Stroke self-management: a focus group study to identify the factors influencing self-management following stroke.
MetadataShow full item record
BACKGROUND: Self-management refers to the strategies, decisions and activities individuals take to manage a long-term health condition. Self-management has potential importance for reducing both the personal and health service impact of illness. Stroke represents a significant health and social burden, however there is a lack of clarity about the factors that support successful self-management following stroke. OBJECTIVE: This study sought to investigate the factors which facilitate or hinder stroke self-management from the patients' perspective. DESIGN: Nested qualitative exploratory phase within a mixed-methods paradigm. Data were analysed thematically using Analytic Induction to guide development of themes. SETTING: Participants had experienced a stroke and were recruited from rural and urban community stroke support groups based in the South of England. METHOD: Five focus groups (n=28) using a semi-structured interview guide were conducted. Interviews were digitally recorded and transcribed. FINDINGS: The term 'self-management' was unfamiliar to participants. On further exploration, participants described how self-management activities were helped or hindered. Self-management was viewed as an important, unavoidable feature of life after stroke. Three key themes identified from the data affect stroke self-management: Individual capacity; support for self-management and self-management environment. People following stroke reported feeling ill-prepared to self-manage. The self-management support needs of patients following stroke are currently often unmet. CONCLUSION: Successful stroke self-management consists of features which may be modifiable at the individual level, in addition to the presence of external support and an environment which supports and facilitates people following stroke to self-manage. These findings extend current conceptualisations of stroke self-management.
Place of Publication
The following license files are associated with this item:
Showing items related by title, author, creator and subject.
Standing Practice In Rehabilitation Early after Stroke (SPIRES): a functional standing frame programme (prolonged standing and repeated sit to stand) to improve function and quality of life and reduce neuromuscular impairment in people with severe sub-acute stroke-a protocol for a feasibility randomised controlled trial. Logan, A; Freeman, J; Kent, B; Pooler, J; Creanor, S; Vickery, J; Enki, D; Barton, A; Marsden, JBackground: The most common physical deficit caused by a stroke is muscle weakness which limits a person's mobility. Mobility encompasses activities necessary for daily functioning: getting in and out bed, on/off toilet, ...
Assessing the impact of upper limb disability following stroke: a qualitative enquiry using internet-based personal accounts of stroke survivors Poltawski, L; Allison, R; Briscoe, S; Freeman, J; Kilbride, C; Neal, D; Turton, AJ; Dean, S (2016-05-07)
Foot and ankle impairments affect balance and mobility in stroke (FAiMiS): the views and experiences of people with stroke. Gorst, T; Lyddon, A; Marsden, J; Paton, J; Morrison, SC; Cramp, M; Freeman, J (England, 2016)PURPOSE: To explore the nature and impact of foot and ankle impairments on mobility and balance in community-dwelling, chronic stroke survivors. METHODS: A qualitative research design using face to face semi-structured, ...