Love Your Brain: A Digital Platform for Preventing Stroke [Stage 2: Pilot]

In this feasibility pilot trial we aim to test the feasibility and acceptability of implementing the Love Your Brain digital platform for stroke prevention, through a randomised controlled trial. The Love Your Brain digital platform comprises access to a massive open online course (MOOC), text messages (via email or SMS), or a minimal control arm over a period of 12 weeks following attendance at a Stroke Foundation StrokeSafe presentation. All participants will complete a survey at baseline to identify risk factors for stroke they would like to learn more about over 12 weeks. Participants will then be randomised to one of the three arms. Following the 12 week intervention period, participants will receive a link to the 12-week completion survey and evaluation survey. The 12 week survey will additionally ask about the benefits of participation, ease of use, facilitators and barriers, engagement (12-week duration, timing of communication, time allocated, linked resources), and satisfaction. Baseline and 12-week surveys should take around 25-30 minutes to complete. Participants randomised to one of the two intervention groups (MOOC and text messages) will receive 12 weeks of information about stroke including definition and epidemiology of stroke, signs of stroke, a general overview of risk factors for stroke, specific information about risk factors for stroke chosen by the participant, and an action plan. MOOC To complete the MOOC, participants must complete seven core modules, and at least two (of nine) elective modules over the 12 week intervention period. Core modules are 1. Introduction, 2. What is Stroke, 3. Stroke Numbers, 4. Signs of stroke - F.A.S.T, 5. Risk factors for stroke, 6. Action Plan, and 7. Completion Module. Each participant will then elect (or be guided based on the baseline survey responses) to complete at least one module based on biomedical risk factors for stroke (specifically either Blood Pressure, Cholesterol, Atrial Fibrillation, Overweight & obesity, Blood sugar & diabetes); and at least one module based on lifestyle-based behavioural risk factors for stroke (specifically Smoking, Diet & Alcohol, Exercise, Sleep & wellbeing). Modules include short videos with transcripts, text, links to further information, and knowledge quizzes. Module duration ranges between 30 minutes to 1 hour, with the complete course being achievable in 4 hours. TEXT MESSAGES Participants in the text message arm will receive between 28 and 58 text messages over the 12 week intervention period, and these will be sent via email or SMS based on the preference indicated in the baseline survey. Participants will be offered the opportunity to change their preferences at any time during the 12 weeks.