{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T07:10:22Z","timestamp":1775027422970,"version":"3.50.1"},"reference-count":72,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:00:00Z","timestamp":1704326400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","doi-asserted-by":"publisher","award":["EXPL\/SAU-SER\/1478\/2021"],"award-info":[{"award-number":["EXPL\/SAU-SER\/1478\/2021"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Evidence-informed interventions for stroke self-management support can influence functional capability and social participation. People with stroke should be offered self-management support after hospital discharge. However, in Portugal, there are no known programs of this nature. This study aimed to develop a person-centered and tailored blended care program for post-stroke self-management, taking into account the existing evidence-informed interventions and the perspectives of Portuguese people with stroke, caregivers, and health professionals. An exploratory sequential mixed methods approach was used, including qualitative methods during stakeholder consultation (stage 1) and co-production (stage 2) and quantitative assessment during prototyping (stage 3). After ethical approval, recruitment occurred in three health units. Results from a literature search led to the adaptation of the Bridges Stroke Self-Management Program. In stage one, 47 participants were interviewed, with two themes emerging: (i) Personalized support and (ii) Building Bridges through small steps. In stage two, the ComVida program was developed, combining in-person and digital approaches, supported by a workbook and a mobile app. In stage three, 56 participants evaluated prototypes, demonstrating a strong level of quality. Understandability and actionability of the developed tools obtained high scores (91\u2013100%). The app also showed good usability (A-grade) and high levels of recommendation (5 stars).<\/jats:p>","DOI":"10.3390\/jcm13010300","type":"journal-article","created":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T09:47:32Z","timestamp":1704361652000},"page":"300","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Building Bridges between People with Stroke, Families, and Health Professionals: Development of a Blended Care Program for Self-Management"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2899-9640","authenticated-orcid":false,"given":"Carla","family":"Mendes Pereira","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, School of Health, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), NOVA University of Lisbon, 1150-082 Lisbon, Portugal"}]},{"given":"Mara","family":"Matos","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Health, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"}]},{"given":"Daniel","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Local Health Unit Litoral Alentejano (ULSLA), 7540-230 Santiago do Cac\u00e9m, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4333-6754","authenticated-orcid":false,"given":"Patricia","family":"Macedo","sequence":"additional","affiliation":[{"name":"Research Center for Engineering a Sustainable Development (Sustain.RD), Set\u00fabal School of Technology, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"},{"name":"Center of Technology and Systems (UNINOVA-CTS), NOVA School of Science and Technology, 2829-516 Caparica, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2724-0675","authenticated-orcid":false,"given":"Jos\u00e9 M.","family":"Calheiros","sequence":"additional","affiliation":[{"name":"Institute for Research, Innovation and Development (FP-I3ID), University Fernando Pessoa, 4249-004 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4891-9780","authenticated-orcid":false,"given":"Janice","family":"Alves","sequence":"additional","affiliation":[{"name":"Neurology Department, Set\u00fabal Hospital Centre, 2910-446 Set\u00fabal, Portugal"}]},{"given":"Lu\u00eds","family":"Paulino Ferreira","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Mental Health, Set\u00fabal Hospital Centre, 2910-446 Set\u00fabal, Portugal"}]},{"given":"Teresa L.","family":"Dias","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, School of Health, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7360-3855","authenticated-orcid":false,"given":"Rui","family":"Neves Madeira","sequence":"additional","affiliation":[{"name":"Research Center for Engineering a Sustainable Development (Sustain.RD), Set\u00fabal School of Technology, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"},{"name":"NOVA Laboratory of Computer Science and Informatics (NOVA LINCS), NOVA School of Science and Technology, NOVA University of Lisbon, 2829-516 Caparica, Portugal"}]},{"given":"Fiona","family":"Jones","sequence":"additional","affiliation":[{"name":"Population Health Research Institute, St George\u2019s, University of London, London SW17 ORE, UK"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","article-title":"Global, Regional, and National Burden of Stroke and Its Risk Factors, 1990\u20132019: A Systematic Analysis for the Global Burden of Disease Study 2019","volume":"20","author":"Feigin","year":"2021","journal-title":"Lancet Neurol."},{"key":"ref_2","unstructured":"Wilkins, E., Wilson, L., Wickramasinghe, K., Bhatnagar, P., Leal, J., Luengo-Fernandez, R., Burns, R., Rayner, M., and Townsend, N. 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