Key result
Six-week educational intervention standardizes early self-management support for post-acute stroke survivors.
Why the study?
Self-management is recommended in stroke rehabilitation, prompting this report to describe the timing, contents, and delivery setting of a patient-centered self-management program for stroke survivors in the early hospital rehabilitation phase.
Does the Look After Yourself (LAY) self-management educational intervention improve self-efficacy, mental health, and activities of daily living in post-acute stroke survivors during early hospital rehabilitation?
Does the Look After Yourself (LAY) self-management educational intervention improve self-efficacy, mental health, and activities of daily living in post-acute stroke survivors during early hospital rehabilitation?
Answers are grounded in this paper and cite their sources.
This paper provides a standardized TIDieR-guided framework for the first Italian structured self-management program (LAY) tailored to post-acute stroke survivors to facilitate the transition from hospital rehabilitation to the community.
OBJECTIVE: Self-management is recommended in stroke rehabilitation. This report aims to describe timing, contents, and setting of delivery of a patient-centered, self-management program for stroke survivors in their early hospital rehabilitation phase: the Look After Yourself (LAY) intervention. METHODS: After extensive literature search, the LAY intervention was developed by integrating the Chronic Disease Self-Management Program, based on the self-efficacy construct of social cognitive theory, with evidence-based key elements and input from stroke survivors. RESULTS: the LAY intervention aims to implement self-management skills in stroke survivors, enabling them to be active in goal setting and problem solving using action plans and to facilitate the critical transition from hospital to community. It includes both group sessions to facilitate sharing of experiences, social comparison, vicarious learning, and increase motivation and one-to-one sessions focused on setting feasible action plans and on teaching personalized strategies to prevent falls. Standardization is ensured by manuals for facilitators and patients. CONCLUSION: The LAY intervention is the first Italian program to support early self-management in stroke rehabilitation; it has been experimented and its efficacy proven in improving self-efficacy, mental health, and activities of daily living, and detailed results have been published. The LAY intervention is described according to the TIDieR checklist.
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Fugazzaro et al. (2021) studied Post-acute stroke in early hospital rehabilitation (n=185). Look After Yourself (LAY) self-management educational intervention vs. Control rehabilitation center without the LAY intervention was evaluated on Self-efficacy, mental health, and activities of daily living. The Look After Yourself (LAY) educational intervention consists of 6 group and 2 individual sessions delivered over 6 weeks to support early self-management in post-acute stroke survivors.
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