Strengthening Secondary Stroke Prevention through Community Models and Digital Health Tools
| dc.contributor.author | Veena Babu | |
| dc.date.accessioned | 2025-10-28T10:23:23Z | |
| dc.date.available | 2025-10-28T10:23:23Z | |
| dc.date.issued | 2025-10-04 | |
| dc.description.abstract | Stroke is an important public health issue worldwide. A decrease in stroke mortality in the past few decades has increased the absolute number of stroke survivors globally, and thus, prevention of recurrent stroke is increasingly important. The pooled stroke recurrence rate increases from 7.7% at 3 months to 39.7% at 12 years, and approximately one out of four strokes is a recurrent event. Evidence shows that secondary prevention strategies are important in preventing stroke recurrence and is associated with an 80% reduction in risk of recurrent stroke. Effective measures, including improving medication adherence by daily reminders/providing financial assistance, aggressive control of risk factors and educating the survivors, can help to prevent another stroke. However, studies from our own settings showed reduced medication adherence and poor control of risk factors among stroke survivors. Limited geographic access and financial barriers further limit access to health services. Hence, task shifting and delegation to Community Health Workers (CHW) have emerged as effective approaches to address these challenges. Furthermore, a multimodal coordinated community health worker intervention model was developed for stroke survivors to improve medication adherence and risk factor monitoring in community settings. Additionally, integration of mobile phone technology into secondary prevention of stroke care holds immense potential, particularly in resource-constrained settings like India. Widespread connectivity, ownership of a mobile phone, and willingness to receive m-health advice provide an enabling environment. An RCT was conducted to assess if mobile Apps can improve medication, risk factor control and stroke awareness. To implement this in the community, a multicentric trial is currently conducted to validate the use of a smartphone-based app for improving medication adherence, vascular risk factor control, lifestyle and behavioural modification among stroke survivors in Kerala. | |
| dc.identifier.uri | https://dspace.sctimst.ac.in/handle/123456789/11692 | |
| dc.publisher | SCTIMST | |
| dc.title | Strengthening Secondary Stroke Prevention through Community Models and Digital Health Tools | |
| dc.type | Presentation |
Files
Original bundle
1 - 1 of 1
No Thumbnail Available
- Name:
- Academic Fest on 04.10.2025 - Strengthening Secondary Stroke Prevention through Community Models and Digital Health Tools.mp4
- Size:
- 293.23 MB
- Format:
- Video MP4
License bundle
1 - 1 of 1
No Thumbnail Available
- Name:
- license.txt
- Size:
- 1.71 KB
- Format:
- Item-specific license agreed upon to submission
- Description: