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http://dx.doi.org/10.4040/jkan.2014.44.5.581

Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke  

Park, Min Gyeong (Yeson Rehabilitation Medicine Hospital)
Ha, Yeongmi (College of Nursing.Institute of Health Sciences, Gyeongsang National University)
Publication Information
Journal of Korean Academy of Nursing / v.44, no.5, 2014 , pp. 581-591 More about this Journal
Abstract
Purpose: This study was conducted to develop a self-management program using goal setting for patients after a stroke. The program was based on a theory-based Goal setting and Action Planning framework (G-AP), and the effectiveness of the program was examined. Methods: A non-equivalent control group pretest-posttest design was used. The experimental group (n=30) received the self-management program using goal setting based on the G-AP over 7 weeks. The education was delivered individually with a specifically designed stroke workbook. The control group (n=30) received only patient information leaflets about stroke. Results: There were significant differences between the two groups. Stroke knowledge, self-efficacy, and health behavior compliance were significantly higher (all p<.001), and hospital anxiety (p<.001) and depression (p<.001) were significantly lower in the experimental group compared to the control group. Conclusion: This self-management program using goal setting based on a G-AP was found to be useful and beneficial for patients in stroke rehabilitation settings.
Keywords
Stroke; Goal setting; Self care; Self efficacy; Health behavior;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Korean Stroke Society. Stroke story [Internet]. Seoul: Author; 2011 [cited 2013 August 15]. Available from: http://www.stroke.or.kr/stroke/stroke_con.php.
2 Jones F, Riazi A. Self-efficacy and self-management after stroke: A systematic review. Disability and Rehabilitation. 2011;33(10):797-810. http://dx.doi.org/10.3109/09638288.2010.511415   DOI
3 Statistics Korea. Annual report on the cause of death statistics [Internet]. Daejeon: Author; 2013 [cited 2013 July 20]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=260046.
4 Lorig KR, Holman H. Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine. 2003;26 (1):1-7. http://dx.doi.org/10.1207/S15324796ABM2601_01
5 Scottish Intercollegiate Guidelines Network. Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning. A national clinical guideline. Edinburgh, UK: NHS Quality Improvement Scotland; 2010.
6 Intercollegiate Stroke Working Party. National clinical guideline for stroke. 4th ed. London, UK: Royal College of Physicians; 2012.
7 Ajou University Industry Academic Cooperation Foundation. Development of clinical practice guideline for stroke rehabilitation in Korea. Cheongju: Korea Centers for Disease Control and Prevention; 2012.
8 National Stroke Foundation. Clinical guidelines for stroke management 2010. Melbourne, AU: Author; 2010.
9 Forsster A, Brown L, Smith J, House A, Knapp P, Wright JJ, et al. Information provision for stroke patients and their caregivers. The Cochrance Database of Systematic Reviews. 2012;11:CD001919. http://dx.doi.org/10.1002/14651858.CD001919.pub3
10 Jones F, Riazi A, Norris M. Self-management after stroke: Time for some more questions? Disability and Rehabilitation. 2013;35(3):257-264. http://dx.doi.org/10.3109/09638288.2012.691938   DOI
