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

Thursday, April 19, 2018

The effect of self-management education following mild stroke: An exploratory randomized controlled trial.

Every stroke survivor has to do self management of their recovery. Your doctor and therapists have no clue how to get you 100% recovered. You are completely on your own, but your doctor won't tell you that. 
https://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J78164&phrase=no&rec=136196&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 24(5) , Pgs. 345-352.

NARIC Accession Number: J78164.  What's this?
ISSN: 1074-9357.
Author(s): Wolf, Timothy J.; Spiers, Meredith J.; Doherty, Meghan; Leary, Emily V..
Publication Year: 2017.
Number of Pages: 8.
Abstract: Study evaluated the feasibility and preliminary effects of the Chronic Disease Self-Management Program (CDSMP) for use with individuals immediately post mild-stroke. The CDSMP is an education program based on the concept of self-management and is focused on three primary goals: medical management; (2) role management; and (3) emotional management. Participants were randomized to either receive the CDSMP intervention or to an inactive control group. The CDSMP was delivered by two licensed occupational therapists who were certified facilitators. Primary outcomes were self-reported health and self-efficacy and were obtained at baseline, post-intervention (treatment group only), and at six months post-baseline. Wilcoxon signed rank tests were used to compare change score differences for all participants and effect size was computed using effect size for non-parametric data. There were no differences between groups in demographics or baseline data with the exception of how participants felt they are able to manage their health in general. At follow-up, effect sizes ranged from 0 to 0.35 (no effect to medium effect); however, while the treatment group reported improvements in several areas of health at follow-up, the results are not compelling when compared to the control group over the same time period. This study did not identify a positive effect that would support the use of the CDSMP with individual’s post-mild stroke; however, the generalizability of these results is limited secondary to several limitations in this exploratory study.
Descriptor Terms: DISABILITY MANAGEMENT, FEASIBILITY STUDIES, OCCUPATIONAL THERAPY, PATIENT EDUCATION, PROGRAM EVALUATION, REHABILITATION SERVICES, SELF CARE, STROKE.


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

Citation: Wolf, Timothy J., Spiers, Meredith J., Doherty, Meghan, Leary, Emily V.. (2017). The effect of self-management education following mild stroke: An exploratory randomized controlled trial.  Topics in Stroke Rehabilitation , 24(5), Pgs. 345-352. Retrieved 4/19/2018, from REHABDATA database.


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More information about this publication:
Topics in Stroke Rehabilitation.

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