Timothy J Wolf1, Meredith J Spiers1, Meghan Doherty2, Emily V Leary3. 1. a Department of Occupational Therapy , University of Missouri , Columbia , MO , USA. 2. b Program in Occupational Therapy , Washington University in St. Louis , St. Louis , MO , USA. 3. c Biostatistics & Research Design Unit, School of Medicine , University of Missouri , Columbia , MO , USA.
Abstract
BACKGROUND:Mild stroke comprises 53% of stroke hospital admissions; however, the majority of those with mild stroke patients receive little support to address chronic symptoms following stroke. OBJECTIVES: To evaluate the feasibility and preliminary effect of the Chronic Disease Self-Management Program (CDSMP) for use with individuals immediately post mild-stroke. METHODS: Single-blind, exploratory, randomized controlled trial with participants who sustained a mild stroke (NIHSS <6). Participants were randomized to either receive the CDSMP intervention or to an inactive control group. Primary outcomes were self-reported health and self-efficacy and were obtained at baseline, post-intervention (treatment group only), and at six months post-baseline. Wilcoxon Signed Rank Tests were used to compare change score differences for all participants and effect size was computed using effect size r for non-parametric data. RESULTS: There were no differences between groups in demographics or baseline data with the exception of how participants felt they are able to manage their health in general (p = 0.05). At follow-up, effect sizes ranged from 0 to 0.35 (no effect to medium effect); however, while the treatment group reported improvements in several areas of health at follow-up, the results are not compelling when compared to the control group over the same time period. CONCLUSIONS: The results did not identify a positive effect that would support the use of the CDSMP with individual's post-mild stroke; however, the generalizability of these results is limited secondary to several limitations in this exploratory study.
RCT Entities:
BACKGROUND: Mild stroke comprises 53% of stroke hospital admissions; however, the majority of those with mild strokepatients receive little support to address chronic symptoms following stroke. OBJECTIVES: To evaluate the feasibility and preliminary effect of the Chronic Disease Self-Management Program (CDSMP) for use with individuals immediately post mild-stroke. METHODS: Single-blind, exploratory, randomized controlled trial with participants who sustained a mild stroke (NIHSS <6). Participants were randomized to either receive the CDSMP intervention or to an inactive control group. Primary outcomes were self-reported health and self-efficacy and were obtained at baseline, post-intervention (treatment group only), and at six months post-baseline. Wilcoxon Signed Rank Tests were used to compare change score differences for all participants and effect size was computed using effect size r for non-parametric data. RESULTS: There were no differences between groups in demographics or baseline data with the exception of how participants felt they are able to manage their health in general (p = 0.05). At follow-up, effect sizes ranged from 0 to 0.35 (no effect to medium effect); however, while the treatment group reported improvements in several areas of health at follow-up, the results are not compelling when compared to the control group over the same time period. CONCLUSIONS: The results did not identify a positive effect that would support the use of the CDSMP with individual's post-mild stroke; however, the generalizability of these results is limited secondary to several limitations in this exploratory study.
Authors: Stephen C L Lau; Stephanie Judycki; Mikayla Mix; Olivia DePaul; Rachel Tomazin; Angela Hardi; Alex W K Wong; Carolyn Baum Journal: Am J Occup Ther Date: 2022-07-01
Authors: Kyung-Sook Bang; Sungjae Kim; Min Kyung Song; Kyung Im Kang; Yeaseul Jeong Journal: Int J Environ Res Public Health Date: 2018-09-11 Impact factor: 3.390