Deans' stroke musings: A randomized controlled trial of trans-theoretical model combined with empowerment education to enhance self-management behaviors in young and middle-aged stroke survivors

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, May 24, 2025

A randomized controlled trial of trans-theoretical model combined with empowerment education to enhance self-management behaviors in young and middle-aged stroke survivors

A much simpler option is to deliver 100% recovery protocols. Your survivor will be so busy counting reps and looking forward to recovery that self management will occur automatically! Whatever this is is way too complicated for survivors to understand.

A randomized controlled trial of trans-theoretical model combined with empowerment education to enhance self-management behaviors in young and middle-aged stroke survivors

Scientific Reports volume 15, Article number: 17962 (2025) Cite this article

Metrics details

Abstract

Post-stroke self-management presents a challenge due to the multifaceted care(NOT RECOVERY!) needs and complex disabling consequences, hindering survivor engagement. This study aims to investigate the effects of a Trans-theoretical model-based Empowerment education on self-management behaviors, self-efficacy, and activities of daily living in young and middle-aged stroke survivors. A single-blind randomized controlled trial was conducted, dividing participants into a control group receiving conventional health education and an intervention group receiving a Trans-theoretical model-based Empowerment education. Outcome data were collected at baseline, 1 month, 3 months, and 6 months. Repeated measures ANOVA was used to assess changes in self-management behaviors, self-efficacy, and activities of daily living. A total of 101 young and middle-aged stroke survivors participated in the study. No significant differences were found between the intervention methods of the two groups in improving self-management behaviors (F = 0.608, P = 0.438). However, significant differences were observed in self-management behavior scores at different intervention time points (F = 77.048, P < 0.001), with an interaction effect between the intervention method and time factors (F = 19.714, P < 0.001). Simple effects analysis indicated that the intervention group scored significantly better in self-management behaviors at all time points compared to baseline (P < 0.05). Significant between-group differences in self-efficacy were observed between pre- and post-intervention periods (F = 3.993, P = 0.05). Additionally, within-group differences in self-efficacy scores across intervention time points demonstrated statistically significant variations (F = 5.900, P < 0.001). Significant differences in Barthel Index scores were observed between pre- and post-intervention periods (F = 7.893, P < 0.006). Additionally, The Barthel Index scores at different time points within the two groups showed statistically significant variations (F = 14.977, P < 0.001). The Trans-theoretical model-based Empowerment education improved self-management behaviors, enhanced self-efficacy, and increased daily activity living in young and middle-aged stroke survivors. These findings provide valuable insights for developing personalized intervention strategies and improving stroke survivor care(NOT RECOVERY!) protocols.