ABSTRACT NUMBER: ESOC2026A2265 HARNESSING MOBILE DIGITAL ACCESS FOR SECONDARY STROKE PREVENTION IN RURAL ENGLAND: DEVELOPMENT OF A MULTIMORBIDITY E-LEAFLET

Abstract Background and aims Survivors of stroke and transient ischaemic attack (CVA/TIA) require sustained, multifactorial secondary prevention addressing cardiovascular disease risk, hypertension, atrial fibrillation (AF), common cardiometabolic and respiratory comorbidities. In rural communities, access to face-to-face education may be constrained by geography, while high levels of mobile device access in our community offers an opportunity to enhance patient engagement through digital health. This review aimed to develop and implement a digitally delivered patient education e-leaflet to support secondary stroke prevention in rural primary care. Methods Evidence-based electronic leaflet was co-developed within primary care, published on the practice website, distributed to CVA/TIA patients via mobile-enabled links. The resource was written in plain English and aligned with NICE and European stroke guidance. Content addressed secondary stroke prevention and residual cardiovascular risk alongside the management of hypertension, AF, chronic kidney disease, diabetes, liver disease, obesity, and chronic obstructive pulmonary disease. Results Digital dissemination enabled rapid, scalable delivery of consistent, evidence-based information across a geographically dispersed rural population. Initial qualitative feedback from patients was positive, with respondents reporting improved understanding of stroke prevention, cardiovascular risk factors, and the relevance of comorbid conditions. The digital resource was perceived as a helpful adjunct to existing in-person and telephone reviews rather than a replacement for them. Conclusions High mobile digital access in rural CVA/TIA populations can be leveraged to deliver low-cost, patient-centred educational interventions. Early positive patient feedback suggests that hybrid models integrating digital resources with traditional follow-up may enhance understanding, equity, and long-term risk management whilst addressing the confidence-care gap. Conflict of interest VS Nil