An Ecological Momentary Assessment Based Program to Support Self-Management for Post-stroke Patients

Summary

The goal of this feasibility study is to test whether a new approach that combines real-time symptom tracking (Ecological Momentary Assessment) with machine learning can help people recovering from a stroke to better manage depression, thinking difficulties, and daily functioning. The main questions it aims to answer are: Is this combined approach practical and acceptable for post-stroke survivors? Does the program improve mood, cognitive function, or functional ability to carry out daily activities? Participants will: Use a smartphone app called RehabCare Companion for a period of time Answer brief daily surveys about their mood, thoughts, and activities for one week Receive personalized self-care suggestions generated by machine learning based on their responses Complete assessments of depression, cognition, and functioning before and after the program Take part in a group interview to share their experiences

Eligibility

Inclusion Criteria:

* adults aged 18 years or older
* having a confirmed diagnosis of stroke
* having sufficient proficiency in Cantonese to understand and respond to the assessments and prompts
* having a Hong Kong version of the Montreal Cognitive Assessment (HK-MoCA) score of 18 or higher
* having a smartphone.

Exclusion Criteria:

* they have moderate to severe cognitive impairment (a HK-MoCA score of 17 or lower)
* they have active psychiatric disorders other than depression (e.g., schizophrenia, bipolar disorder)
* they have a terminal illness or prognosis that suggests a limited life expectancy
* they have conditions that compromise their self-care ability (i.e., bedbound).

Conditions3

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