Stroke
Conditions
Brief summary
The goal of this interventional study is to develop and evaluate a post-stroke patient support program aimed at enhancing patients' ability to self-management after discharge to home. The main question it aim to answer are: After participating in the support program, do patients show improvements in stroke-related knowledge, independence in activities of daily living, and self-efficacy in managing their health? Researchers will compare intervention to control group. The control group receive usual care. The intervention group receive usual care and support self management program to see enhance self-efficacy and recovery. Participants will: * Answer a self-report questionnaire * Attend to support self management program during 5 sessions in 5 weeks
Interventions
BEHAVIORALSupport self management program
Five sessions per five weeks of support self management program included stroke education and action planning; deliver rehabilitation, fall prevention, and problem-solving guidance; review progress and refine weekly action plans; reinforce adherence through follow-up; and summarize outcomes while establishing a continued self-management plan.
OTHERUsual care
Usual care
Sponsors
Pham Ngoc Thach University of Medicine
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 18 years or older; * Clinically diagnosed with ischemic stroke or intracerebral hemorrhage (first-ever or recurrent episode); * Assessed by the treating physician as being clinically stable following the acute phase; * Mini-Mental State Examination (MMSE) score \> 18; * Scheduled for follow-up after discharge at the Neurology Outpatient Clinic or the Neurology Clinic, Department of Outpatient Services, University Medical Center Ho Chi Minh City; * Able to speak and read Vietnamese; * Willing to participate in educational sessions within the health self-management program; * Able to use a telephone; * Having a family member or caregiver accompanying the patient who is able to recognize changes in the patient's physical and mental condition; * Providing informed consent to participate in the study.
Exclusion criteria
* Diagnosed with stroke secondary to cerebrovascular pathology related to malignancy; * Diagnosed with psychiatric disorders such as depression, schizophrenia, bipolar disorder, or personality disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self - Efficacy | Five weeks after stroke | Using Stroke self-efficacy questionnaire (SSEQ). Total score ranging from 0 to 130, which is positive corelation to self-efficacy level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stroke self - management behaviors | Five weeks after stroke | The level of independence in activities of daily living (Barthel Index) |
Outcome results
None listed