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

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Behavioral: Stroke self-management program; Behavioral: Usual care

• Registration Number: NCT02112955
• Lead Sponsor: Queensland University of Technology

Brief Summary

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

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.

Study Timeline

• Study First Submitted: 2014-04-09
• Study First Submitted QC: 2014-04-09
• Study First Posted: 2014-04-14
• Study Start: 2014-05
• Primary Completion: 2016-01
• Study Completion: 2016-05
• Status Verified: 2016-11
• Last Update Submitted: 2016-11-07
• Last Update Posted: 2016-11-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 128

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Stroke self-management program	Stroke self-management program	The program is aimed at enhancing community-dwelling stroke survivors' post-stroke recovery.
Stroke self-management program	Usual care	The program is aimed at enhancing community-dwelling stroke survivors' post-stroke recovery.
Usual care	Usual care	Usual care provided to stroke survivors discharged to their home.

Primary Outcome Measures

Name	Time	Method
Self-efficacy in performing stroke self-management behaviors	One month after the program	Stroke Self-Efficacy Questionnaire

Secondary Outcome Measures

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

Trial Locations

Locations (3)

Acute public hospital 3; 🇭🇰 New Territories, Hong Kong

Acute public hospital 2; 🇭🇰 New Territories, Hong Kong

Acute public hospital 1; 🇭🇰 Kowloon, Hong Kong