A Self-efficacy Enhancing Stroke Self-management Program for Community-dwelling Stroke Survivors

Study Overview
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Brief Summary
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The aim of this study is to examine the effectiveness of a nurse-led self-efficacy enhancing stroke self-management program on recovery of community-dwelling stroke survivors.

Detailed Description
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Previous systematic reviews showed that theory-based stroke self-management programs had potential benefits in improving stroke survivors' quality of life and self-efficacy. However there is a lack of evidence evaluating the effectiveness of a nurse-led theory-based stroke self-management program among community-dwelling Chinese stroke survivors. This is a parallel group, single-blinded, randomized controlled trial to be held in a community center. All participants will be assessed at two time-points (baseline before randomization, and one month after program completion). Eligible participants will be randomly allocated to either the control group (receiving usual care) or the intervention group (receiving the self-efficacy enhancing stroke self-management program). Participants in the intervention group will receive an additional assessment on usefulness of the program immediately after program completion.

Official Title
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A Randomized Controlled Trial of the Effectiveness of a Nurse-led Self-efficacy Enhancing Stroke Self-management Program for Community-dwelling Stroke Survivors

Conditions
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Stroke

Intervention / Treatment
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* Behavioral: Stroke self-management program
* Behavioral: Usual care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged 18 years or above have a clinical diagnosis of stroke currently live at home or will be discharged from hospital to home within one week have a Mini Mental State Examination score >18 speak Cantonese capable of giving informed consent can attend sessions of the self-efficacy enhancing stroke self-management program can use a phone Exclusion Criteria: diagnosed with transient ischemic attack, subdural or epidural hemorrhage have cerebrovascular events due to presence of malignancy or head trauma have limited comprehension and receptive aphasia have been diagnosed with schizophrenia, bipolar disorder, or dementia have received a stroke self-management program in the past 12 months as reported by the participants

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Stroke self-management program<br>The program is aimed at enhancing community-dwelling stroke survivors' post-stroke recovery. | Behavioral: Stroke self-management program<br>* A nurse-led community-based self-efficacy enhancing stroke self-management program.<br>Behavioral: Usual care<br>* Usual care such as hospital-based or community-based health education or services.<br>|
| Active Comparator: Usual care<br>Usual care provided to stroke survivors discharged to their home. | Behavioral: Usual care<br>* Usual care such as hospital-based or community-based health education or services.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Self-efficacy in performing stroke self-management behaviors | Stroke Self-Efficacy Questionnaire | One month after the program | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stroke self-management behaviors | Stroke Self-management Behaviors Performance Scale | One month after the program | 
| Health-related quality of life | Stroke Specific Quality of Life Scale | One month after the program | 
| Depressive symptoms | Geriatric Depression Scale | One month after the program | 
| Community reintegration | Reintegration to Normal Living Index | One month after the program | 
| Outcome expectation | Stroke Self-management Outcome Expectation Scale | One month after the program | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stroke, Disease management, Self efficacy, Quality of life, Community integration