11 Department of Health. The national stroke strategy. London, UK: DH; 2007.
12 Hoffmann T, McKenna K, Worrall L, Read SJ. Randomised trial of a computer-generated tailored written education package for patients following stroke. Age and Ageing. 2007;36(3):280-286. http://dx.doi.org/10.1093/ageing/afm003   DOI   ScienceOn
13 Shin ES, Hwang SY, Jeong MH, Lee ES. Relationships of factors affecting self-care compliance in acute coronary syndrome patients following percutaneous coronary intervention. Asian Nursing Research. 2013;7(4):205-211. http://dx.doi.org/10.1016/j.anr.2013.10.003   DOI
14 Lennon S, McKenna S, Jones F. Self-management programmes for people post stroke: A systematic review. Clinical Rehabilitation. 2013;27(10):867-878. http://dx.doi.org/10.1177/0269215513481045   DOI
15 Levack WM, Taylor K, Siegert RJ, Dean SG, McPherson KM, Weatherall M. Is goal planning in rehabilitation effective? A systematic review. Clinical Rehabilitation. 2006;20(9):739-755. http://dx.doi.org/10.1177/0269215506070791   DOI   ScienceOn
16 Siegert RJ, Taylor WJ. Theoretical aspects of goal-setting and motivation in rehabilitation. Disability and Rehabilitation. 2004;26(1):1-8. http://dx.doi.org/10.1080/09638280410001644932   DOI   ScienceOn
17 Scobbie L, Dixon D, Wyke S. Goal setting and action planning in the rehabilitation setting: Development of a theoretically informed practice framework. Clinical Rehabilitation. 2011;25(5):468-482. http://dx.doi.org/10.1177/0269215510389198   DOI
18 Allen K, Hazelett S, Jarjoura D, Hua K, Wright K, Weinhardt J, et al. A randomized trial testing the superiority of a postdischarge care management model for stroke survivors. Journal of Stroke and Cerebrovascular Diseases. 2009;18(6):443-452. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2009.02.002   DOI
19 Kang SM. An effect of the secondary stroke prevention education program on self-care of acute ischemic stroke patients [master's thesis]. Seoul: Konkuk University; 2005.
20 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 1983;67(6):361-370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x   DOI   ScienceOn
21 Kim CG, Park HA. Development and evaluation of a web-based education program to prevent secondary stroke. Journal of Korean Academy of Nursing. 2011;41(1):47-60. http://dx.doi.org/10.4040/jkan.2011.41.1.47   DOI   ScienceOn
22 Lowe DB, Sharma AK, Leathley MJ. The carefile project: A feasibility study to examine the effects of an individualised information booklet on patients after stroke. Age and Ageing. 2007;36(1):83-89. http://dx.doi.org/10.1093/ageing/afl145
23 Jones F, Mandy A, Partridge C. Changing self-efficacy in individuals following a first time stroke: Preliminary study of a novel self-management intervention. Clinical Rehabilitation. 2009;23(6):522-533. http://dx.doi.org/10.1177/0269215508101749   DOI
24 Johnston M, Bonetti D, Joice S, Pollard B, Morrison V, Francis JJ, et al. Recovery from disability after stroke as a target for a behavioural intervention: Results of a randomized controlled trial. Disability and Rehabilitation. 2007;29(14):1117-1127. http://dx.doi.org/10.1080/03323310600950411   DOI
25 Bandura A. Self-efficacy: The exercise of control. New York, NY: Worth Publishers; 1997.
26 Taylor WJ, Brown M, William L, McPherson KM, Reed K, Dean SG, et al. A pilot cluster randomized controlled trial of structured goal-setting following stroke. Clinical Rehabilitation. 2012;26(4):327-338. http://dx.doi.org/10.1177/0269215511419384   DOI
27 Hafsteinsdottir TB, Vergunst M, Lindeman E, Schuurmans M. Educational needs of patients with a stroke and their caregivers: A systematic review of the literature. Patient Education and Counseling. 2011;85(1):14-25. http://dx.doi.org/10.1016/j.pec.2010.07.046   DOI
28 Hackett ML, Anderson CS, House A, Halteh C. Interventions for preventing depression after stroke. The Cochrane Database of Systematic Reviews. 2008;3:CD003689. http://dx.doi.org/10.1002/14651858.CD003689.pub3
29 Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depression scale for Koreans: A comparison of normal, depressed and anxious groups. Journal of Korean Neuropsychiatric Association. 1999;38(2):289-296.
30 Jones F, Partridge C, Reid F. The stroke self-efficacy questionnaire: Measuring individual confidence in functional performance after stroke. Journal of Clinical Nursing. 2008;17(7B):244-252. http://dx.doi.org/10.1111/j.1365-2702.2008.02333.x   DOI