Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Friday, July 14, 2017

The development of the improving participation after stroke self-management program (IPASS): An exploratory randomized clinical study

No clue what this means or specifics on what the intervention was.  Useless for survivors. 
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J76311&phrase=no&rec=133958&article_source=Rehab&international=0&international_language=&international_location=
opics in Stroke Rehabilitation , Volume 23(4) , Pgs. 284-292.

NARIC Accession Number: J76311.  What's this?
ISSN: 1074-9357.
Author(s): Wolf, Timothy J.; Baum, Carolyn M.; Lee, Danbi; Hammel, Joy.
Project Number: H133B080031, 90RT5027 (formerly H133B140012).
Publication Year: 2016.
Number of Pages: 9.
Abstract: Study evaluated the Improving Participation after Stroke Self-Management Program (IPASS) to improve self-efficacy and participation in everyday life activities for individuals living with the long-term consequences of stroke. A multisite, single-blind, exploratory randomized clinical study was conducted with 185 participants with mild-to-moderate chronic stroke. Participants were randomized either to receive the IPASS intervention immediately or to a wait list control group. The assessment was completed pre- and post-intervention and at 6-9 months post-intervention follow-up. The primary outcome assessments included measures of self-efficacy to manage chronic health conditions and to participate in everyday life activities. The results show that there was significant short-term increase in health-related self-efficacy both within-group and between-groups in managing chronic conditions which were retained at follow-up; the average effect size was 0.46, indicating moderate effect overall. Further, a significant short-term increase was found in participation self-efficacy, with an overall moderate effect size of 0.55. These results provide early support for the use of IPASS to help improve self-efficacy to manage health behaviors and to improve participation post-stroke. Further investigation is warranted to confirm these findings with an active control group and a more sensitive outcome measure to capture participation changes.
Descriptor Terms: DAILY LIVING, DISABILITY MANAGEMENT, OCCUPATIONAL THERAPY, PROBLEM SOLVING, SELF CARE, STROKE.


Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Wolf, Timothy J., Baum, Carolyn M., Lee, Danbi, Hammel, Joy. (2016). The development of the improving participation after stroke self-management program (IPASS): An exploratory randomized clinical study.  Topics in Stroke Rehabilitation , 23(4), Pgs. 284-292. Retrieved 7/14/2017, from REHABDATA database.

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