applicability of itinerary
Low unit care-
Income and middle income
Income country.
The Lancet and neurology 2012; 11:341–8. doi:10. 1016/S1474-4422(12)70024-
The age of the month OpenUrlCrossRefPubMedWeb Science.
Prevention and care of strokeand middle-
Income country;
The necessity of Public Health views.
Int J Travel 2010; 5:86–91. doi:10. 1111/j. 1747-4949. 2010. 00406.
Xopenurlcrosspubpubmed boulos MN, Wheeler S, Tavares C, etc.
How smartphones can change the face of mobile and participatory healthcare: An Overview, take eCAALYX for example.
Eng ed Eng Online 2011; 10:24. doi:10. 1186/1475-925X-10-
International Union of telecom.
World in 2011
Facts and figures of information and communication technologies. 2011.
Yomosa AS, Yoo I, Sheets L
Systematic review of intelligent healthcare applicationsphones.
BMC Med informs Decis Mak 2012; 12:67. doi:10. 1186/1472-6947-12-
67 openurlcross refpmed, Zheng Rong and AA, Needham JA, etc.
Dr. robot: use a mobile phone to help recover from a stroke.
Handouts from the mobile computing, application and service series V. 76 Institute of Computer Science, Social Informatics and telecom engineering.
Heidelberg, Berlin: Springer 2012231–42.
National Stroke Foundation of AustraliaThink—
Smartphones are fast. (
Visit June 4, 2012).
Sheppard RB.
Good initiative.
J physither 2012; 58:134–5. doi:10. 1016/S1836-9553(12)70101-
Very good.
Clinical guidelines for stroke rehabilitation, Long-
Long-term rehabilitation after stroke (Draft).
National Institute of Clinical Excellence, 2013.
Lanfearon P, Langhorne P, early support for the discharge of the three-person group.
Services to shorten hospital stay for patients with acute stroke.
The Cochrane Database Syst Rev 2012; (9):CD000443.
Lewis lewis T, Synowiec C, Lagomarsino G, etc. E-health in low-and middle-
Income Country: findings from the health market innovation center.
2012. World Health Organization; 90:332–40. doi:10. 2471/BLT. 11.
099820. openurlcross Web SK (
PhD student in LSHTM)
The study was conceived, interventions were designed and developed, and manuscripts were drafted.
GVSM and HK play a key role in conceptualizing the stages of intervention development and reviewing the manuscript.
SM provides substantial guidance for web technology development
Based on the application.
SG provides guidance on the concept of research.
Funding for the work was supported by the public 542 Health Foundation of India and the Wellcome Trust capacity enhancement strategy Award of the British University Federation.
Thanks to Hui Kang-
The India trust and public health foundation funded the study.
No one declared a competitive interest.
Obtain patient consent.
Ethics approves the London School of Health and Tropical Medicine, the VHS Hospital and the Indian public health foundation.
Uncommissioned source and peer review;
Internal peer review.