Abstract 59: The Efficacy of a Patient-Centered Self-Management Empowerment Intervention Program for First-Time Stroke Survivors: A Longitudinal Study

Abstract

Keywords: Patient-centered; Self-management; Empowerment; Stroke Purpose: To evaluate the efficacy of a patient-centered self-management empowerment intervention (PCSMEI) program for first-time stroke survivors on self-management behaviors, stroke related depression and quality of life. Methods: One hundred and forty-four first-time stroke survivors were recruited from a comprehensive hospital in China. Patients were randomly allocated into control group (CG: n=72) and intervention group (IG: n=72) after baseline measurement. The intervention group received patient-centered self-management empowerment intervention (PCSMEI) and the control group received a routine care. The data of self-management behaviors, stroke related depression and quality of life were collected at baseline (T0), on discharge (T1), one month post-discharge (T2) and three months post-discharge (T3). Descriptive and Generalized Estimating Equations Modelling (GEE) analyses were conducted to estimate the intervention effect over time. Findings: One hundred and twenty-six participants finished the study (IG: n=64; CG: n=62). Significant improvement in self-management behaviors in the intervention group were observed in stretching or strengthening at T2 and T3; cognitive symptom management at T1, T2 and T3. The depression level was lower in IG than that in CG at T1, T2 and T3. Significant difference in quality of life between the two groups were shown in Physical Component Summary (PCS) at T3 and in Mental Component Summary (MCS) at T2 and T3. Conclusions: The patient-centered self-management empowerment intervention program appears to be an effective and well-received solution to improve first-time stroke patients’ self-management behaviors, stroke related depression and quality of life. Clinical Relevance: This program may be effective for first-time stroke patients.