Usability and feasibility of PreventS-MD web app for stroke prevention

Feigin V.L. Krishnamurthi R. Medvedev O. Merkin A. Nair B. Kravchenko M. Jalili-Moghaddam S. Barker-Collo S. Ratnasabapathy Y. Skinner L. Owolabi M. Norrving B. Sachdev P.S. Arroll B. Brainin M. Thrift A. Hankey G.J. Abd-Allah F. Akinyemi R. Azarpazhooh R. Bhatia A. Bath P.M. Brayne C. Budincevic H. Child N. Chwojnicki K. Correia M. Davis A. Devlin G. Demarin V. Dhamija R.K. Ding D. Dokova K. Dudley M. Dyer J. Edmonds M. Ely M. Farhoudi M. Feigin S. Fornolles C. Firzah Abdul Aziz A. Gabriel D. Gall S. Gil A. Gnedovskaya E. George A. Haršány M. Harwood M. Hillis A. Hou Z.-G. Hwang K. Ibrahim N. Ka’ai T. Kalra N. Katzenellenbogen J. Zhe Kang L. Kar A. Karaszewski B. Kazin V. Kivipelto M. Kamenova S. Kondybaeva A. Lavados P. Lee T.-H. Liu L. Mahawish K. Maluchnik M. Martins S. Mateen F. Mavaddat N. Mohan Mehndiratta M. Mikulik R. Oliver A. Özturk S. Patel N. Piradov M. Prakash B. Purvis T. Reips U.-D. Roos K. Rosand J. Sahathevan R. Sekaran L. Shamalov N. Anne De Silva D. Singh V. Solomon A. Srivastava P. Suwanwela N.C. Taylor D. Truelsen T. Venketasubramanian N. Volevach E. Volný O. Wan J. Withanapathirana K. Welte T. Wiebers D. Winkler A.S. Wijeratne T. Wu T. Asyraf Wan Zaidi W.
January 2024 SAGE Publications Inc.

International Journal of Stroke
2024 #19 Issue 1 94 - 104 pp.

Background: Most strokes and cardiovascular diseases (CVDs) are potentially preventable if their risk factors are identified and well controlled. Digital platforms, such as the PreventS-MD web app (PreventS-MD) may aid health care professionals (HCPs) in assessing and managing risk factors and promoting lifestyle changes for their patients. Methods: This is a mixed-methods cross-sectional two-phase survey using a largely positivist (quantitative and qualitative) framework. During Phase 1, a prototype of PreventS-MD was tested internationally by 59 of 69 consenting HCPs of different backgrounds, age, sex, working experience, and specialties using hypothetical data. Collected comments/suggestions from the study HCPs in Phase 1 were reviewed and implemented. In Phase 2, a near-final version of PreventS-MD was developed and tested by 58 of 72 consenting HCPs using both hypothetical and real patient (n = 10) data. Qualitative semi-structured interviews with real patients (n = 10) were conducted, and 1 month adherence to the preventive recommendations was assessed by self-reporting. The four System Usability Scale (SUS) groups of scores (0–50 unacceptable; 51–68 poor; 68–80.3 good; >80.3 excellent) were used to determine usability of PreventS-MD. Findings: Ninety-nine HCPs from 27 countries (45% from low- to middle-income countries) participated in the study, and out of them, 10 HCPs were involved in the development of PreventS before the study, and therefore were not involved in the survey. Of the remaining 89 HCPs, 69 consented to the first phase of the survey, and 59 of them completed the first phase of the survey (response rate 86%), and 58 completed the second phase of the survey (response rate 84%). The SUS scores supported good usability of the prototype (mean score = 80.2; 95% CI [77.0–84.0]) and excellent usability of the final version of PreventS-MD (mean score = 81.7; 95% CI [79.1–84.3]) in the field. Scores were not affected by the age, sex, working experience, or specialty of the HCPs. One-month follow-up of the patients confirmed the high level of satisfaction/acceptability of PreventS-MD and (100%) adherence to the recommendations. Interpretation: The PreventS-MD web app has a high level of usability, feasibility, and satisfaction by HCPs and individuals at risk of stroke/CVD. Individuals at risk of stroke/CVD demonstrated a high level of confidence and motivation in following and adhering to preventive recommendations generated by PreventS-MD.

epidemiology , hypertension , prevention , risk factors , Stroke , stroke facilities

