Suzanne H S Lo1, Anne M Chang2, Janita P C Chau2. 1. From Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong (S.H.S.L., J.P.C.C.); and School of Nursing, Faculty of Health, Queensland University of Technology, Australia (A.M.C.). suzannelo@cuhk.edu.hk. 2. From Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong (S.H.S.L., J.P.C.C.); and School of Nursing, Faculty of Health, Queensland University of Technology, Australia (A.M.C.).
Abstract
BACKGROUND AND PURPOSE: Evidence shows self-management programs are associated with improved recovery outcomes. This article reports on the effectiveness of a new nurse-led self-efficacy-based stroke self-management program. METHODS: A randomized controlled trial of participants recruited from 3 acute stroke units was conducted. The intervention group received the 4-week stroke self-management program. The control group received usual care. All participants were assessed at baseline and 8 weeks after randomization. Data were analyzed using generalized estimating equations. Outcomes included self-efficacy, outcome expectation, and satisfaction with performance of self-management behaviors. RESULTS:One hundred twenty-eight participants were randomized with mean age, 67.46 years (SD, 11.95); 59% men; and mean duration poststroke, 45 days (SD, 26.16). At 8 weeks of follow-up in the intention-to-treat population, the intervention group improved significantly in self-efficacy (95% confidence interval, 2.55-12.45; P<0.01), outcome expectation (95% confidence interval, 5.47-14.01; P<0.01), and satisfaction with performance of self-management behaviors (95% confidence interval, 3.38-13.87; P<0.01) compared with the control. Similar results were obtained at 8 weeks of follow-up in the per-protocol population. CONCLUSIONS: The stroke self-management program improved survivors' self-efficacy, outcome expectation, and satisfaction with performance of self-management behaviors. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov. Unique identifier: NCT02112955.
RCT Entities:
BACKGROUND AND PURPOSE: Evidence shows self-management programs are associated with improved recovery outcomes. This article reports on the effectiveness of a new nurse-led self-efficacy-based stroke self-management program. METHODS: A randomized controlled trial of participants recruited from 3 acute stroke units was conducted. The intervention group received the 4-week stroke self-management program. The control group received usual care. All participants were assessed at baseline and 8 weeks after randomization. Data were analyzed using generalized estimating equations. Outcomes included self-efficacy, outcome expectation, and satisfaction with performance of self-management behaviors. RESULTS: One hundred twenty-eight participants were randomized with mean age, 67.46 years (SD, 11.95); 59% men; and mean duration poststroke, 45 days (SD, 26.16). At 8 weeks of follow-up in the intention-to-treat population, the intervention group improved significantly in self-efficacy (95% confidence interval, 2.55-12.45; P<0.01), outcome expectation (95% confidence interval, 5.47-14.01; P<0.01), and satisfaction with performance of self-management behaviors (95% confidence interval, 3.38-13.87; P<0.01) compared with the control. Similar results were obtained at 8 weeks of follow-up in the per-protocol population. CONCLUSIONS: The stroke self-management program improved survivors' self-efficacy, outcome expectation, and satisfaction with performance of self-management behaviors. CLINICAL TRIAL REGISTRATION: URL: http://www.clinicaltrials.gov. Unique identifier: NCT02112955.
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: Suzanne Hoi Shan Lo; Janita Pak Chun Chau; Anne Marie Chang; Kai Chow Choi; Rebecca Yee Man Wong; Jackie Cheuk Yin Kwan Journal: BMJ Open Date: 2019-05-01 Impact factor: 2.692
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Authors: Amy M Lin; Barbara G Vickrey; Frances Barry; Martin L Lee; Monica Ayala-Rivera; Eric Cheng; Ana V Montoya; Elizabeth Mojarro-Huang; Patricia Gomez; Marissa Castro; Marilyn Corrales; Theresa Sivers-Teixeira; Jamie L Tran; Renee Johnson; Chris Ediss; Betty Shaby; Phyllis Willis; Nerses Sanossian; Bijal Mehta; Tara Dutta; Ali Razmara; Robert Bryg; Shlee Song; Amytis Towfighi Journal: Stroke Date: 2020-09-11 Impact factor: 10.170