A multidisciplinary group programme in rural settings for community-dwelling chronic stroke survivors and their carers: a pilot randomized controlled trial

Abstract

This novel programme incorporating physical activity, education and social interaction proved feasible to undertake by a stroke-specific multidisciplinary team in three rural Australian settings. This programme may improve and maintain health-related quality of life and physical functioning for chronic stroke survivors and their carers and warrants further investigation.

Strategies for self-management support by patients with stroke: integrative review

“…Consonant with the actions listed, the first A (Ask) consists in understanding beliefs and values, knowledge (14)(15)(16)(17)(18) and the behaviors of the people in sanitary and motivational areas. Within the Community area, one should understand the health condition of the person and what their ability to self-monitoring.…”

“…This strategy must be supported by scientific evidence and clinical guidelines (31,(33)(34) to promote behavior change in a more extensive and permanent way. Various studies have addressed the implementation of an intervention program to improve knowledge about the illness of patients and involve them with selfmanagement (12,18,29,(35)(36)(37) .…”

“…Establish an intervention program with weekly sessions with the aim of improving the knowledge of patients and involve them in selfmanagement (12,18,29,(35)(36)(37) , including the use of educational booklets about self-management (38) *.…”

“…Another action would be referring the person and their caregivers to a group or to a course on self-management support (12,18,(27)(28)(29) , interfering so that community resources and family support the rehabilitation (36,40,(43)(44) . It is worth noting the importance of the family in this process and the creation of appropriate courses to the culture of the people (12,29,36,40) .…”

“…They are: to implement an intervention of self-monitoring patient-centered (13,45) according to their difficulties, for example, the ability to dress up (46) . Allow the patient to discover their own abilities (20,29,47) , avoiding an overprotection that impede the achievement of autonomy; presence of multi-professional teams for the care (18,20,27,29,48) ; implementation of more intensive physical rehabilitation plans, with more professional presence and encouragement to the self-management of the exercises (33,37,41,(49)(50) .…”