Back to Search
Start Over
Stroke self-management and the role of self-efficacy.
- Source :
- Disability & Rehabilitation; May2021, Vol. 43 Issue 10, p1410-1419, 10p
- Publication Year :
- 2021
-
Abstract
- This study explored the impact of a 12-week stroke self-management program on occupational performance, the role of self-efficacy on improving occupational performance and the potential barriers and facilitators to self-efficacy as reported by clients and careers. Participants (n = 40) were recruited to participate in a self-management program after admission to hospital with diagnosis of stroke. A pre-post study was conducted and data were obtained from participants using: the Canadian Occupational Performance Measure, Stroke Self-efficacy Questionnaire, and semi-structured interviews with five participants and two careers. Data analysis was conducted using parametric statistics and thematic analysis. Significant improvements were observed in occupational performance (t = 11.2; p = 0.001) and satisfaction (t = 9.7; p = 0.001). Self-efficacy was shown to be a significant mediator to improvements in occupational performance (F = 7.08; p < 0.01) and satisfaction (F = 6.52; p = 0.02). Three key barriers and facilitators emerged from the thematic analysis: "Support in making the transition home," "Getting back to normal," and "Reflecting on shared experiences." Engagement in a stroke-specific self-management program can improve client-perceived occupational performance and satisfaction. Self-efficacy was shown to be a mediating variable to occupational performance improvements. Future research should explore further the facilitatory strategies of self-efficacy during stroke self-management programs to maximize rehabilitation outcomes. Multi-modal self-management programs are recommended as effective for improving client-perceived occupational performance of people who have experienced stroke. Returning to valued occupations, goal setting, shared experiences, and local support are recommended components of a self-management program for stroke survivors. Focusing on enhancing client confidence, competence, and self-efficacy is recommended to achieve occupational performance gains through self-management. Occupational therapy coaching is recommended to guide participants through the self-management processes of goal-setting, shared problem-solving, performance evaluation, and reflection. [ABSTRACT FROM AUTHOR]
- Subjects :
- STROKE prevention
CAREGIVER attitudes
MATHEMATICAL statistics
PARAMETERS (Statistics)
ANALYSIS of variance
RESEARCH methodology
INTERVIEWING
SATISFACTION
SELF-efficacy
PATIENTS' attitudes
PRE-tests & post-tests
DESCRIPTIVE statistics
RESEARCH funding
QUESTIONNAIRES
JOB performance
THEMATIC analysis
DATA analysis software
HEALTH self-care
REFLECTION (Philosophy)
Subjects
Details
- Language :
- English
- ISSN :
- 09638288
- Volume :
- 43
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Disability & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 150283595
- Full Text :
- https://doi.org/10.1080/09638288.2019.1666431