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:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of ... recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at Work ... Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses ...
(Date:6/24/2016)... ... 2016 , ... June 19, 2016 is World Sickle Cell Observance Day. In ... benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued ... Sickle Cell Disease (SCD) is a disorder of the red blood cells, which can ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda ... orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including ... accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB Medicine presented its first-ever ... Medicine conference in Ponte Vedra Beach, FL. The awards honor the outstanding work ... Practice and Pediatric Emergency Medicine Practice. , “With this award, we recognize ...
(Date:6/24/2016)... ... ... National recruitment firm Slone Partners is pleased to announce the ... as Vice President of North American Capital Sales at HTG Molecular . ... team in the commercialization of the HTG EdgeSeq system and associated reagents in North ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 ... Tomorrow,s Leaders Scholarship is any indication, the future is ... online at www.diabetesscholars.org by the Diabetes Scholars ... in the way of academic and community service excellence. ... program since 2012, and continues to advocate for people ...
(Date:6/23/2016)... , June 23, 2016 ... "Surgical Procedure Volumes: Global Analysis (United States, China, ... Canada)" report to their offering. ... essential tool for healthcare business planners, provides surgical procedure ... at surgery trends with an in-depth analysis of growth ...
(Date:6/23/2016)... YORK , June 23, 2016  Delcath Systems, ... and medical device company focused on treatment of primary ... website for European patient education - www.againsttheodds.eu ... Biannual Digital Health Awards. ... resource for European patients and their families who are ...
Breaking Medicine Technology: