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Implementation of a stroke self-management program: A randomized controlled pilot study of veterans with stroke
Teresa M Damush1, Susan Ofner, Zhangsheng Yu
1HSRD COE, Regenstrief Institute, Inc., IU Center for Aging Research, VA Stroke QUERI Center and Indiana University School of Medicine, Indianapolis, IN USA ; VA Stroke QUERI Center, Roudebush VAMC, 1481 W 10th St, HSRD 11H, Indianapolis, IN 46202 USA ; Neurology, VA Stroke QUERI Center and Indiana University, Indianapolis, IN USA.
This pilot study shows a stroke self-management program is feasible for recent survivors. The program improved patient self-efficacy and behaviors for secondary stroke prevention.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Public Health
Background:
- Secondary stroke prevention is crucial but lacks systematic programs.
- Stroke self-management programs can address this gap.
- Existing guidelines emphasize secondary prevention, yet implementation is inconsistent.
Purpose of the Study:
- To develop and pilot test a stroke self-management program.
- To assess the feasibility and preliminary efficacy of the program.
- To improve self-efficacy and risk factor management in stroke survivors.
Main Methods:
- A randomized controlled trial was conducted at two Veterans Administration hospitals.
- 63 ischemic stroke patients were randomized to a 12-week self-management program or an attention-control group.
- Outcomes were assessed at baseline, 3, and 6 months using intention-to-treat analysis.
Main Results:
- Trends indicated group differences in self-efficacy for physician communication and aerobic exercise.
- Improvements were observed in stroke-specific quality of life dimensions.
- The program demonstrated feasibility in a healthcare setting.
Conclusions:
- The stroke self-management program is feasible for recent survivors.
- The program shows potential for improving self-efficacy and self-management behaviors.
- Further research is warranted to confirm efficacy in secondary stroke prevention.
