M. Syahril
Universitas Diponegoro

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Digital Health Interventions to Promote Lifestyle Changes for Secondary Stroke Prevention: A Scoping Review M. Syahril; Fitria Handayani; Megah Andriany
Indonesian Journal of Global Health Research Vol. 8 No. 6 (2026): Indonesian Journal of Global Health Research: December 2026
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i6.2742

Abstract

Stroke survivors remain at risk of recurrent stroke, making sustained lifestyle modification and long-term risk-factor management essential components of secondary prevention. Digital health interventions have increasingly been developed to support lifestyle change and self-management among people with stroke or transient ischemic attack. This scoping review aimed to map the available evidence on digital health interventions designed to promote lifestyle changes for secondary stroke prevention. A scoping review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). . Literature searches were conducted in Scopus, PubMed, and EBSCO using terms related to stroke, digital health, lifestyle modification, and secondary prevention. Search terms included, : ("stroke" OR "cerebrovascular accident" OR "brain ischemia") AND ("digital health" OR "mHealth" OR "telemedicine" OR "mobile applications" OR "smartphone" OR "wearable devices" OR "remote monitoring") AND ("lifestyle modification" OR "physical activity" OR "exercise" OR "dietary habits" OR "smoking cessation" OR "medication adherence") AND ("secondary prevention" OR "prevention of recurrence"). Studies published within the past six years and in English were considered. Records were managed using Mendeley Reference Manager, duplicates were removed, and titles and abstracts were screened before full-text assessment according to the eligibility criteria. Data were extracted on study characteristics, digital intervention modalities, lifestyle targets, outcome measures, and main findings. Of the 153 records identified, 49 duplicates were excluded, 35 full-text articles were evaluated, and 9 studies met the inclusion criteria. The interventions involved smartphone applications, telehealth, web-based education, mobile video conferencing, wearable devices, and multifunctional digital platforms targeting physical activity, diet, self-management, blood pressure control, medication adherence, and other cardiovascular risk factors. Overall, digital health interventions were feasible and generally acceptable and showed promising behavioral and clinical outcomes. This review contributes to the scientific evidence by mapping intervention approaches, targets, outcomes, and research gaps for future scalable secondary stroke prevention strategies.