Co-Designed Digital Education and Peer Support for Young and Middle-Aged Stroke Survivors

July 21, 2026 updated by: Chang Gung Memorial Hospital

A Co-Designed Digital Education and Peer Support Intervention for Reducing Unmet Needs and Enhancing Recovery Among Young and Middle-Aged Stroke Survivors

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.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

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).

Study Type

Interventional

Enrollment (Estimated)

148

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Aged 31 to 64 years.
  • Diagnosis of stroke confirmed by computed tomography (CT) or magnetic resonance imaging (MRI) and physician diagnosis.
  • Received treatment at the Stroke Center of Linkou Chang Gung Memorial Hospital.
  • Conscious and able to communicate, including individuals with mild aphasia.
  • Willing and able to provide informed consent.

Exclusion Criteria:

  • End-stage cancer.
  • Severe aphasia resulting in inability to communicate.
  • Dependent in basic activities of daily living before the index stroke (Barthel Index <100), regardless of the underlying cause.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental
Participants will receive a 12-month patient-centered digital education and peer support program
Behavioral: Patient-Centered Digital Education and Peer Support Program
A 12-month patient-centered digital education and peer support program delivered through LINE communities and Google collaborative platforms.
Active Comparator: Usual Care
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
Routine post-stroke care provided by the participating hospital, including standard discharge education and follow-up telephone contacts.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Unmet Needs
Time Frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Assessed using the Unmet Needs Questionnaire for young stroke survivors
Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Self-Efficacy
Time Frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Assessed using the Chinese version of the Stroke Self-Efficacy Questionnaire
Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Depressive Symptoms
Time Frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Assessed using the Taiwanese Depression Questionnaire
Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
WHOQOL-BREF Score
Time Frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Assessed using the Taiwan version of the WHOQOL-BREF.
Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Activities of Daily Living
Time Frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Assessed using the Barthel Index.
Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Instrumental Activities of Daily Living
Time Frame: Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Assessed using the Lawton Instrumental Activities of Daily Living Scale.
Baseline, 1 month, 3 months, 6 months, and 12 months after enrollment
Return-to-Work Status
Time Frame: 1 month, 3 months, 6 months, and 12 months after enrollment
Assessed using a structured return-to-work questionnaire developed for this study.
1 month, 3 months, 6 months, and 12 months after enrollment

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Chang Gung Memorial Hospital

Investigators

  • Principal Investigator: Wen-Yu Kuo, PhD, Chang Gung University of Science and Technology

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 1, 2026

Primary Completion (Estimated)

July 1, 2028

Study Completion (Estimated)

July 1, 2029

Study Registration Dates

First Submitted

July 21, 2026

First Submitted That Met QC Criteria

July 21, 2026

First Posted (Actual)

July 24, 2026

Study Record Updates

Last Update Posted (Actual)

July 24, 2026

Last Update Submitted That Met QC Criteria

July 21, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 202501542A3
  • NSTC 115-2314-B-255-010-MY3 (Other Grant/Funding Number: National Science and Technology Council (NSTC), Taiwan)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Stroke

Clinical Trials on Patient-Centered Digital Education and Peer Support Program

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Romania

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe