Examining a participation-focused stroke self-management intervention in a day rehabilitation setting: a quasi-experimental pilot study
| Autor: | Joy Hammel, Rosetta Robertson, Danbi Lee, Sarah Zera, Heidi C. Fischer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Occupational therapy
Male 030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Pilot Projects Community integration Peer Group 03 medical and health sciences 0302 clinical medicine Occupational Therapy Intervention (counseling) Outpatients Medicine Humans Stroke Aged Community and Home Care Self-management Rehabilitation business.industry Self-Management Stroke Rehabilitation Social Support Recovery of Function Middle Aged Social engagement medicine.disease Self Efficacy Test (assessment) Physical therapy Female Neurology (clinical) Patient Participation 0305 other medical science business Goals 030217 neurology & neurosurgery |
| Zdroj: | Topics in stroke rehabilitation. 24(8) |
| ISSN: | 1945-5119 |
| Popis: | Background People with stroke often find discharge from rehabilitation distressing because they do not feel prepared to participate in life roles as they want. A self-management approach can facilitate improvement in confidence and ability to manage post-stroke community living and participation after transitioning into the community. Objective To evaluate the feasibility and effectiveness of the Improving Participation After Stroke Self-management program - Rehab version (IPASS-R) in a day rehabilitation setting. Methods We used a mixed-method non-randomized quasi-experimental design. The IPASS-R program is a six-session group-based intervention led by a trained occupational therapist and lay person with stroke. The program uses an efficacy building approach to support aging adults to maintain active participation in home and community activities post-stroke. Primary outcome measures were the Reintegration to Normal Living Index (RNLI), Stroke Impact Scale (SIS), and Participation Strategies Self-Efficacy Scale. Qualitative feedback was collected post-treatment. Results Seventeen participants with stroke (intervention n = 9; control n = 8) were enrolled across two sites. Non-parametric effect sizes calculated using the Wilcoxon Signed-Rank test revealed larger effects on RNLI and SIS outcomes in the intervention group. The Mann-Whitney U test showed significant differences between the two groups' changes in scores on perceived recovery and strength. Conclusions The result shows that IPASS-R has the potential to be integrated into a day rehabilitation setting with a positive impact on community integration and perceived recovery outcomes. Future study is needed to investigate the IPASS-R with a larger sample size and more rigorous study design. |
| Databáze: | OpenAIRE |
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