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Self-management: challenges for allied healthcare professionals in stroke rehabilitation - a focus group study

Self-management: challenges for allied healthcare professionals in stroke rehabilitation - a focus group study

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Purpose: Self-management has become an important concept in stroke rehabilitation. This study explored allied healthcare professionals' (AHPs) perceptions and beliefs regarding the self-management of stroke survivors and their knowledge and skills regarding stroke self-management interventions. Method: Four focus group interviews were conducted with 27 professionals. Verbal questions and mind mapping were used to collect data. A constant comparative framework was used for analysis. Results: The AHPs discussed different levels of post-stroke self-management, depending on factors such as pre-stroke skills, recovery-phases post-stroke and cognitive abilities of the stroke patients. They hesitated about stroke clients' capacities to self-manage. AHPs questioned whether their own attitudes and skills were really supportive for stroke clients' self-management and criticised stroke services as being too medically oriented. They recommended that self-management programmes should focus both on clients and caregivers and be delivered at peoples' homes. Conclusion: Professional perceptions and beliefs are important factors to take into account when implementing stroke self-management programmes. Before professionals can enable stroke survivors to self-manage, they first need support in acquiring knowledge and skills regarding post-stroke self-management. Moreover, professionals could benefit from behavioural change models, and professionals recognised that stroke self-management interventions would be most beneficial when delivered post-discharge at people's homes.

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OrganisatieHAN University of Applied Sciences
AfdelingAcademie Paramedische Studies
Lectoraten
LectoraatNeurorevalidatie
Gepubliceerd inDisability and Rehabilitation Taylor & Francis, Vol. 37, Pagina's: 1745-1752
Jaar2015
TypeArtikel
DOI10.3109/09638288.2014.976717
TaalOnbekend

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