Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke

Abstract

Purpose: This study was conducted to develop and evaluate a web-based education program for secondary stroke prevention. Methods: A web-based secondary stroke prevention education program was developed using the system's life cycle methods and evaluated by comparing the effects of education among three groups, a web group, a booklet group and a control group. Results: Knowledge level of both patients and family, as well as some health behavior compliance in the web-bas ed and booklet education groups were significantly higher than those of the control group. Family support in the web-based and booklet education groups was significantly higher than that of the control group after 12 weeks. The urine cotinine level in the web-based education group was significantly lower than that of the control group after 12 weeks. Medication adherence, blood pressure and perceived health status were not statistically different among the three groups at any time. Conclusion: Webbased and booklet education programs were equally effective regarding the level of knowledge of patients and their families, family support, health behavior compliance, and urine cotinine level. These results demonstrate the potential use of a webbased education program for secondary stroke prevention.

Effects of a Stroke Primary Prevention Program on Risk Factors for At-Home Elderly

“…The program contents were based on previously conducted domestic studies [ 6 ] and consisted of stroke and nutrition education as well as exercise guidance. The 12-week program included a stroke education class once a week, a nutrition management class once a week, and exercise guidance 3 times a week.…”

“…Therefore, one of the most important goals of nursing is to prevent stroke occurrence [ 5 ]. To prevent stroke from occurring, stroke risk factors in at-risk subjects should be controlled and the diseases causing stroke should be managed [ 6 ].…”

“…Another study found that self-care and health-promoting behaviors increased significantly after stroke patients completed a self-efficacy promotion program, while another study found similar results on blood pressure, depression, and functional status [ 10 ]. Furthermore, a web-based education program designed for patients and their families that aimed to prevent secondary occurrence of stroke reported that health knowledge and health promotion behaviors increased after patients completed the program [ 6 ].…”

The effect of a web‐based education programme (WBEP) on disease severity, quality of life and mothers' self‐efficacy in children with atopic dermatitis

“…, Kim ). Studies on web‐based education and nursing interventions in Korea have shown that the programmes improve patient knowledge, self‐care proficiency and health (Jung , Kim , Kim & Park ).…”

Influences of Rehabilitation Motivation, Self-efficacy and Family Support on Rehabilitation Adherence in Stroke Patients

“…최근 인구의 고령화와 더불어 뇌졸중 환자의 생존율은 증가하였으나, 재발률이 약 20%로 재발할 경우 치명적인 결과를 초래할 수 있다 [2]. 이러한 측면에서 2010년 이후에는 뇌졸중의 재발예방 [7], 건강행위 [8], 자기 관리 [9,10] …”