Review Article

mHealth Apps for Family Caregivers of Stroke Patients: A Systematic Review

Abstract

Background: Family caregivers of stroke patients play a critical role in post-stroke recovery, yet they often face significant challenges, including physical and emotional stress, lack of knowledge, and limited access to resources. Mobile health (mHealth) apps offer a promising solution to support caregivers by providing education, task management, and mental health resources. However, gaps remain in understanding the effectiveness, functionalities, and limitations of these apps. This study aimed to 1) identify and categorize existing mHealth apps for family caregivers of stroke patients, 2) evaluate the effectiveness of these apps in supporting caregivers, and 3) analyze the gaps in current mHealth offerings to inform future app development.
Methods: A systematic literature review was conducted, analyzing 30 studies published between 2014 and 2024 from databases such as IEEE Xplore, Scopus, Web of Science, and PubMed. The studies were evaluated based on app functionality and effectiveness in caregiver support, and limitations were identified.
Results: The findings revealed a diverse range of mHealth apps offering functionalities such as caregiver education, rehabilitation guidance, task management, communication tools, and health monitoring. However, notable gaps were identified, including limited multi-functionality, insufficient support for caregiver well-being, a lack of customization for diverse needs, and minimal validation through rigorous trials.
Conclusion: While mHealth apps provide valuable tools for family caregivers of stroke patients, addressing the identified gaps is essential to maximize their impact. Future Development should focus on creating comprehensive, user-centered, and evidence-based apps that integrate education, mental health support, and task management.

1. Benjamin EJ, Muntner P, Alonso A, et al (2019). Heart disease and stroke statis-tics—2019 update: A report from the American Heart Association. Circulation, 139(10):e56–e528.
2. Zhiyan H, Li NIN, Chen B, et al (2017). Rehabilitation nursing for cerebral stroke patients within a suitable recov-ery empty period. Iran J Public Health, 46(2):180-185.
3. Djurovic O, Mihaljevic O, Radovanovic S, et al (2021). Risk factors related to fall-ing in patients after stroke. Iran J Public Health, 50(9):1832-1841.
4. Lin WU, Zhang, L (2017). Effect of high-quality nursing on improvement of anx-iety and depression of patients with acute stroke in MRI examination. Iran J Public Health, 46(12): 1646-1651.
5. Camak DJ (2015). Addressing the burden of stroke caregivers: A literature review. J Clin Nurs, 24(17–18):2376–2383.
6. Choukou MA, Zhu X, Malwade S, et al (2022). Digital health solutions trans-forming long-term care and rehabilita-tion. In Healthcare Information Management Systems (pp. 301–316). Cham: Springer In-ternational Publishing.
7. Yunitawati D, Latifah L, Suryaputri IY, Lak-sono AD (2024). A higher maternal edu-cation level could be a critical factor in the exceeded cesarean section delivery in Indonesia. Iran J Public Health, 53(1):219-227.
8. Burns SP, Terblanche M, Perea J, et al (2020). mHealth intervention applica-tions for adults living with the effects of stroke: A scoping review. Arch Rehabil Res Clin Transl, 3(1):100095.
9. Ferré-Grau C, Raigal-Aran L, Lorca-Cabrera J, et al (2021). A mobile app–based intervention program for non-professional caregivers to promote pos-itive mental health: Randomized con-trolled trial. JMIR Mhealth Uhealth, 9(1): e21708.
10. Kumar A, Khurana D, Pattanaik S, et al (2024). A mobile application-based post-stroke care strategy for survivors and their caregivers for prevention and management of post-stroke complica-tions—“Stroke Home Care:” Develop-ment and feasibility. J Neurosci Rural Pract, 15(2):217-226.
11. Cao W, Kadir AA, Wang Y, et al (2023). Description of apps targeting stroke pa-tients: A review of app stores. Digit Health, 9:20552076231181473.
12. Li L, Huang J, Wu J, et al (2020). A mobile health app for the collection of func-tional outcomes after inpatient stroke rehabilitation: Pilot randomized con-trolled trial. JMIR Mhealth Uhealth, 8(5):e17219.
13. Gerber SM, Schütz N, Uslu AS, et al (2019). Therapist-guided tablet-based telereha-bilitation for patients with aphasia: Proof-of-concept and usability study. JMIR Rehabil Assist Technol, 6:e13163.
14. Sarfo F, Treiber F, Gebregziabher, M, et al (2019). Phone-based intervention for blood pressure control among Ghana-ian stroke survivors: A pilot randomized controlled trial. Int J Stroke, 14(6):630–638.
15. Szeto SG, Wan H, Alavinia M, et al (2023). Effect of mobile application types on stroke rehabilitation: A systematic re-view. J Neuroeng Rehabil, 20(1):12.
16. Garnett A, Northwood M, Ting J, Sangrar R (2022). mHealth interventions to sup-port caregivers of older adults: Equity-focused systematic review. JMIR Aging, 5(3):e33085.
17. Sidek NN, Tengku Ismail TA, Kama-lakannan S, et al (2023). A mixed-methods study on the implementation of a mobile health application (mHealth app) for stroke caregivers in Malaysia: Healthcare providers’ perspec-tive. Front Neurol, 14:1222260.
18. Pugliese M, Ramsay T, Shamloul R, et al (2019). RecoverNow: A mobile tablet-based therapy platform for early stroke rehabilitation. PLoS One, 14:e0210725.
19. Lawson S, Tang Z, Feng J (2017). Support-ing stroke motor recovery through a mobile application: A pilot study. Am J Occup Ther, 71: 7103350010p1-7103350010p5.
20. Kringle EA, Setiawan IM, Golias K, et al (2020). Feasibility of an iterative rehabil-itation intervention for stroke delivered remotely using mobile health technolo-gy. Disabil Rehabil Assist Technol, 15(8):908–916.
21. Singer J, Weingast S, Gilles N, et al (2018). Developing a user-centered mobile ap-plication for stroke caregivers: A pilot national survey. J Mob Technol Med, 7(2):35–45.
22. Guo J, Smith T, Messing D, et al (2015, Oc-tober 26). ARMStrokes: A mobile app for everyday stroke rehabilitation. In Proceedings of the 17th International ACM SIGACCESS Conference on Computers & Accessibility (pp. 429–430). Lisbon, Portu-gal.
23. Lawson S, Guo J, Smith T, et al (2016, Feb-ruary 12). Preliminary evaluation of a mobile app for everyday stroke rehabil-itation. In RESNA’s Annual Conference. Arlington, VA.
24. Zhou X, Du M, & Zhou L. (2018). Use of mobile applications in post-stroke re-habilitation: A systematic review. Top Stroke Rehabil, 1-11.

