Health-Related Digital Engagement and Incident Stroke Among Older Adults: Prospective Cohort Study
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By
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Sufeng Zhou
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Ruixuan Zhang
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Haijun Qi
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Hongbo Luo
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Yuanlin Zou
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Yuyang Zhou
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Yi Zhou
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Feiyan Yang
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July 6, 2026
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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.
Related Resources & Content
