http://informahealthcare.com/doi/abs/10.3109/09638288.2012.691938
Purpose: To discuss current research
and issues which contribute towards the debate on the direction of
self-management programmes for individuals after stroke and make
recommendations for future research. Method: This paper includes a
critical discussion on self-management specifically applied to stroke.
The findings are positioned in the context of the wider stroke
literature and debates on the suitability of different programmes. Results:
Three main areas of concern and potential opportunities were identified
which contribute to the debate on self-management; the “individual
stroke survivor”; “professional models and practice” and “organizational
context”. Conclusion: The body of literature on self-management
programmes for people with stroke is relatively new and although
research is building many issues are unknown. We have highlighted a
number of potential areas of inquiry and concern. In order to further
advance the research on stroke and self-management we believe a
convergence of the evidence base for chronic disease self-management
programmes and research which has illuminated the specific challenges
and barriers of living with stroke is warranted. There is also a need to
avoid the potential consequence of focusing on a “one-size” programme
but rather develop interventions which can be inclusive of social
aspects of self-management, and identify new methods of delivery.
Implications for Rehabilitation
- Stroke is a common cause of long-term disability in the developed world
- Self-management programmes designed specifically for people with stroke are rare but research is emerging
- Ongoing research focusing on behaviour change should acknowledge individual needs, professional beliefs and values, as well as the organizational context post-stroke
Read More: http://informahealthcare.com/doi/abs/10.3109/09638288.2012.691938
No comments:
Post a Comment