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Cited by 32Mobile Health and mHealth ApplicationsStroke Rehabilitation and RecoveryAcute Ischemic Stroke Management

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Stroke coach: a pilot study of a personal digital coaching program for patients after ischemic stroke

Kamoen, Olivia, Maqueda, V., Yperzeele, L., Pottel, H., Cras, P., Vanhooren, G., Vanacker, P.·2020·Acta Neurologica Belgica
DOI 10.1007/s13760-019-01218-z
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Abstract

Despite recent advances in acute stroke care, the risk of recurrent stroke remains high. On behalf of the Belgian Stroke Council (BSC), a nurse-led self-management program was developed, using a personal coach and digital platform with the aim of improving cardiovascular risk factor control in patients after ischemic stroke. The program was implemented in four Belgian hospitals. The stroke coach provided one educational session during hospitalization. After discharge, the patient received tips and tricks concerning a healthy lifestyle through the customized platform. The stroke coach set up video appointments through the platform at regular intervals. Primary endpoint of our study was the change in SCORE (Systematic COronary Risk Evaluation: High and Low cardiovascular Risk Charts) risk at baseline and 6 months compared with a historical control group who received standard care. A total of 147 patients were included for a follow-up period of 6 months. The mean SCORE in the intervention group showed a statistically significant reduction of 3.2 (p < 0.001) at 6 months. However, comparison between control and intervention groups was non-significant (p = 0.55). Secondary endpoints are promising with a medication adherence of 96%. Reported quality of life also improved (p < 0.001). No significant improvement in the modified Rankin scale (mRS) was observed (p = 0.720). Five percent of patients suffered a recurrent stroke. Our project consisting of a coached lifestyle intervention and digital platform shows promise in improving stroke recurrence rates, therapeutic adherence and quality of life in a Belgian healthcare setting.

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Research works printed but not linked: 26

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Metadata

Authors
Kamoen, O., Maqueda, V., Yperzeele, L., Pottel, H., Cras, P., Vanhooren, G., & Vanacker, P.
Affiliations
  • Antwerp University Hospital (BE)
  • AZ Sint-Lucas (BE)
  • University of Antwerp (BE)
  • KU Leuven (BE)
  • Saint John's Hospital (BE)
  • AZ Groeninge (BE)
Corresponding author
Kamoen, Olivia
ORCID
Venue
Acta Neurologica Belgica
Publisher
Springer Science and Business Media LLC
Published
2019-11-07
Volume
120
Issue
1
Pages
91-97
ISSN
  • 0300-9009 (ISSN-L)
  • 2240-2993
DOI
10.1007/s13760-019-01218-z
OpenAlex
W2988744411
Cited by
32
References
0
Citations by year
2026: 1 · 2025: 5 · 2024: 5 · 2023: 5 · 2022: 3 · 2021: 11 · 2020: 2
FWCI
5.48
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Acta Neurologica Belgica (publishedVersion)
  • PubMed (publishedVersion)
  • Lirias (submittedVersion)
Funders
  • Belgian National Institute for Health and Disability Insurance
  • Belgian Stroke Council
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
Keywords
ischemic stroke, self-management program, nurse-led intervention, cardiovascular risk management, SCORE risk chart, medication adherence, quality of life, secondary stroke prevention, lifestyle intervention, telemedicine
MeSH terms
Healthy Lifestyle, Stroke Rehabilitation, Aftercare, Aged, Aged, 80 and over, Belgium, Brain Ischemia, Female, Follow-Up Studies, Humans, Male, Middle Aged, Pilot Projects, Outcome Assessment, Health Care, Telemedicine, Stroke

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CoChat. (2026). Citation check: Stroke coach: a pilot study of a personal digital coaching program for patients after ischemic stroke. https://app.cochat.ai/papers/10.1007/s13760-019-01218-z
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Kamoen, O., Maqueda, V., Yperzeele, L., Pottel, H., Cras, P., Vanhooren, G., & Vanacker, P. (2020). Stroke coach: a pilot study of a personal digital coaching program for patients after ischemic stroke. Acta Neurologica Belgica. https://doi.org/10.1007/s13760-019-01218-z