An interventional study of Patient-Centered Digital Education and Peer Support Program and Usual Post-Stroke Care in Stroke and Stroke (6 Months or More After Onset), sponsored by Chang Gung Memorial Hospital. Not yet recruiting. Open to participants aged 31 Years to 64 Years. Per ClinicalTrials.gov, last updated 2026-07-24.
Sponsored by Chang Gung Memorial Hospital · Not applicable, Interventional, and Supportive care
Stroke survivors often experience persistent unmet needs during long-term recovery. Young and middle-aged stroke survivors may face additional challenges in balancing rehabilitation with work and family responsibilities. Although digital health interventions have the potential to improve access to education and self-management support, existing programs are often provider-driven, provide limited peer support, and have short follow-up periods.
This study aims to evaluate the effectiveness of a patient-centered digital education and peer support intervention co-designed with young and middle-aged stroke survivors. Participants will be randomly assigned to either the intervention group or the usual care group. The intervention will be delivered through LINE communities and Google collaborative platforms over a 12-month period. The primary outcome is unmet needs. Secondary outcomes include stroke self-efficacy, depressive symptoms, quality of life, activities of daily living, instrumental activities of daily living, and return-to-work status.
Stroke survivors require continuous support to develop healthy lifestyles and self-management behaviors after hospital discharge. However, young and middle-aged stroke survivors often have work and family responsibilities that limit participation in conventional face-to-face education programs. Digital health interventions may improve accessibility and flexibility; however, previous studies have primarily been healthcare provider-led, with limited patient involvement in intervention development, insufficient peer support, relatively short intervention periods, and limited assessment of psychosocial outcomes.
This study consists of two phases. During Phase I, young and middle-aged stroke survivors will participate in a co-design process to develop a patient-centered digital education and peer support intervention. Feedback from a pilot study will be used to refine the intervention before the randomized controlled trial.
During Phase II, eligible participants will be randomly assigned to either the intervention group or the usual care group. Participants in the intervention group will receive a 12-month digital education and peer support program delivered through LINE communities and Google collaborative platforms. The program includes digital educational materials, peer interaction, online meetings, and ongoing support from healthcare professionals. Participants in the control group will receive usual post-stroke care.
Outcome measures will be collected at baseline and at 1, 3, 6, and 12 months after enrollment. The primary outcome is unmet needs. Secondary outcomes include stroke self-efficacy, depressive symptoms, quality of life, activities of daily living, instrumental activities of daily living, and return-to-work status. Longitudinal changes between groups will be analyzed using generalized estimating equations (GEE).
7,283 studies on the registry are indexed under Stroke; 2,013 are open to participants now.
This study's planned enrollment of 148 is above the median of 50 across 5,366 interventional studies indexed under Stroke.
Browse Stroke studies →Chang Gung Memorial Hospital is the lead sponsor of 1,064 studies on the registry; 235 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants will receive a 12-month patient-centered digital education and peer support program
Behavioral: Patient-Centered Digital Education and Peer Support Program
Participants will receive usual post-stroke care, including routine follow-up and telephone contacts, without access to the digital education and peer support program.
Other: Usual Post-Stroke Care
A 12-month patient-centered digital education and peer support program delivered through LINE communities and Google collaborative platforms.
Routine post-stroke care provided by the participating hospital, including standard discharge education and follow-up telephone contacts.
Unmet Needs
Assessed using the Unmet Needs Questionnaire for young stroke survivors
Time frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Self-Efficacy
Assessed using the Chinese version of the Stroke Self-Efficacy Questionnaire
Time frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Depressive Symptoms
Assessed using the Taiwanese Depression Questionnaire
Time frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
WHOQOL-BREF Score
Assessed using the Taiwan version of the WHOQOL-BREF.
Time frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Activities of Daily Living
Assessed using the Barthel Index.
Time frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Instrumental Activities of Daily Living
Assessed using the Lawton Instrumental Activities of Daily Living Scale.
Time frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Return-to-Work Status
Assessed using a structured return-to-work questionnaire developed for this study.
Time frame: 1 month, 3 months, 6 months, and 12 months after enrollment
No study locations are listed for this record.
This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.
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Chang Gung Memorial Hospital