Taking charge after stroke: promoting self-directed rehabilitation to improve quality of life – a randomized controlled trial

Harwood, Matire; Weatherall, Mark; Talemaitoga, Api; Barber, P. Alan; Gommans, John; Taylor, William J.; McPherson, Kathryn; McNaughton, Harry

doi:10.1177/0269215511426017

Cited by 68 publications

(115 citation statements)

References 19 publications

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111

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“…Among the actions consolidated (2) , we can observe a reaffirmation of those undertaken previously, such as identification of barriers to achieving goals (13,40) , discussion of the care plan (40) , and review of progress according to the goals established (13) , revising the plan to suit the real needs of the patient to each monitoring meeting. We highlight the study that pointed out the importance of the Nursing Process in the rehabilitation of the patient who have had a stroke and the use of the Orems' theory, which works the self-management of individuals (44) .…”

Section: Continuationmentioning

confidence: 87%

“…The care planning or specific goals must be constructed in this stage (12)(13)19,(26)(27)39) . This action must be performed and shared between professionals, patients, family and friends (40)(41) . Another important aspect is the determination of the patient's self-efficacy to reach the proposed goal (32,39) .…”

Section: Discussionmentioning

confidence: 99%

“…Discuss with the person the plan of self-management (40) . Elaboration of the Nursing process in rehabilitation after a stroke according to Orem's theory (44) .…”

Section: A's Methods Assistmentioning

confidence: 99%

“…Identify together with the person possible existing resources in the family and in the community that can support the selfmanagement (36,40,(43)(44) .…”

Section: A's Methods Assistmentioning

confidence: 99%

“…Encourage the patient and family to monitor their progress and the need for changes in the plan of self-management (13,32,40) *.…”

Section: Arrangementioning

confidence: 99%

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

Morais

Gonzaga

Aquino

et al. 2015

Rev. esc. enferm. USP

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Objective:To analyze strategies for self-management support by patients with stroke in the light of the methodology of the five A's (ask, advice, assess, assist and arrange). Methods: Integrative review conducted at the following databases CINAHL, SCOPUS, PubMed, Cochrane and LILACS. Results: A total of 43 studies published between 2000 and 2013 comprised the study sample. All proposed actions in the five A's methodology and others were included. We highlight the Assist and Arrange, in which we added actions, especially with regard to the use of technological resources and joint monitoring between patients, families and professionals. No study included all five A's, which suggests that the actions of supported self-management are developed in a fragmented way. Conclusion: The use of five A's strategy provides guidelines for better management of patients with stroke with lower cost and higher effectiveness.

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Section: Continuationmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

“…Discuss with the person the plan of self-management (40) . Elaboration of the Nursing process in rehabilitation after a stroke according to Orem's theory (44) .…”

Section: A's Methods Assistmentioning

confidence: 99%

“…Identify together with the person possible existing resources in the family and in the community that can support the selfmanagement (36,40,(43)(44) .…”

Section: A's Methods Assistmentioning

confidence: 99%

“…Encourage the patient and family to monitor their progress and the need for changes in the plan of self-management (13,32,40) *.…”

Section: Arrangementioning

confidence: 99%

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

Morais

Gonzaga

Aquino

et al. 2015

Rev. esc. enferm. USP

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Information provision for stroke patients and their caregivers

Förster

Brown

Smith

et al. 2012

Cochrane Database of Systematic Reviews

229

217

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Information provision for stroke survivors and their carers

Crocker

Brown

Lam

et al. 2021

Cochrane Database of Systematic Reviews

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Background The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year.Methods For this analysis, we constructed burden-weighted dose-response relative risk curves across 22 health outcomes to estimate the theoretical minimum risk exposure level (TMREL) and non-drinker equivalence (NDE), the consumption level at which the health risk is equivalent to that of a non-drinker, using disease rates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020 for 21 regions, including 204 countries and territories, by 5-year age group, sex, and year for individuals aged 15-95 years and older from 1990 to 2020. Based on the NDE, we quantified the population consuming harmful amounts of alcohol. Findings The burden-weighted relative risk curves for alcohol use varied by region and age. Among individuals aged 15-39 years in 2020, the TMREL varied between 0 (95% uncertainty interval 0-0) and 0•603 (0•400-1•00) standard drinks per day, and the NDE varied between 0•002 (0-0) and 1•75 (0•698-4•30) standard drinks per day. Among individuals aged 40 years and older, the burden-weighted relative risk curve was J-shaped for all regions, with a 2020 TMREL that ranged from 0•114 (0-0•403) to 1•87 (0•500-3•30) standard drinks per day and an NDE that ranged between 0•193 (0-0•900) and 6•94 (3•40-8•30) standard drinks per day. Among individuals consuming harmful amounts of alcohol in 2020, 59•1% (54•3-65•4) were aged 15-39 years and 76•9% (73•0-81•3) were male. Interpretation There is strong evidence to support recommendations on alcohol consumption varying by age and location. Stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial global health loss attributable to alcohol. Funding Bill & Melinda Gates Foundation.

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Taking charge after stroke: promoting self-directed rehabilitation to improve quality of life – a randomized controlled trial

Abstract: A simple, low-cost intervention in the community phase of stroke recovery aiming to promote self-directed rehabilitation improved outcomes.

Cited by 68 publications

References 19 publications

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

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

Information provision for stroke patients and their caregivers

Information provision for stroke survivors and their carers

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