The Pre-Adaptation of a Stroke-Specific Self-Management Program Among Older Adults
| Autor: | Timothy Reistetter, Kimberly Hreha, Julianna M. Dean, Monique R. Pappadis, Rachel R. Deer, Chih-Ying Li, Ickpyo Hong, Annalisa Na, Sara Nowakowski, Hashem M. Shaltoni, Suresh K. Bhavnani |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Journal of Aging and Health. :089826432311525 |
| ISSN: | 1552-6887 0898-2643 |
| DOI: | 10.1177/08982643231152520 |
| Popis: | Objectives: Managing multimorbidity as aging stroke patients is complex; standard self-management programs necessitate adaptations. We used visual analytics to examine complex relationships among aging stroke survivors’ comorbidities. These findings informed pre-adaptation of a component of the Chronic Disease Self-Management Program. Methods: Secondary analysis of 2013–2014 Medicare claims with stroke as an index condition, hospital readmission within 90 days ( n = 42,938), and 72 comorbidities. Visual analytics identified patient subgroups and co-occurring comorbidities. Guided by the framework for reporting adaptations and modifications to evidence-based interventions, an interdisciplinary team developed vignettes that highlighted multimorbidity to customize the self-management program. Results: There were five significant subgroups ( z = 6.19, p < .001) of comorbidities such as obesity and cancer. We constructed 6 vignettes based on the 5 subgroups. Discussion: Aging stroke patients often face substantial disease-management hurdles. We used visual analytics to inform pre-adaptation of a self-management program to fit the needs of older adult stroke survivors. |
| Databáze: | OpenAIRE |
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