NORFAST- A, B & C; has a prospective, longitudinal design. Patients with first-ever stroke will be assessed at four time-points: in the acute phase (within 14 days of admission), and 3, 6, and 12 months post-discharge.
NORFAST-D consists of three phases with different designs and methodology:
1. Method: Cross-sectional study (n=200), a representative sample from the Norwegian Stroke Registry.
Expected result: Identification of clusters of stroke patients with distinct HL profiles. Profiles with lower digital literacy in one or more domains will inform substudy 2 and discussed in workshops and interviews.
2. Method: Workshops (n=5) with patients with PSF, health professionals with clinical competence PSF, app designers, and researchers where results from substudy 1 and previous research will be discussed.
Expected results: App features important for stroke patients with low digital HL will be integrated into the FatigueACt app design to ensure that it is user-friendly, particular stroke patients with low digital HL.
Method: Feasibility study (n=20) and a stepped-wedge randomized clinical trial (n=200) with two arms:
Arm 1) Co-designed intervention tested for six months; Arm 2) Usual care.
3. Expected results: The feasibility study may lead to refinements of the app design, which will be evaluated in the full RCT. An effective app will be introduced in the App Store with both Norwegian and English version