Stroke is the second leading cause of death globally, accounting for more than 85% of the global stroke mortality. Every year, approximately 350,000 strokes are reported in Pakistan. Stroke recovery can be a challenging process, especially in Pakistan, where there are no dedicated chronic care centres, making rehabilitation and post-stroke care for survivors and their families complex.
With an aim to leverage Pakistan’s 77% mobile phone density, the Aga Khan University’s (AKU) Stroke Program and AKDN eHRC collaborated to develop and test Movies4Stroke, an mHealth application designed to educate stroke survivors and their families. The application consists of a series of informative, educational videos designed around conditions faced by stroke patients in low- and-middle income countries like Pakistan. Each five-minute video covers various stroke-related themes, such as information for caregivers and skills; emergency preparedness; medication adherence and stroke prevention.
To test the effectiveness of the app, patients and their caregivers were shown the videos at multiple sessions during discharge and follow-up. Outcomes such as patients’ medication adherence; functional progress; blood pressure; caregiver’s knowledge; hospital readmission; and stroke-related mortality were assessed. Study results indicated that the mHealth intervention improved the functional status of post stroke patients. The video below contains more information on Movies4Stroke:
mHealth applications like Movies4Stroke have the potential to improve health outcomes for patients with chronic diseases, where it is important to effectively manage complex post-acute and long-term care in the absence of chronic support systems. Patients and their families are also able to save costs, improve their health literacy and knowledge and avoid recurrence.
The Movies4Stroke project initiated in January 2015 and was successfully concluded by June 2016. Dr Ayeesha Kamran Kamal, an Associate Professor of Neurology and Director of the Stroke Fellowship Program at AKU, led the program in collaboration with AKDN eHRC.
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