The Look After Yourself (LAY) intervention to improve self-management in stroke survivors: Results from a quasi-experimental study
Autor: | Paola Rucci, Marica Iommi, Roberta Bardelli, Mariangela Taricco, Maria Pia Fantini, Stefania Fugazzaro, Lay, Laura Dallolio, E Cavalli, Stefania Costi, Rossella Messina, Monia Allisen Accogli, D Pagliacci, Monica Denti |
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Přispěvatelé: | Rossella Messina, Laura Dallolio, Stefania Fugazzaro, Paola Rucci, Marica Iommi, Roberta Bardelli, Stefania Costi, Monica Denti, Monia Allisen Accogli, Enrica Cavalli, Donatella Pagliacci, Maria Pia Fantini, Mariangela Taricco |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
self-management Activities of daily living 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Humans Medicine Survivors 030212 general & internal medicine Stroke Self-efficacy Self-management business.industry 030503 health policy & services Stroke Rehabilitation General Medicine medicine.disease patient education Mental health Keywords: self-efficacy stroke quality of life Propensity score matching Physical therapy Self-efficacy Self-management Quality of life Stroke Activities of daily living Patient education 0305 other medical science business activities of daily living Patient education |
Popis: | Objective To test the efficacy of a self-management intervention for stroke survivors vs. usual care. Methods Using a quasi-experimental study, participants were recruited from three public Italian hospitals. Questionnaires assessing self-efficacy (SSEQ), quality of life (SF-12), physical performance (SPPB), depression (GDS) and activities of daily living (MBI) were administered at baseline, discharge and two months after discharge. Mixed models with a propensity score were used between experimental group (EG) and control group (CG). Logistic models were used to compare the use of health services. Results Eighty-two stroke survivors were enrolled in the EG and 103 in the CG. Self-efficacy in self-management improved in the EG compared to the CG during hospitalization. Improvements from baseline to discharge were found in the EG in the mental component of SF-12 and in MBI. The EG were 8.9 times more likely to contact general practitioners after discharge and 2.9 times to do regular exercise than CG. Notably, EG with higher education benefitted more from the intervention. Conclusion The intervention was efficacious in improving self-efficacy, mental health and activities of daily living. Practice implications Structured educational interventions based on problem-solving and individual goal setting may improve self-management skills in stroke survivors. |
Databáze: | OpenAIRE |
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