Key result
A 2-week self-management education program significantly improved self-efficacy, self-esteem, and health behaviors in stroke patients at 1 month post-intervention compared to routine health education.
Why the study?
Self-management has become critical in stroke rehabilitation, but the impact of a 2-week stroke self-management program on self-efficacy, self-esteem, and health behaviors needed examination.
Does a 2-week stroke self-management program improve self-efficacy, self-esteem, and health behaviors in patients with stroke?
RCT (n=116)
Single-blind (investigators blinded to patient allocation)
Randomly assigned using sequentially sequenced identifiers in opaque envelopes
No
Does a 2-week stroke self-management program improve self-efficacy, self-esteem, and health behaviors in patients with stroke?
Absolute Event Rate: 53.39% vs 48.94%
p-value: p=0.02
A 2-week self-management education program significantly improves self-efficacy, self-esteem, and health behaviors in patients recovering from stroke.
May support short self-management programs in stroke recovery; leaves open need for RCTs to confirm effects.
The concept of self-management has become one of the most critical concepts in stroke rehabilitation. This study examined the impact of a 2-week stroke self-management program on the self-efficacy, self-esteem, and health behaviors of stroke patients. This retrospective study was conducted from January 2022 to October 2022 with 116 patients who had been admitted to the hospital with a stroke diagnosis after admission to the hospital. This study had 4 primary outcomes: self-efficacy, self-esteem, and health behaviors. Each of those outcomes was assessed at baseline, postintervention, and 1 month postintervention. Fifty-one participants were enrolled in the intervention group and 49 participants were enrolled in the control group. According to the baseline data, there was no significant difference between the 2 groups regarding demographics, clinical characteristics, self-efficacy, self-esteem, and health behaviors of participants (P > .05). Moreover, the difference between the mean scores of self-efficacy, self-esteem, and health behaviors between the 3 measurement time points was not significant (P > .05) in the control group, but there were considerable differences between the mean scores of all 3 factors in the intervention group (P < .05). A significant difference was observed between the groups in terms of self-efficacy, self-esteem, and health behaviors after the educational program (P < .05). Patients with stroke can significantly improve their self-efficacy, self-esteem, and health behaviors as a result of self-management education.
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Li et al. (2025) conducted an RCT in Stroke (n=116). Self-management education program vs. Routine health education was evaluated on Self-efficacy score at 1 month post-intervention (p=0.02). A 2-week self-management education program significantly improved self-efficacy, self-esteem, and health behaviors in stroke patients at 1 month post-intervention compared to routine health education.
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