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Development of a Chronic Disease Management Program for Stroke Survivors Using Intervention Mapping
- Source :
- Archives of Physical Medicine and Rehabilitation. 98:1195-1202
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Objective To describe the systematic development of the Stroke Coach, a theory- and evidence-based intervention to improve control of lifestyle behavior risk factors in patients with stroke. Design Intervention development. Setting Community. Participants Individuals who have had a stroke. Interventions We used intervention mapping to guide the development of the Stroke Coach. Intervention mapping is a systematic process used for intervention development and composed of steps that progress from the integration of theory and evidence to the organization of realistic strategies to facilitate the development of a practical intervention supported by empirical evidence. Social cognitive theory was the underlying premise for behavior change, whereas control theory methods were directed toward sustaining the changes to ensure long-term health benefits. Practical evidence-based strategies were linked to behavioral determinants to improve stroke risk factor control. Main Outcome Measures Not applicable. Results The Stroke Coach is a patient-centered, community-based, telehealth intervention to promote healthy lifestyles after stroke. Over 6 months, participants receive seven 30- to 60-minute telephone sessions with a lifestyle coach who provides education, facilitates motivation for lifestyle modification, and empowers participants to self-management their stroke risk factors. Participants also receive a self-management manual and a self-monitoring kit. Conclusions Through the use of intervention mapping, we developed a theoretically sound and evidence-grounded intervention to improve risk factor control in patients with stroke. If empirical evaluation of the Stroke Coach produces positive results, the next step will be to develop an implementation intervention to ensure successful uptake and delivery of the program in community and outpatient settings.
- Subjects :
- medicine.medical_specialty
business.industry
Rehabilitation
Behavior change
Psychological intervention
Physical Therapy, Sports Therapy and Rehabilitation
Telehealth
medicine.disease
03 medical and health sciences
Intervention mapping
0302 clinical medicine
Physical medicine and rehabilitation
Health promotion
Intervention (counseling)
Physical therapy
Medicine
030212 general & internal medicine
business
Stroke
030217 neurology & neurosurgery
Social cognitive theory
Subjects
Details
- ISSN :
- 00039993
- Volume :
- 98
- Database :
- OpenAIRE
- Journal :
- Archives of Physical Medicine and Rehabilitation
- Accession number :
- edsair.doi...........7ac5b8034610f6ca9a9c953b607ae9e5