1. Self-management in stroke survivors: Development and implementation of the look after yourself (lay) intervention
- Author
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Stefania Fugazzaro, Monica Denti, Monia Allisen Accogli, Stefania Costi, Donatella Pagliacci, Simona Calugi, Enrica Cavalli, Mariangela Taricco, Roberta Bardelli, and on behalf of Look After Yourself Project
- Subjects
Stroke rehabilitation ,self-management ,Activities of daily living ,Health, Toxicology and Mutagenesis ,medicine.medical_treatment ,Chronic disease ,Patient education ,Self-efficacy ,Self-management ,Activities of Daily Living ,Humans ,Survivors ,Self-Management ,Stroke ,Stroke Rehabilitation ,patient education ,03 medical and health sciences ,Study Protocol ,0302 clinical medicine ,Nursing ,Intervention (counseling) ,medicine ,030212 general & internal medicine ,Goal setting ,stroke rehabilitation ,Rehabilitation ,Public Health, Environmental and Occupational Health ,Medicine ,Psychology ,self-efficacy ,chronic disease ,030217 neurology & neurosurgery ,Social cognitive theory - Abstract
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.
- Published
- 2021