Abstract Details Title Remote Management of Post-stroke Patients with Smartphone-based Management System Integrated in Clinical Care Topic Cerebrovascular Disease and Interventional Neurology Presentation(s) P15 - Poster Session 15 (12:00 PM-1:00 PM) Poster/Presentation Number 4-007 Objective We have developed and aimed to evaluate the effect of a smartphone-based mobile health (mHealth) system for health-behavior management and risk factor control in stroke patients. Background Advances in mHealth have enabled systematic and continuous management of patients with chronic diseases. Design/Methods We developed an mHealth management system, which offers multifaceted stroke aftercare including exercise, medication, and education materials and performed a 12-week single-arm intervention in eligible post-stroke patients. The intervention consisted of 1) regular blood pressure (BP), blood glucose, and physical activity measurements, 2) stroke education, 3) exercise program, 4) medication program, and 5) feedback with reviewing of records by clinicians. Clinical assessments consisted of stroke awareness score, Beck Depression Inventory-II (BDI), EuroQol-5 Dimensions (EQ-5D), and BP at visit 1 (baseline), visit 2 (4 weeks), and visit 3 (12 weeks). Temporal differences of parameters over 12 weeks were investigated with repeated-measures analyses of variance. Results Among the 110 patients enrolled for the study from September to December 2016, 99 participants were included in our analyses. Stroke awareness score (baseline: 59.6±18.1; 4 weeks: 67.6±16.0, p< .001; 12 weeks: 74.7±14.0, p < .001) and BDI (baseline: 12.7±10.1; 4 weeks: 11.2±10.2, p=.011; 12 weeks: 10.7±10.2, p < .001) showed gradual improvement; however, no significant differences were found in EQ-5D score (baseline: 0.66±0.33; visit 2: 0.69±0.34, p=.011; visit 3: 0.69±0.34, p< .001). Twenty-six patients who had uncontrolled BP at baseline had a -13.92 (p=.0010) and -6.19 mmHg (p<.001) decrement on average in systolic and diastolic BP, respectively, without any antihypertensive medication change. Conclusions Awareness of stroke, depression, and BP were enhanced when using the smartphone-based mHealth system. Emerging mHealth techniques hold potential as a new non-pharmacological secondary prevention method because of its ubiquitous access, near real-time responsiveness, and comparatively lower cost. Authors/Disclosures PRESENTER No disclosure on file No disclosure on file