Development of the Telehealth Self-Management Prototype for Older Adults at Risk of Stroke
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Abstract
Objective: This study aimed to develop innovative phototype of telehealth-support self-management for older adults at risk of stroke. Methods: This research and development study consisted of three phases, including situation analysis and need assessment, goal setting for innovative development, synthesis of knowledge and innovative development phases (knowledge synthesis, prototype development, and pilot test). Six registered nurses and public health providers, and five village health volunteers were purposively recruited from health promotion hospitals in Songkhla province. Research instruments in this study included the demographic questionnaire and the feasibility questionnaire for telehealth-support self-management innovation. Data were analyzed using descriptive statistics. Results: 1) The self-management innovation prototype, developed under the “SMARTCARE-Telehealth” platform, comprised four operational components: a health screening system, health services, a health monitoring system, and a consultation and emergency call. These components worked integrated through SMARTCARE App for healthcare staff, SMART MEs App for clients, and SMART MEs Alert system for healthcare staff notifications; and 2) The implementation of this innovation prototype among participants demonstrated a high feasibility level. Conclusion: The findings of this study recommended promoting the broader application of the telehealth-support self-management prototype for older adults at risk of stroke, with a focus on assessing their satisfaction, monitoring their self-management behaviors, and evaluating long-term health outcomes.
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