Text of the article Перейти на текст статьи

National Institute for Stroke and Applied Neurosciences, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand
School of Psychology, University of Waikato, Hamilton, New Zealand
Research Center of Neurology, Moscow, Russian Federation
School of Psychology, The University of Auckland, Auckland, New Zealand
Te Whatu Ora—Health New Zealand, Waitematā, Auckland, New Zealand
Center for Genomic and Precision Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria
Section of Neurology, Lund University, Skåne University Hospital, Lund, Sweden
Centre for Healthy Brain Ageing (CHeBA), School of Psychiatry, University of New South Wales (UNSW), Sydney, NSW, Australia
Neuropsychiatric Institute, The Prince of Wales Hospital, Sydney, NSW, Australia
Department of General Practice and Primary Health Care, The University of Auckland, Auckland, New Zealand
Danube University Krems, Krems an der Donau, Austria
Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia
Medical School, Faculty of Health and Medical Sciences, The University of Western Australia, Perth, WA, Australia
Perron Institute for Neurological and Translational Science, Perth, WA, Australia
Department of Neurology, Kasr AlAiny School of Medicine, Cairo University, Cairo, Egypt
Neuroscience and Aging Research Unit, Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria
Department of Clinical Neurological Sciences and Epidemiology, University of Western Ontario, London, ON, Canada
National Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, New Zealand
Stroke Trials Unit, Mental Health & Clinical Neuroscience, University of Nottingham, Nottingham, United Kingdom
Institute of Public Health, University of Cambridge, Cambridge, United Kingdom
Department of Neurology, Sveti Duh University Hospital, Zagreb, Croatia
Department of Neurology and Neurosurgery, Faculty of Medicine, J.J. Strossmayer University of Osijek, Osijek, Croatia
Division of Anaesthesiology & Intensive Care, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland
Department of Neurology, Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar, University of Porto, Porto, Portugal
Te Whatu Ora—Health New Zealand, Te Tai Tokerau Northland, Whangārei, New Zealand
Te Whatu Ora—Health New Zealand, Tairāwhiti, New Zealand
New Zealand Heart Foundation, Auckland, New Zealand
Department of Medical Sciences of the Croatian Academy of Sciences and Arts, Zagreb, Croatia
Institute of Human Behavior and Allied Sciences, New Delhi, India
Institute of Neurology, Fudan University Huashan Hospital, Shanghai, China
Faculty of Public Health, Medical University “Prof. Dr. Paraskev Stoyanov”, Varna, Bulgaria
Iwi United Engagement Limited, Auckland, New Zealand
International Clinical Research Center, St. Anne’s University Hospital in Brno, Brno, Czech Republic
Neuroscience Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
All Life Institute, Washington, DC, United States
Luton and Dunstable University Hospital, Bedfordshire, United Kingdom
Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia
Department of Neurology, Hospital de Santo António, Centro Hospitalar Universitário do Porto, Porto, Portugal
Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS, Australia
Division of Country Health Programs, WHO European Office for the Prevention and Control of Noncommunicable Diseases, Moscow, Russian Federation
WHO Country Office, Astana, Kazakhstan
Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
Johns Hopkins University, Baltimore, MD, United States
State Key Lab of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China
McGovern Medical School at UTHealth Houston, Houston, TX, United States
Te Ipukarea Research Institute, Faculty of Design and Creative Technologies, Auckland University of Technology, Auckland, New Zealand
Banarsidas Chandiwala Institute of Physiotherapy GGSIP University, New Delhi, India
The University of Western Australia, Perth, WA, Australia
Te Whatu Ora—Health New Zealand, Counties Manukau, Auckland, New Zealand
Department of Adult Neurology, Faculty of Medicine, Medical University of Gdansk, Gdańsk, Poland
Brain Diseases Center, Medical University of Gdańsk, Gdańsk, Poland
CPPN, Venlo University, Venlo, Netherlands
Karolinska Institutet, Solna, Sweden
Higher School of Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
Department of Neurology & Psychiatry, Research & Clinical Trials Unit, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile
Stroke Center and Department of Neurology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan
Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
Ministry of Health of the Republic of Poland, Warsaw, Poland
Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Hospital Moinhos de Vento, Porto Alegre, Brazil
Department of Neurology, Massachusetts General Hospital, Boston, MA, United States
Center for Neurosciences, BLK-MAX Super Speciality Hospital, New Delhi, India
Department of Neurology, Faculty of Medicine, Selçuk University, Konya, Turkey
Stroke and Aging Research Group (STAR), School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia
Research Methods, Assessment & Science, Department of Psychology, University of Konstanz, Konstanz, Germany
Henry and Allison McCance Center for Brain Health, Massachusetts General Hospital, Boston, MA, United States
Harvard Medical School, Boston, MA, United States
Broad Institute, Cambridge, MA, United States
Ballarat Health Services, Ballarat, VIC, Australia
Federal Center of Brain Research and Neurotechnologies of the Federal Medical Biological Agency, Moscow, Russian Federation
Department of Neurology, The National Neuroscience Institute, Singapore, Singapore
Department of Neurology, Neurosciences Center, AIIMS, New Delhi, India
Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Chulalongkorn Comprehensive Stroke Center, King Chulalongkorn Memorial Hospital, Bangkok, Thailand
Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand
Department of Neurology, University of Copenhagen, Rigshospitalet, Copenhagen, Denmark
Raffles Neuroscience Center, Raffles Hospital, Singapore, Singapore
University Hospital Ostrava, Ostrava, Czech Republic
Three Kings Accident and Medical Clinic, Auckland, New Zealand
Department of Neurology, Center for Global Health, Technical University of Munich, Munich, Germany
Center for Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway
Divisions of Cerebrovascular Diseases and Epidemiology, Departments of Neurology and Health Sciences Research, Mayo Clinic and Mayo Foundation, Rochester, MN, United States
Department of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany
Department of Neurology, Center for Global Health, Technical University of Erlangen, Erlangen, Germany
Department of Neurology, Stroke Services, Department of Medicine, Sunshine Hospital, Western Health, Melbourne Medical School, St. Albans, VIC, Australia
Department of Neurology, Christchurch Hospital, Christchurch, New Zealand

