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Background  Developing a stroke health-education mobile app (SHEMA) and examining its effectiveness on improvement of knowledge of stroke risk factors and health-related quality of life (HRQOL) in patients with stroke.    Methods  We recruited 76 stroke patients and randomly assigned them to either the SHEMA intervention ( n  = 38) or usual care where a stroke health-education booklet was provided (n = 38). Knowledge of stroke risk factors and HRQOL were assessed using the stroke-knowledge questionnaire and European Quality of Life–Five Dimensions (EQ-5D) questionnaire, respectively.    Results  Sixty-three patients completed a post-test survey (the SHEMA intervention,  n  = 30; traditional stroke health-education,  n  = 33). Our trial found that patients’ mean knowledge score of stroke risk factors was improved after the SHEMA intervention ( Mean difference  = 2.83;  t  = 3.44;  p  = .002), and patients’ knowledge was also improved in the after traditional stroke health-education ( Mean difference  = 2.79;  t  = 3.68;  p  = .001). However, patients after the SHEMA intervention did not have significantly higher changes of the stroke knowledge or HRQOL than those after traditional stroke health-education.    Conclusions  Both the SHEMA intervention and traditional stroke health-education can improve patients’ knowledge of stroke risk factors, but the SHEMA was not superior to traditional stroke health-education.    Trial registration   NCT02591511  Verification Date 2015-10-01.

bmc medical informatics and decision making

Does a Mobile app improve patients’ knowledge of stroke risk factors and health-related quality of life in patients with stroke? A randomized controlled trial