Do empowered stroke patients perform better at self-management and functional recovery after a stroke? A randomized controlled trial
| Autor: | Janet WH Sit, Sek Ying Chair, KC Choi, Carmen WH Chan, Diana TF Lee, Aileen WK Chan, Jo LK Cheung, Siu Wai Tang, Po Shan Chan, Ruth E Taylor-Piliae |
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| Rok vydání: | 2016 |
| Předmět: |
Male
self-management Activities of daily living functional recovery medicine.medical_treatment law.invention 0302 clinical medicine Randomized controlled trial law Activities of Daily Living Single-Blind Method Survivors 030212 general & internal medicine Empowerment Stroke media_common Aged 80 and over Self-management Rehabilitation Stroke Rehabilitation General Medicine Middle Aged stroke Self Efficacy Hong Kong Regression Analysis Female medicine.medical_specialty media_common.quotation_subject rehabilitation Medication Adherence 03 medical and health sciences Physical medicine and rehabilitation Intervention (counseling) medicine Humans cardiovascular diseases Patient participation Aged business.industry Recovery of Function medicine.disease patient empowerment Self Care Clinical Trial Report Quality of Life Physical therapy Patient Participation Geriatrics and Gerontology business 030217 neurology & neurosurgery |
| Zdroj: | Clinical Interventions in Aging |
| ISSN: | 1178-1998 |
| Popis: | Background Self-management after a stroke is a challenge because of multifaceted care needs and complex disabling consequences that cause further hindrance to patient participation. A 13-week stroke patient empowerment intervention (Health Empowerment Intervention for Stroke Self-management [HEISS]) was developed to enhance patients’ ability to participate in self-management. Purpose To examine the effects of the empowerment intervention on stroke patients’ self-efficacy, self-management behavior, and functional recovery. Methods This is a single-blind randomized controlled trial with stroke survivors assigned to either a control group (CG) receiving usual ambulatory rehabilitation care or the HEISS in addition to usual care (intervention group [IG]). Outcome data were collected at baseline (T0), 1 week (T1), 3 months (T2), and 6 months (T3) postintervention. Data were analyzed on the intention-to-treat principle. The generalized estimating equation model was used to assess the differential change of self-efficacy in illness management, self-management behaviors (cognitive symptom management, communication with physician, medication adherence, and self-blood pressure monitoring), and functional recovery (Barthel and Lawton indices) across time points (baseline = T0, 1 week = T1, 3 months = T2, and 6 months = T3 postintervention) between the two groups. Results A total of 210 (CG =105, IG =105) Hong Kong Chinese stroke survivors (mean age =69 years, 49% women, 72% ischemic stroke, 89% hemiparesis, and 63% tactile sensory deficit) were enrolled in the study. Those in IG reported better self-efficacy in illness management 3-month (P=0.011) and 6-month (P=0.012) postintervention, along with better self-management behaviors at all follow-up time points (all P0.05). Those in IG had significantly better functional recovery (Barthel, all P |
| Databáze: | OpenAIRE |
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