25. Marwaa MN, Guidetti S, Ytterberg C, Kris-tensen, HK (2023). Using experience-based co-design to develop mo-bile/tablet applications to support a person-centred and empowering stroke rehabilitation. Res Involv Engagem, 9(1):69.
26. Firmawati E, Setyopanoto I, Pangastuti HS (2022). Mobile health application to support family caregivers in recurrent stroke prevention: Scoping review. Open Access Maced J Med Sci, 9(T5):142–151.
27. Rehman S, Ghazali SR, Elklit A (2025). COVID-19 and psychopathologies in children—A single session intervention plan to promote mental health during crises management: A systematic review. Iran J Public Health, 54(4):688–700.
28. Niyomyart A, Ruksakulpiwat S, Benjasirisan C, et al (2024). Current status of barriers to mHealth access among patients with stroke and steps toward the digital health era: Systematic review. JMIR Mhealth Uhealth, 12: e54511.
29. Park JYE, Tracy CS, Gray CS (2022). Mo-bile phone apps for family caregivers: A scoping review and qualitative content analysis. Digit Health, 8:20552076221076672.
30. Cao W, Wang J, Wang Y, et al (2024). mHealth app to improve medication adherence among older adult stroke survivors: Development and usability study. Digit Health, 10:20552076241236291.
31. Lobo EH, Abdelrazek M, Frølich A, et al (2022). Detecting usability and user ex-perience issues in stroke caregiving apps: An analysis of user reviews.
32. Mohammadzadeh N, Khenarinezhad S, Ghazanfarisavadkoohi E, et al (2021). Evaluation of m-health applications use in epilepsy: A systematic review. Iran J Public Health, 50(3):459-469.
33. Bonura A, Motolese F, Capone F, et al (2022). Smartphone app in stroke man-agement: A narrative updated review. J Stroke, 24(3):323–334.
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IssueVol 54 No 10 (2025) QRcode
SectionReview Article(s)
DOI https://doi.org/10.18502/ijph.v54i10.20132
Keywords
mHealth apps Stroke caregivers Rehabilitation Digital health Caregiver burden

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How to Cite
1.
Fazal A. Bakar A, Noor Aizuddin A, Ibrahim R, Zubir MZ, Zaidi WAW, Khazaei H. mHealth Apps for Family Caregivers of Stroke Patients: A Systematic Review. Iran J Public Health. 2025;54(10):2114-2126.