Digital Health Engagement and the Risk of Stroke in Older Adults: A Prospective Cohort Analysis
By
Sufeng Zhou
Ruixuan Zhang
Haijun Qi
Hongbo Luo
Yuanlin Zou
Yuyang Zhou
Yi Zhou
Feiyan Yang
July 6, 2026
Clinical Scorecard: Digital Health Engagement and the Risk of Stroke in Older Adults: A Prospective Cohort Analysis
At a Glance
Category Detail
Condition Stroke
Key Mechanisms Digital health engagement and socioeconomic status
Target Population Older adults aged 65 years and older
Care Setting Community-dwelling and residential care facilities
Key Highlights
Stroke is a leading cause of death and disability globally, particularly among older adults. Digital health technologies are reshaping healthcare delivery, but older adults face challenges in adoption. A Health-Related Digital Engagement Index (HDEI) was developed to assess digital engagement in health-related activities. Socioeconomic factors significantly influence both stroke risk and digital health engagement. Longitudinal data linking digital engagement to stroke outcomes is limited.
Guideline-Based Recommendations
Diagnosis
Assess stroke risk factors including age, socioeconomic status, and digital health engagement.
Management
Incorporate digital health interventions to improve self-management and health outcomes.
Monitoring & Follow-up
Monitor digital engagement levels and their association with health outcomes in older adults.
Risks
Consider socioeconomic disparities when evaluating stroke risk and digital health access.
Patient & Prescribing Data
Older adults with varying levels of digital health engagement.
Digital health interventions may improve health behaviors and outcomes.
Clinical Best Practices
Utilize comprehensive measures of digital engagement for better assessment of health outcomes. Address socioeconomic barriers to enhance digital health access among older adults.
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