Background: Follow-up services remain out of reach for many survivors of stroke, therefore, physical inactivity and poor diet are common. Co-designed, accessible websites offer a scalable alternative but real-world relevance remains unknown.
Aims: Evaluate the i-REBOUND after stroke website across four RE-AIM domains — reach, effectiveness, adoption, and implementation — and identify strategies for sustained impact.
Methods: An online survey with stroke survivors, caregivers, health professionals and researchers, complemented by Google Analytics data (2022–2024). A sample of 97 participants represents 95% confidence with 10% margin for error.
Results: Reach: 31,546 users generated 93,259 page views across 102 countries over two years; 97 users completed the survey. Effectiveness: most stroke survivors were not meeting guidelines (physical activity 73%; diet 53%). Following website use, 45% reported changing physical activity and 33% reported dietary changes, fatigue was the most common barrier. Trust was high among survivors/caregivers (4.02/5) and health professionals/researchers (4.38/5). Adoption: engagement diverged with more stroke survivors returning to the website (82% vs 31%) compared to health professionals/researchers. While 94% of stroke survivors felt confident using self‑directed websites, only 47% of health professionals believed their patients could. Implementation: 50% of health professionals changed their clinical practice, most by directing patients to independently explore the website. Key barriers included technology access (78%), time constraints (50%), and connectivity (31%).
Conclusion: Co‑designed, self‑directed websites are reaching stroke survivors, earning their trust, and supporting behaviour change. To maximise reach and sustained adoption, structured implementation support is needed to better align clinical practice with survivor capability.