Cited by 65Acute Ischemic Stroke ManagementTelemedicine and Telehealth ImplementationMobile Health and mHealth Applications

Moving Towards Equity With Digital Health Innovations for Stroke Care

Open access
Verma, Aradhana, Towfighi, Amytis, Brown, Arleen, Abhat, Anshu, Casillas, Alejandra·2022·Stroke

Abstract

Digital health has long been championed as a means to expanding access to health care. Now that the COVID-19 pandemic accelerated many health systems’ integration of digital tools for care, digital health may provide a path towards more accessible stroke prevention and treatment, particularly for historically disadvantaged patient populations. Stroke management is composed of multiple time points where digital health innovations have the potential to augment health access and treatment: from primary prevention, to the time-sensitive detection of ischemic stroke, administration of thrombolytic agents and consideration for endovascular interventions, to appropriate post-acute care, rehabilitation, and lifelong secondary stroke prevention—stroke care relies on a multidisciplinary and standardized approach. However, as we discuss pointedly in this Focused Update, underrepresented individuals face multilevel digital health disparities that potentially diminish the benefits of these digital advances. As such, these multilevel needs must be discussed and accounted for as health systems seek to integrate innovative and equitable digital health solutions towards stroke care.

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Registry

Crossref · 10.1161/strokeaha.121.035307

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  • High-quality evidence supports the feasibility and efficacy of TR in post-stroke recovery.

    “High-quality evidence supports its feasibility and efficacy in post-stroke recovery6–9.”

    From ORLA combined with telerehabilitation in patients with subacute Poststroke aphasia: a randomized controlled trial (2025) · cites this paper as [7]

    The Post-stroke rehabilitation section reports moderate-level evidence that telerehabilitation is more effective than or similarly effective to usual care, and describes patient engagement with remote therapy. That supports aspects of efficacy and feasibility, but the claim overstates the evidence as high-quality and does not reflect the paper’s cautions about barriers to access and use. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 2

  1. [38]P P, R K, MA I, A H, SS M, Y V, M K, M P, AG T, B N, W W, DK M, S B-C, R S, S D, The Stroke Riskometer(TM) App: validation of a data collection tool and stroke risk predictor. International journal of stroke: official journal of the International Stroke Society. 2015; 10(2): 231– 244. 25491651 PMC4335600
  2. [91]World Health Organisation. Recommendations on digital interventions for health system strengthening. 31162915

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Authors
Verma, A., Towfighi, A., Brown, A., Abhat, A., & Casillas, A.
Affiliations
  • University of California, Los Angeles (US)
  • University of Southern California (US)
  • Los Angeles County Department of Health Services (US)
Venue
Stroke
Published
2022-03
Volume
53
Issue
3
Pages
689-697
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
OpenAlex
W4210914039
Cited by
65
References
84
Citations by year
2026: 20 · 2025: 18 · 2024: 7 · 2023: 14 · 2022: 6
FWCI
8.12
Type
journal article
Language
en
Open access
Locations
  • Stroke (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health (1ot2od032581-01, OT2OD032581)
  • National Institute on Minority Health and Health Disparities (K23MD016943, S21MD012472)
Topics
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
digital health, stroke care, health equity, digital health disparities, underrepresented groups, stroke prevention, ischemic stroke detection, thrombolysis, endovascular intervention, post-acute stroke care, stroke rehabilitation, secondary stroke prevention, health care access, COVID-19 pandemic
MeSH terms
Health Equity, COVID-19, SARS-CoV-2, Humans, Telemedicine, Stroke, Pandemics, Inventions

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