An observational study in Stroke and Hemiplegia, sponsored by Afyonkarahisar Health Sciences University. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-19.
Sponsored by Afyonkarahisar Health Sciences University · Observational
This cross-sectional observational study aims to investigate the association between digital health literacy and social participation in individuals with hemiplegia after stroke. A total of 250 adults with a history of stroke at least 6 months previously will be included. Digital health literacy will be assessed using the eHealth Literacy Scale (eHEALS), and social participation will be assessed using the Reintegration to Normal Living Index (RNLI). The secondary aim is to examine the associations of digital health literacy with anxiety and depression, functional independence, and fatigue.
Stroke-related hemiplegia may affect not only motor function and independence in activities of daily living but also individuals' ability to participate in family, social, and community life. With the increasing use of online health information, mobile health applications, and electronic health services, digital health literacy may play an important role in access to health information, self-management, and engagement in rehabilitation.
This study is designed as a single-center, cross-sectional observational study. It will include 250 adults aged 18 years or older who have hemiplegia following a stroke that occurred at least 6 months previously. Participants must be able to communicate, provide written informed consent, and have a Mini-Mental State Examination score of 24 or higher.
Sociodemographic and clinical characteristics, including age, sex, education level, employment status, stroke duration, affected side, assistive device use, functional ambulation level, smartphone use, internet use, and use of electronic health services, will be recorded.
Digital health literacy will be evaluated using the eHealth Literacy Scale (eHEALS). Social participation, the primary outcome of the study, will be evaluated using the Reintegration to Normal Living Index (RNLI). Anxiety and depressive symptoms will be assessed using the Hospital Anxiety and Depression Scale (HADS), functional independence using the Barthel Index, fatigue using the Fatigue Severity Scale (FSS), and cognitive status using the Mini-Mental State Examination.
The primary analysis will examine the association between the eHEALS total score and the RNLI total score. Multiple linear regression analysis will be used to investigate whether digital health literacy is independently associated with social participation after accounting for relevant sociodemographic and clinical variables.
8,255 studies on the registry are indexed under Stroke; 2,056 are open to participants now.
This study's planned enrollment of 250 is above the median of 152 across 1,968 observational studies indexed under Stroke.
Browse Stroke studies →Afyonkarahisar Health Sciences University is the lead sponsor of 115 studies on the registry; 32 are open to participants now.
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The study population will consist of adults with hemiplegia following stroke who receive care at the Physical Medicine and Rehabilitation outpatient clinic, inpatient service, or rehabilitation unit of Afyonkarahisar Health Sciences University. Eligible participants will have a history of stroke at least 6 months before enrollment, be able to communicate and complete the study assessments, and have a Mini-Mental State Examination score of 24 or higher. Both female and male participants will be included.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Age 18 years or older Diagnosis of hemiplegia following stroke History of stroke at least 6 months before enrollment Ability to communicate sufficiently to complete the study assessments score of 24 or higher Ability and willingness to provide written
Exclusion Criteria:
Severe aphasia preventing completion of the assessments Advanced cognitive impairment Severe psychiatric disorder that may interfere with participation or completion of the assessments Visual or hearing impairment that prevents completion of the questionnaires
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
MMSE and MoCA
Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Adults with hemiplegia following stroke who meet the eligibility criteria will undergo a single cross-sectional assessment of digital health literacy, social participation, anxiety and depressive symptoms, functional independence, fatigue, and cognitive status. No study-specific intervention will be administered.
Social Participation Assessed by the Reintegration to Normal Living Index
Social participation will be assessed using the Reintegration to Normal Living Index (RNLI). The RNLI consists of 11 items evaluating reintegration into daily activities, family roles, social relationships, and community life. The total score ranges from 0 to 110, with higher scores indicating better reintegration and social participation.
Time frame: At the single study assessment (Day 1)
Digital Health Literacy Assessed by the eHealth Literacy Scale
Digital health literacy will be assessed using the eHealth Literacy Scale (eHEALS). The scale consists of 8 items rated on a 5-point Likert scale. The total score ranges from 8 to 40, with higher scores indicating greater perceived digital health literacy.
Time frame: At the single study assessment (Day 1)
Anxiety Symptoms Assessed by the Hospital Anxiety and Depression Scale
Anxiety symptoms will be assessed using the 7-item anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A). The subscale score ranges from 0 to 21, with higher scores indicating greater anxiety symptom severity.
Time frame: At the single study assessment (Day 1)
Depressive Symptoms Assessed by the Hospital Anxiety and Depression Scale
Depressive symptoms will be assessed using the 7-item depression subscale of the Hospital Anxiety and Depression Scale (HADS-D). The subscale score ranges from 0 to 21, with higher scores indicating greater depressive symptom severity.
Time frame: At the single study assessment (Day 1)
Functional Independence Assessed by the Barthel Index
Functional independence in activities of daily living will be assessed using the Barthel Index. The total score ranges from 0 to 100, with higher scores indicating greater functional independence.
Time frame: At the single study assessment (Day 1)
Fatigue Assessed by the Fatigue Severity Scale
Fatigue will be assessed using the Fatigue Severity Scale (FSS), which consists of 9 items rated from 1 to 7. The mean score ranges from 1 to 7, with higher scores indicating greater fatigue severity.
Time frame: At the single study assessment (Day 1)
Plan to share: No
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This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
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