Stroke
Conditions
Keywords
Stroke, Disease management, Self efficacy, Quality of life, Community integration
Brief summary
The aim of this study is to examine the effectiveness of a nurse-led self-efficacy enhancing stroke self-management program on recovery of community-dwelling stroke survivors.
Detailed description
Previous systematic reviews showed that theory-based stroke self-management programs had potential benefits in improving stroke survivors' quality of life and self-efficacy. However there is a lack of evidence evaluating the effectiveness of a nurse-led theory-based stroke self-management program among community-dwelling Chinese stroke survivors. This is a parallel group, single-blinded, randomized controlled trial to be held in a community center. All participants will be assessed at two time-points (baseline before randomization, and one month after program completion). Eligible participants will be randomly allocated to either the control group (receiving usual care) or the intervention group (receiving the self-efficacy enhancing stroke self-management program). Participants in the intervention group will receive an additional assessment on usefulness of the program immediately after program completion.
Interventions
BEHAVIORALStroke self-management program
A nurse-led community-based self-efficacy enhancing stroke self-management program.
BEHAVIORALUsual care
Usual care such as hospital-based or community-based health education or services.
Sponsors
Queensland University of Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* aged 18 years or above * have a clinical diagnosis of stroke * currently live at home or will be discharged from hospital to home within one week * have a Mini Mental State Examination score \>18 * speak Cantonese * capable of giving informed consent * can attend sessions of the self-efficacy enhancing stroke self-management program * can use a phone
Exclusion criteria
* diagnosed with transient ischemic attack, subdural or epidural hemorrhage * have cerebrovascular events due to presence of malignancy or head trauma * have limited comprehension and receptive aphasia * have been diagnosed with schizophrenia, bipolar disorder, or dementia * have received a stroke self-management program in the past 12 months as reported by the participants
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-efficacy in performing stroke self-management behaviors | One month after the program | Stroke Self-Efficacy Questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health-related quality of life | One month after the program | Stroke Specific Quality of Life Scale |
| Depressive symptoms | One month after the program | Geriatric Depression Scale |
| Stroke self-management behaviors | One month after the program | Stroke Self-management Behaviors Performance Scale |
| Outcome expectation | One month after the program | Stroke Self-management Outcome Expectation Scale |
| Community reintegration | One month after the program | Reintegration to Normal Living Index |
Other
| Measure | Time frame | Description |
|---|---|---|
| Usefulness of the program | Within one week after the completion of the program | Extent of overall program participation, and other qualitative comments. |
Countries
Hong Kong
Outcome results
None listed