Effectiveness of Technology in the Implementation of Early Stroke Detection Applications: Integration into the Management of High-Risk Patient Care

Triwijayanti, Renny; Rahmania, Annisa; Romiko, Romiko; Indriastuti, Diah; Lonardo, Paray Theo

doi:10.36685/phi.v12i2.1621

Akses terbuka Jurnal SINTA 1

Effectiveness of Technology in the Implementation of Early Stroke Detection Applications: Integration into the Management of High-Risk Patient Care

Public Health of Indonesia · Vol. 12 No. 2 (2026) · hlm. 81–86

DOI: 10.36685/phi.v12i2.1621
ISSN: 2477-1570, 2528-1542
Terbit: 2026-06-18
Penerbit: YCAB Publisher
Bahasa: eng
Lisensi: creativecommons.org/licenses/by-nc/4.0

Abstrak

Background: Early recognition of stroke symptoms is essential to reduce prehospital delay and improve patient outcomes. However, limited community awareness of stroke warning signs remains a challenge in many primary healthcare settings. Objective: This study aimed to evaluate the association between the D-Stroke mobile application and improvements in knowledge of early stroke detection among community health cadres in a primary healthcare setting. Methods: A quasi-experimental one-group pretest–posttest design was conducted at the Nagaswidak Public Health Center in Palembang. Twenty-eight community health cadres were recruited using a total sampling approach. Participants completed a 10-item knowledge questionnaire before and after one week of application use. Data were analyzed using the Wilcoxon signed-rank test due to non-normal distribution. Effect size (r) was calculated to determine the magnitude of change. Results: The median knowledge score increased from 15.00 (pretest) to 34.00 (posttest). The improvement was statistically significant (Z = −5.683, p =.001). The calculated effect size (r =.80) indicated a large magnitude of change. Conclusion: Use of the D-Stroke application was associated with significant improvement in knowledge of early stroke detection among community health cadres. Mobile-based educational tools may support stroke awareness and early referral capacity in primary healthcare settings; however, further controlled studies are needed to confirm behavioral and clinical impact.

Kata kunci

Jaringan kolaborasi para penulis

11 penulis · 25 tautan kepenulisan bersama · 8 lintas organisasi

Arahkan kursor atau ketuk sebuah nama untuk menyorot rekan penulisnya. Klik dua kali untuk membuka halaman penulis.

Sekolah Tinggi Ilmu Kesehatan Karya Kesehatan
Hasanuddin University
Universitas Muhammadiyah Semarang
Afiliasi tidak diketahui

Organisasi berbeda
Organisasi sama
Afiliasi tidak diketahui
Garis lebih tebal = lebih banyak artikel bersama · lingkaran lebih besar = lebih banyak artikel

Tampilkan sebagai tabel

Rekan penulis	Organisasi	Artikel bersama
Tahiruddin Tahiruddin	Sekolah Tinggi Ilmu Kesehatan Karya Kesehatan	4
Syahrul Syahrul	Hasanuddin University	1
Andi Masyitha Irwan	Hasanuddin University	1
Satriya Pranata	Universitas Muhammadiyah Semarang	1
Siti Hadrayanti Ananda	Sekolah Tinggi Ilmu Kesehatan Karya Kesehatan	1
Mien Mien	Sekolah Tinggi Ilmu Kesehatan Karya Kesehatan	1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) http://stikbar.org/ycabpublisher/index.php/PHI/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.

Metadata asli (oai_dc)

<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Effectiveness of Technology in the Implementation of Early Stroke Detection Applications: Integration into the Management of High-Risk Patient Care</dc:title>
	<dc:creator>Triwijayanti, Renny</dc:creator>
	<dc:creator>Rahmania, Annisa</dc:creator>
	<dc:creator>Romiko, Romiko</dc:creator>
	<dc:creator> Indriastuti, Diah</dc:creator>
	<dc:creator>Lonardo, Paray Theo </dc:creator>
	<dc:subject xml:lang="en-US">Community Health Cadres</dc:subject>
	<dc:subject xml:lang="en-US">Early Detection</dc:subject>
	<dc:subject xml:lang="en-US">Mobile Health</dc:subject>
	<dc:subject xml:lang="en-US">Prehospital Care</dc:subject>
	<dc:description xml:lang="en-US">Background: Early recognition of stroke symptoms is essential to reduce prehospital delay and improve patient outcomes. However, limited community awareness of stroke warning signs remains a challenge in many primary healthcare settings.
Objective: This study aimed to evaluate the association between the D-Stroke mobile application and improvements in knowledge of early stroke detection among community health cadres in a primary healthcare setting.
Methods: A quasi-experimental one-group pretest–posttest design was conducted at the Nagaswidak Public Health Center in Palembang. Twenty-eight community health cadres were recruited using a total sampling approach. Participants completed a 10-item knowledge questionnaire before and after one week of application use. Data were analyzed using the Wilcoxon signed-rank test due to non-normal distribution. Effect size (r) was calculated to determine the magnitude of change.
Results: The median knowledge score increased from 15.00 (pretest) to 34.00 (posttest). The improvement was statistically significant (Z = −5.683, p = .001). The calculated effect size (r = .80) indicated a large magnitude of change.
Conclusion: Use of the D-Stroke application was associated with significant improvement in knowledge of early stroke detection among community health cadres. Mobile-based educational tools may support stroke awareness and early referral capacity in primary healthcare settings; however, further controlled studies are needed to confirm behavioral and clinical impact.</dc:description>
	<dc:publisher xml:lang="en-US">YCAB Publisher</dc:publisher>
	<dc:date>2026-06-18</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/1621</dc:identifier>
	<dc:identifier>10.36685/phi.v12i2.1621</dc:identifier>
	<dc:source xml:lang="en-US">Public Health of Indonesia; Vol. 12 No. 2 (2026): April - June; 81 - 86</dc:source>
	<dc:source>2477-1570</dc:source>
	<dc:source>2528-1542</dc:source>
	<dc:source>10.36685/phi.v12i2</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://stikbar.org/ycabpublisher/index.php/PHI/article/view/1621/794</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2026 Renny Triwijayanti, Annisa Rahmania, Diah  Indriastuti</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-nc/4.0</dc:rights>
</oai_dc:dc>