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Individuals who experience a stroke often cope with chronic conditions and challenges (e.g., hypertension, fatigue, and depression) that affect engagement in meaningful activities. They can cope more effectively by learning self-management skills to live more engaged and productive lives in the community. Applying self-management skills facilitates the identification of everyday participation challenges and the development of strategies to engage in home, community, work, and social environments.
In response to the American Occupational Therapy Foundation’s priorities to build capacity in self-management and technology research, we propose to refine a mobile technology-based intervention called the interactive Self Management Augmented by Rehabilitation Technologies (iSMART) for people who experience a stroke. We then test its acceptability and feasibility. Combining mobile technology with self-management skills training can lead to better health outcomes than therapies using self-management skills training alone. Thus, our objective for developing and testing the iSMART is to harness the power of technology in order to facilitate effective reach and access to self-management services in the community. Our proposed project will generate evidence that improves our capacity to optimize the daily life participation of individuals who experience a stroke.
Feasibility of Mobile Self-Management Intervention for Mild Stroke, American Occupational Therapy Foundation, USA. Award #: AOTFIRG20Wong. PI: Alex Wong
Publications
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Lei Y, Li Z, Bui Q, DePaul O, Nicol GE, Mohr DC, Fong MWM, Metts CL, Lee SI, Tomazin SE, Wong AWK. Satisfaction, user experiences, and initial efficacy of a technology-supported self-management intervention (iSMART) to improve post-stroke functioning: a remoted randomized controlled trial. Top Stroke Rehabil. 2025 Jan 10:1-15. DOI: 10.1080/10749357.2025.2450950. E-pub ahead of print.
Li Z, Lei Y, Bui Q, DePaul O, Nicol GE, Mohr DC, Lee SI, Fong MWM, Metts CL, Tomazin SE, Wong AWK. A Digital Intervention to Promote Self-Management Self-Efficacy Among Community-Dwelling Individuals With Stroke: Pilot Randomized Controlled Trial. JMIR Rehabil Assist Technol; 2024:11:e50863. DOI: 10.2196/50863. Published 02/19/2024
Wong AWK, Fong MWM, Munsell EGS, Metts CL, Lee SI, Nicol GE, DePaul O, Tomazin SE, Kaufman KJ, Mohr DC. Using Intervention Mapping and Behavior Change Techniques to Develop a Digital Intervention for Self-Management in Stroke: Development Study. JMIR Hum Factors 2023;10:e45099 DOI: 10.2196/45099 PMID: 37486748 Published 07/24/2023