Article

OBJECTIVE: To investigate the effectiveness of a self-management intervention
aimed at proactive coping for stroke patients and partners, compared with an
education intervention.
PARTICIPANTS: The study included 113 stroke patients (mean age 57.0 years
(standard deviation (SD) 9.0), mean 18.8 months after stroke (SD 28.4)) and 57
partners (mean age 59.2 years (SD 8.3)). METHODS: Participants were randomized to
a self-management intervention, or an education intervention, both 10 weeks'
duration, outpatient, stroke-specific, and group-based. Main patient inclusion
criteria were symptomatic stroke (>/= 6 weeks previously) and reporting >/= 2
restrictions on the Restriction subscale of the Utrecht Scale for Evaluation of
Rehabilitation Participation. Measurements were performed immediately after
intervention, and at 3 and 9 months follow-up. Primary patient and partner
outcomes were proactive coping and participation restrictions. Analyses were
based on linear mixed modelling. RESULTS: A significant effect was found only in
partners' increased proactive coping at T2 (compared with education
intervention). Beneficial trends were found for the self-manage-ment intervention
in partners' self-efficacy and patients' health-related quality of life, mood
complaints and participation restriction. CONCLUSION:
Little convincing evidence
was found favouring our self-management intervention over the education
intervention; therefore, the self-management intervention should not be
implemented yet in clinical practice. Further research is needed to explore beneficial trends.

Langue : ANGLAIS