Smart Healthcare-Enabled Information-Motivation-Behavioral Skills Model for Stroke Multimorbidity…

Randomized trialMedical science monitor : international medical journal of experimental and clinical research· Jun 2026

Smart Healthcare-Enabled Information-Motivation-Behavioral Skills Model for Stroke Multimorbidity Rehabilitation: A Transitional Care Study.

Jing Li, Yuanyuan Zhang, Wenjuan Zhang … Peibei Duan

Multimorbidity & PolypharmacyRandomized trialTreatmentQ2IF 2.4

Smart healthcare-supported transitional care lowered 30-day readmission after stroke

Smart Healthcare-Enabled Information-Motivation-Behavioral Skills Model for Stroke Multimorbidity Rehabilitation: A Transitional Care Study.

Jing Li … Peibei Duan

Medical science monitor · Jun 2026 · Q2 in General Medicine

Background

Patients with stroke and multimorbidity face complex rehabilitation challenges during the hospital-to-home transition.

Purpose

This study evaluated a smart healthcare-enabled Information-Motivation-Behavioral Skills (IMB) model integrated with traditional Chinese and Western nursing care for its effects on discharge readiness and recovery outcomes.

Methods

MATERIAL AND METHODS Sixty stroke patients with 2 or more comorbidities admitted between January and June 2025 were randomly assigned to an experimental group (n=30) or control group (n=30).

n = 30

Results

readmissions dropped sharply with smart transitional care

6.6%

Experimental

26.6%

Control

More results

Outcomes included discharge readiness, quality of life (Stroke-Specific Quality of Life [SS-QOL]), functional recovery (Barthel Index, Fugl-Meyer Assessment, National Institutes of Health Stroke Scale), and 30-day readmission rate.

More results

RESULTS The experimental group showed significantly higher discharge-readiness scores (P<0.05), improved SS-QOL at 1 month (171.20±26.21 vs 146.55±31.25; P<0.001) and 3 months (186.25±31.35 vs 150.21±21.34; P<0.001), and better functional outcomes across all scales (all P<0.05).

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Conclusion

Because the intervention was multicomponent, the independent contribution of the IMB framework cannot be isolated.

Smart Healthcare-Enabled Information-Motivation-Behavioral Skills Model for Stroke Multimorbidity Rehabilitation: A Transitional Care Study.

Smart Healthcare-Enabled Information-Motivation-Behavioral Skills Model for Stroke Multimorbidity Rehabilitation: A Transitional Care Study.

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