Navigation Links
Putting stroke patients in charge improves quality of life
Date:11/15/2011

Community rehabilitation interventions for stroke patients have not had a great track record of delivering measurable improvements. But new research from New Zealand focused on Maori and Pacific populations shows how a cheap and simple intervention that puts the patient and families in charge can make a difference to their quality of life. The study can be found in the journal Clinical Rehabilitation, which is published by SAGE.

Two interventions were trialled in this multi-center, randomized study: an inspirational DVD, and a guided 'Take Charge' session. Patients given these interventions shortly after discharge from hospital were followed up a year later, to evaluate their health-related quality of life. The Take Charge session improved patients' physical health scores on a scale of 0-100 by six points, while the DVD upped the result by one point. Those who had received a Take Charge session were also less likely to be rated with more than 'slight disability,' and their carers reported a lower degree of strain.

According to theory, when someone takes charge of their own recovery from an illness or in managing a disability, their perceived quality of life improves. Yet few community rehabilitation interventions have proven effective for those who have suffered a stroke. Most are therapy-led, or involve support workers. However, a third approach in community intervention involves handing back responsibility to the patient, and promoting their self-confidence. This is the approach used in the New Zealand intervention, known as self-directed rehabilitation.

According to the authors of this report, stroke patients of Maori and Pacific ethnicity have some of the worst outcomes, despite similar levels of activity and independence to New Zealanders of European heritage on leaving hospital. So these two groups were targeted in this study. However, the authors say that emphasis on self-directed rehabilitation has the potential to improve outcomes for stroke patients from any culture.

The patients were randomised to receive one, both, or neither of the interventions. The inspirational DVD, which subjects could watch as many times as they wanted, was about stroke and stroke recovery. It featured stories told by four Maori and Pacific people and their families. The dominant messages were the potential for positive outcomes, overcoming adversity, personal and family roles and their contribution to recovery, encouraging meaningful activity and participation for the person with stroke, and where to access resources.

The Take Charge session was an 80 minute individualised assessment with a structured risk factor and activities of daily living assessment. Designed to engage the patient and their family in the recovery process, it helped them to identify for themselves areas where they could make progress and set personal goals. This differs from what a stroke liaison worker or stroke family support worker might do, because the research assistant delivering this intervention just went through a checklist, listened and facilitated the process where the person and their family reviewed opportunities for taking charge. The results suggest that these types of intervention merit consideration for use in other populations.

"Many current interventions could be further developed to maximize opportunities for stroke people of any ethnicity to take charge," said one of the study's authors, Dr Harry McNaughton. "This may require some rethinking of goal-setting strategies and avoiding the temptation for clinicians to lead this process, and also being much more open to ideas from the person and their family."

The control group received neither of the two interventions but did receive written material about stroke for people and their families, covering diagnosis, consequences, risk factors, secondary prevention and recovery after stroke. Both interventions and the control materials were delivered by research assistants of the same ethnicity as the study participants. In total, 172 participants took part (94 identified as Maori and 78 as Pacific). Of these, 139 were available to follow up 12 months later.


'/>"/>

Contact: Jayne Fairley
jayne.fairley@sagepub.co.uk
44-207-324-8719
SAGE Publications
Source:Eurekalert

Related medicine news :

1. Many Parents Skipping Kids Shots, Putting Other Kids at Risk
2. Minority children less likely to wear a car seatbelt, putting them at greater risk of severe injury
3. Cost of heart drugs makes patients skip pills, putting themselves at risk
4. Putting the squeeze on fat cells
5. Putting the spotlight on membranous nephropathy
6. Putting focus on immediate health effects may improve weight loss success
7. Putting New Medical Guidelines Into Practice Often Difficult
8. Gov. Signs Law Putting Politics Before Patients
9. Americans Want Uncle Sams Help Putting Healthy Foods on Their Dinner Table
10. Chicago CPR: Putting Life in Your Hands
11. Low Vitamin D May Increase Stroke, Heart Attack Risk in Women
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/23/2017)... (PRWEB) , ... February 23, 2017 , ... ... outlet with a clinician-based audience, will be participating in Rare Disease Day events, ... Washington, D.C. In addition, Rare Disease Report, a website, weekly e-newsletter and quarterly ...
(Date:2/23/2017)... ... February 23, 2017 , ... Rosica Communications, a national ... marketing, social media management, corporate communications, SEO and cause marketing, is opening an ... nearby New Hampshire, Massachusetts and Canada, Rosica will focus on expanding its footprint. ...
(Date:2/23/2017)... ... February 23, 2017 , ... Pink Pig Publishing ... generations converge and explore the world from different perspectives. By providing a place ... to gain understanding, increase empathy, and find greater happiness. , "Our approach ...
(Date:2/23/2017)... ... 2017 , ... The Center for Autism and Related Disorders ... Research and Treatment (RI-CART) and Cinemaworld to present Sensory Friendly Films. The events ... films in an environment that accommodates their unique needs. , Launched in January, ...
(Date:2/23/2017)... ... 2017 , ... Curemark, LLC announced today that the Blüm Study, a Phase ... 3-8 with Autism, is now enrolling at three new sites. These new sites are ... , “There are currently no approved drugs that address the core symptoms of ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... , Feb 23, 2017 Research and Markets ... & Trends - Industry Forecast to 2025" report to their ... The ... around 6.9% over the next decade to reach approximately $47.6 billion ... estimates and forecasts for all the given segments on global as ...
(Date:2/23/2017)... February 23, 2017 The fast-growing cannabis ... the United States . According to the 2017 Legal ... is expected to create 283,422 jobs by 2020, with an ... the next four years. The accelerating pace of cannabis legalization ... of legal cannabis market, which will further create more business ...
(Date:2/23/2017)... , February 23, 2017 ... on the global market for intraoperative imaging, excerpts ... valued at US$ 513.9 million. According to the ... surging on the grounds of increasing adoption of ... field of diagnostic imaging for neurosurgeries. The world,s ...
Breaking Medicine Technology: