Digital Health Literacy and Social Participation in Individuals With Hemiplegia

NCT07773038 | Not Yet Recruiting

• 1 other identifier: AFSU-FTR-DHLSP-2026
• Study Type: observational
• Target: 250
• Locations: 1 country
• Sites: 1

Brief Summary

This cross-sectional observational study aims to investigate the association between digital health literacy and social participation in individuals with hemiplegia after stroke. A total of 250 adults with a history of stroke at least 6 months previously will be included. Digital health literacy will be assessed using the eHealth Literacy Scale (eHEALS), and social participation will be assessed using the Reintegration to Normal Living Index (RNLI). The secondary aim is to examine the associations of digital health literacy with anxiety and depression, functional independence, and fatigue.

Conditions

Stroke; Hemiplegia

Keywords

Digital Health Literacy; Social Participation; Stroke Rehabilitation; Hemiplegia; eHealth Literacy; Community Reintegration; Functional Independence

Outcome Measures

Primary Outcomes (1)

• Social Participation Assessed by the Reintegration to Normal Living Index

  Social participation will be assessed using the Reintegration to Normal Living Index (RNLI). The RNLI consists of 11 items evaluating reintegration into daily activities, family roles, social relationships, and community life. The total score ranges from 0 to 110, with higher scores indicating better reintegration and social participation.

  At the single study assessment (Day 1)

Secondary Outcomes (5)

• Digital Health Literacy Assessed by the eHealth Literacy Scale

  At the single study assessment (Day 1)

• Anxiety Symptoms Assessed by the Hospital Anxiety and Depression Scale

  At the single study assessment (Day 1)

• Depressive Symptoms Assessed by the Hospital Anxiety and Depression Scale

  At the single study assessment (Day 1)

• Functional Independence Assessed by the Barthel Index

  At the single study assessment (Day 1)

• Fatigue Assessed by the Fatigue Severity Scale

  At the single study assessment (Day 1)

Study Arms (1)

Individuals With Post-Stroke Hemiplegia

Adults with hemiplegia following stroke who meet the eligibility criteria will undergo a single cross-sectional assessment of digital health literacy, social participation, anxiety and depressive symptoms, functional independence, fatigue, and cognitive status. No study-specific intervention will be administered.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population will consist of adults with hemiplegia following stroke who receive care at the Physical Medicine and Rehabilitation outpatient clinic, inpatient service, or rehabilitation unit of Afyonkarahisar Health Sciences University. Eligible participants will have a history of stroke at least 6 months before enrollment, be able to communicate and complete the study assessments, and have a Mini-Mental State Examination score of 24 or higher. Both female and male participants will be included.

You may qualify if:

• Age 18 years or older Diagnosis of hemiplegia following stroke History of stroke at least 6 months before enrollment Ability to communicate sufficiently to complete the study assessments Mini-Mental State Examination score of 24 or higher Ability and willingness to provide written informed consent

You may not qualify if:

• Severe aphasia preventing completion of the assessments Advanced cognitive impairment Severe psychiatric disorder that may interfere with participation or completion of the assessments Visual or hearing impairment that prevents completion of the questionnaires

Sponsors & Collaborators

• Afyonkarahisar Health Sciences University: lead

Study Sites (1)

Afyonkarahisar Health Sciences University

Afyonkarahisar, 03032, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Stroke; Hemiplegia

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Paralysis; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Ersin Beştaş, MD

  Afyonkarahisar Health Sciences University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ersin Beştaş, MD

CONTACT

+90 506 889 32 66; ersinbestas26@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: August 14, 2026
• First Posted: August 19, 2026
• Study Start: August 28, 2026
• Primary Completion (Estimated): February 28, 2027
• Study Completion (Estimated): February 28, 2027
• Last Updated: August 19, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)