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The Pre-Adaptation of a Stroke-Specific Self-Management Program Among Older Adults.
- Source :
-
Journal of Aging & Health . Oct2023, Vol. 35 Issue 9, p632-642. 11p. - Publication Year :
- 2023
-
Abstract
- Objectives: Managing multimorbidity as aging stroke patients is complex; standard self-management programs necessitate adaptations. We used visual analytics to examine complex relationships among aging stroke survivors' comorbidities. These findings informed pre-adaptation of a component of the Chronic Disease Self-Management Program. Methods: Secondary analysis of 2013–2014 Medicare claims with stroke as an index condition, hospital readmission within 90 days (n = 42,938), and 72 comorbidities. Visual analytics identified patient subgroups and co-occurring comorbidities. Guided by the framework for reporting adaptations and modifications to evidence-based interventions, an interdisciplinary team developed vignettes that highlighted multimorbidity to customize the self-management program. Results: There were five significant subgroups (z = 6.19, p <.001) of comorbidities such as obesity and cancer. We constructed 6 vignettes based on the 5 subgroups. Discussion: Aging stroke patients often face substantial disease-management hurdles. We used visual analytics to inform pre-adaptation of a self-management program to fit the needs of older adult stroke survivors. [ABSTRACT FROM AUTHOR]
- Subjects :
- *OBESITY risk factors
*TUMOR risk factors
*EVALUATION of human services programs
*PROBLEM solving
*CHRONIC diseases
*SELF-management (Psychology)
*INFORMATION display systems
*PATIENT readmissions
*HEALTH outcome assessment
*STROKE patients
*AGING
*DESCRIPTIVE statistics
*DECISION making
*RESEARCH funding
*PSYCHOLOGICAL adaptation
*DATA analysis software
*PATIENT education
*COMORBIDITY
*SECONDARY analysis
*MEDICARE
*OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 08982643
- Volume :
- 35
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Journal of Aging & Health
- Publication Type :
- Academic Journal
- Accession number :
- 171388629
- Full Text :
- https://doi.org/10.1177/08982643231152520