AUTHOR=Chen Yu , Wei Yuanyuan , Lang Hongjuan , Xiao Ting , Hua Yan , Li Lu , Wang Jing , Guo Hongxia , Ni Chunping 

TITLE=Effects of a Goal-Oriented Intervention on Self-Management Behaviors and Self-Perceived Burden After Acute Stroke: A Randomized Controlled Trial

JOURNAL=Frontiers in Neurology

VOLUME=12

YEAR=2021

URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2021.650138

DOI=10.3389/fneur.2021.650138

ISSN=1664-2295

ABSTRACT=<p><bold>Background:</bold> Stroke generates significant health and social burdens. Self-management has potential importance for supporting individuals in coping and continuing to progress after stroke. However, there is a lack of targeted programs to enhance self-management and reduce self-perceived burden (SPB) following stroke.</p><p><bold>Purpose:</bold> To evaluate the effects of a goal-oriented intervention on self-management behaviors and SPB among patients after acute stroke.</p><p><bold>Methods:</bold> This was a randomized controlled trial with a 4-weeks intervention. Participants were randomly allocated to the intervention (<italic>n</italic> = 48) or control group (<italic>n</italic> = 48). The intervention and control groups received eight sessions of goal-oriented self-management intervention based on Pender's health promotion model and control care, respectively. Self-management behaviors and SPB were evaluated and compared between the two groups.</p><p><bold>Results:</bold> After the 1-month follow-up, there were significant differences in the total self-management behaviors score and the scores of six of the self-management dimensions, excluding diet management, between the intervention group and the control group (<italic>t</italic> = −7.891– −2.815; <italic>p</italic> ≤ 0.006). Compared to the control group, the intervention group showed a significant decrease in the physical burden, emotional burden, and total SPB scores (<italic>t</italic> = 2.102–2.071; <italic>p</italic> = 0.015–0.041). The economic burden score was not significantly different between the two groups (<italic>t</italic> = 1.707; <italic>p</italic> = 0.091).</p><p><bold>Conclusion:</bold> The goal-oriented intervention based on Pender's health promotion model can effectively improve self-management behaviors and reduce physical and emotional SPB among stroke survivors.</p>