National Institute for Stroke and Applied Neurosciences
School of Psychology
Research Center of Neurology
School of Psychology
Te Whatu Ora—Health New Zealand
Center for Genomic and Precision Medicine
Section of Neurology
Centre for Healthy Brain Ageing (CHeBA)
Neuropsychiatric Institute
Department of General Practice and Primary Health Care
Danube University Krems
Department of Medicine
Medical School
Perron Institute for Neurological and Translational Science
Department of Neurology
Neuroscience and Aging Research Unit
Department of Clinical Neurological Sciences and Epidemiology
National Institute for Stroke and Applied Neurosciences
Stroke Trials Unit
Institute of Public Health
Department of Neurology
Department of Neurology and Neurosurgery
Division of Anaesthesiology & Intensive Care
Department of Neurology
Te Whatu Ora—Health New Zealand
Te Whatu Ora—Health New Zealand
New Zealand Heart Foundation
Department of Medical Sciences of the Croatian Academy of Sciences and Arts
Institute of Human Behavior and Allied Sciences
Institute of Neurology
Faculty of Public Health
Iwi United Engagement Limited
International Clinical Research Center
Neuroscience Research Center
All Life Institute
Luton and Dunstable University Hospital
Universiti Kebangsaan Malaysia Medical Center
Department of Neurology
Menzies Institute for Medical Research
Division of Country Health Programs
WHO Country Office
Faculty of Medical and Health Sciences
Johns Hopkins University
State Key Lab of Management and Control for Complex Systems
McGovern Medical School at UTHealth Houston
Te Ipukarea Research Institute
Banarsidas Chandiwala Institute of Physiotherapy GGSIP University
The University of Western Australia
Te Whatu Ora—Health New Zealand
Department of Adult Neurology
Brain Diseases Center
CPPN
Karolinska Institutet
Higher School of Medicine
Department of Neurology & Psychiatry
Stroke Center and Department of Neurology
Department of Neurology
Ministry of Health of the Republic of Poland
Universidade Federal do Rio Grande do Sul
Hospital Moinhos de Vento
Department of Neurology
Center for Neurosciences
Department of Neurology
Stroke and Aging Research Group (STAR)
Research Methods
Henry and Allison McCance Center for Brain Health
Harvard Medical School
Broad Institute
Ballarat Health Services
Federal Center of Brain Research and Neurotechnologies of the Federal Medical Biological Agency
Department of Neurology
Department of Neurology
Faculty of Medicine
Chulalongkorn Comprehensive Stroke Center
Health and Rehabilitation Research Institute
Department of Neurology
Raffles Neuroscience Center
University Hospital Ostrava
Three Kings Accident and Medical Clinic
Department of Neurology
Center for Global Health
Divisions of Cerebrovascular Diseases and Epidemiology
Department of Neurology
Department of Neurology
Department of Neurology
Department of Neurology

10 лет помогаем публиковать статьи Международный издатель

Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026