REACH – digital treatment and prevention – David Moulaee Conradsson's research group

Our research focuses on creating the conditions for more equitable health through digital interventions and applications, from development to evaluation.

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Research focus

REACH - Researching and Evaulating Accessible digital Care for Health

Our research aims to improve access to healthcare and promote health equity through the development and evaluation of digital services for treatment and prevention. We focus particularly on lifestyle interventions, such as the promotion of physical activity, with a special emphasis on individuals living with neurological conditions or injuries.

We explore the needs for digital interventions among people with diseases or injuries and their families, as well as the use, accessibility, and satisfaction with such services. These issues are examined from individual, group, and societal perspectives, while also considering the broader implications for healthcare efficiency and the cost-effectiveness of new interventions.

We are strongly committed to cross-sectoral collaboration—across academia, healthcare, and industry—and our work is grounded in close partnerships with stakeholders and representatives from patient communities to ensure that digital interventions are relevant, accessible, and fit for purpose.

News and activities

Seminar on digital physiotherapy after stroke, part 1 (in Swedish)

Seminar on digital physiotherapy after stroke, part 2 (in Swedish)

Publications

Selected publications

Funding

Grants

  • Swedish Research Council
    1 January 2024 - 31 December 2024
  • Swedish Research Council
    1 January 2023 - 31 December 2026
    The overarching purpose is to improve secondary stroke prevention post stroke or transient ischemic attack (TIA) by increasing access to physical activity through telerehabilitation. This will be accomplished by building on a national collaboration within secondary stroke prevention and by testing a new telerehabilitation program (ENAbLE) developed in Australia.The ENAbLE program seeks to strengthen physical functioning and self-efficacy for exercise through home-based physical exercise and to equip the person with knowledge and confidence to sustain physical activity through behavior change techniques. The program will be accessible via a recent developed mobile application which will be used to reinforce autonomy and patient-therapist partnership.We will first evaluate if a digital version of the ENAbLE program could be delivered as intended through a pilot randomized controlled trial to determine the feasibility, end-users experiences and preliminary effects in people post stroke/TIA living in urban and rural regions of Sweden. We will thereafter perform a full-scale randomized controlled trial to assess the effectiveness of the ENAbLE program on cardiovascular health, physical activity, function, well-being and its cost-effectiveness across Sweden.This project will address the unmet need of providing accessible and sustainable support for physical activity to people post stroke or TIA to decrease the risk of stroke recurrence through adherence to physical activity.
  • Swedish Research Council for Health Working Life and Welfare
    1 January 2022 - 31 December 2025
    Support for physical activity is necessary to sustain health after stroke and transient ischemic attack (TIA). Still, rehabilitation services are not available to many of those who potentially would benefit due to barriers related to accessibility. While telerehabilitation is a promising strategy to support physical activity, there is a gap of knowledge regarding the implementation of technology that meet the needs of people post stroke or TIA in order to foster adherence and engagement in physical activity.Purpose is to improve health and wellbeing after stroke or TIA by increasing the access to physical activity through telerehabilitation. This will be accomplished by building on a national collaboration within secondary stroke prevention and through testing of an existing telerehabilitation program (ENAbLE) developed in Australia.The ENAbLE program seeks to strengthen physical functioning and self-efficacy for exercise through home-based physical exercise and to equip the person with knowledge and confidence to sustain physical activity through behavior change techniques. The program will be accessible via a recent developed mobile application which will be used to reinforce autonomy and patient-therapist partnership.We will first evaluate if the ENAbLE program can be delivered as intended through a pilot RCT to determine the feasibility, processes, end-users experiences and preliminary effects of the program in urban and rural regions of Sweden. We will thereafter initiate a full-scale RCT to investigate the effects of the ENAbLE program on risk factors for recurrent stroke, well-being and its cost-effectiveness across Sweden.The project will draw on socio-technical theory, depicting technologies as part of a dynamic system in order to explore its potential use in rehabilitation. The ENAbLE program offers a sustainable strategy to support exercise and physical activity which could benefit a large group of people with stroke and TIA regardless of where they live.
  • VINNOVA
    14 June 2021 - 30 April 2023

Staff and contact

Group leader

All members of the group

Other people connected to the group

  • Vive, Sara

Visiting address

Karolinska Institutet, Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Zanderska Huset (Alfred Nobels Alle 23, Plan B3), Stockholm, Sweden

Postal address

Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy 23100, Huddinge, SE-141 83, Sweden

Projects

mHealth delivered physical activity after stroke or transient ischemic attack – development and feasibility

The overall aim is to develop and test the feasibility, acceptability, and preliminary effects of mHealth delivered physical activity among individuals post-stroke or transient ischemic attack (TIA). The development is carried out in collaboration with individuals who have experienced stroke or TIA, physiotherapists, patient organizations, and the MedTech industry.

mHealth delivered physical activity after stroke or transient ischemic attack – development and feasibility

"One size” fits no one: precision-based digital promotion of physical activity after stroke or transient ischemic attack – a multicenter adaptive intervention

This multicenter study evaluates a personalized mHealth intervention designed to support people after stroke or transient ischemic attack (TIA) in becoming more physically active and improving their health. The project also assesses the intervention’s impact on secondary stroke complications and includes a cost-effectiveness evaluation to guide future implementation.

"One size” fits no one: precision-based digital promotion of physical activity after stroke or transient ischemic attack – a multicenter adaptive intervention