Article

OBJECTIVE: To investigate whether the self-management intervention was
implemented as intended. Additionally, we studied involvement in and satisfaction
with the intervention among patients, their partners and therapists. DESIGN:
Mixed method, prospective study. SETTING: Outpatient facilities of
hospitals/rehabilitation centres. PARTICIPANTS:
Stroke patients, their partners
and therapists from the experimental arm of the Restore4Stroke Self-Management
study. INTERVENTION:
'Plan Ahead!' is a 10-week self-management intervention for
stroke patients and partners, consisting of seven two-hour group sessions.
Proactive action planning, education and peer support are main elements of this
intervention. MAIN MEASURES: Session logs, questionnaires for therapists,
patients and their partners, and focus groups. DATA ANALYSIS: Qualitative data
were analysed with thematic analysis supplemented by quasi-statistics.
Quantitative data were reported as descriptive statistics.
RESULTS: The study
sample consisted of 53 patients and 26 partners taking part in the intervention,
and all therapists delivering the intervention (N = 19). At least three-quarters
of the intervention sessions were attended by 33 patients and 24 partners. On a
scale from 1 to 10, patients, partners and therapists rated the intervention with
mean scores of 7.5 (SD1.6), 7.8 (SD.7) and 7.4 (SD.7), respectively. Peer support
was the most frequently appreciated element for participants and therapists. The
proactive action planning tool was adequately applied in 76 of the 96 sessions.
CONCLUSION: Although the target audience was reached and both participants and
therapists were satisfied with the intervention, the proactive action planning
tool that distinguishes the current intervention from existing stroke-specific
self-management interventions was only partly implemented according to protocol.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS