Development and evaluation of a nurse-led, tailored stroke self-management intervention

BMC Health Services Research
Lisa KiddSian Russell

Abstract

Community nurses are well placed to promote and support stroke survivors to engage in self-management. The aim of this study was to develop a stroke self-management intervention that could be tailored towards stroke survivors' self-management needs, goals and levels of activation, in the first year post-stroke. Mixed method study, designed in accordance with the British Medical Research Council's (MRC) guidance for the development and evaluation of complex interventions. The intervention was developed and evaluated in two phases. The intervention was underpinned by the theoretical concept of patient activation and was developed based on a review of published research on stroke self-management interventions and qualitative interviews and focus groups (phase 1). It was evaluated using qualitative interviews and focus groups with stroke survivors and stroke nurses (phase 2). Participants comprised 26 stroke survivors, between 3 and 12 months post stroke and 16 stroke nurses, from across three NHS Boards in Scotland. The intervention consisted of a tailored self-management action plan, incorporating an individualised assessment of stroke survivor's readiness to self-manage (using the Patient Activation Measure), goal setting and mo...Continue Reading

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Citations

Sep 1, 2017·The Journal of Ambulatory Care Management·Judith H Hibbard
Feb 26, 2016·The Journal of Nursing Administration·Ellen SwartwoutAshley El-Zein
Sep 13, 2018·Journal of Gerontological Nursing·Devita T Stallings, Joanne Kraenzle Schneider
Apr 29, 2020·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Gayenell S MagwoodCharles Ellis

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