Cargando…
Social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study
BACKGROUND: A good portion of stroke patients in Western countries are over 65 of age. Because of sequelae, they often lead more isolated lives after the stroke. In terms of social reintegration, this group of patients is especially vulnerable. Reintegration into the community post-stroke greatly de...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530065/ https://www.ncbi.nlm.nih.gov/pubmed/31113442 http://dx.doi.org/10.1186/s12913-019-4150-x |
_version_ | 1783420541664755712 |
---|---|
author | Sørensen, Susanne Lillelund Pedersen, Sedsel Kristine Stage Pallesen, Hanne |
author_facet | Sørensen, Susanne Lillelund Pedersen, Sedsel Kristine Stage Pallesen, Hanne |
author_sort | Sørensen, Susanne Lillelund |
collection | PubMed |
description | BACKGROUND: A good portion of stroke patients in Western countries are over 65 of age. Because of sequelae, they often lead more isolated lives after the stroke. In terms of social reintegration, this group of patients is especially vulnerable. Reintegration into the community post-stroke greatly depends on support from family. However, the stroke individual’s closest relatives are at risk of becoming overburdened. The objectives are to describe the social psychological mechanisms and processes involved in a novel self-management intervention, and to evaluate their feasibility and acceptability from the stroke individuals’, the informal caregivers’ and the mentors’ perspectives, before implementation into a randomised controlled trial. METHODS: Qualitative interviews were conducted and analysed using a phenomenological approach. Informants comprised four stroke individuals, three informal caregivers and two mentors. The UK Medical Research Council Framework for developing and evaluating complex interventions was used in the evaluation design of the intervention. RESULTS: Six social psychological mechanisms were revealed as the mentors’ focus areas in their interaction with stroke individuals and informal caregivers: a) Tailored approach – by individual preferences, b) Dialogue-based communication, c) Development of a good relationship, d) Transfer of activities to everyday and social contexts, e) Involvement of relatives and social networks, and f) Supporting tools – to optimise actions and communication. Furthermore, interaction processes between the stroke individual and the informal caregiver and the mentors occurred, and generated processes of change and learning in the stroke individual and the informal caregiver. The mechanisms and processes described were perceived as feasible and acceptable to the informants – with the exception of the technological supporting tool. CONCLUSION: The social psychological mechanisms and processes involved in the intervention indicated a positive association to self-management behaviour from the informants’ perspectives. The informants evaluated them to be relevant and meaningful in the novel self-management intervention. TRIAL REGISTRATION: ClinicalTrials.gov NCT03183960. Reg. June 15, 2017. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4150-x) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6530065 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-65300652019-05-28 Social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study Sørensen, Susanne Lillelund Pedersen, Sedsel Kristine Stage Pallesen, Hanne BMC Health Serv Res Research Article BACKGROUND: A good portion of stroke patients in Western countries are over 65 of age. Because of sequelae, they often lead more isolated lives after the stroke. In terms of social reintegration, this group of patients is especially vulnerable. Reintegration into the community post-stroke greatly depends on support from family. However, the stroke individual’s closest relatives are at risk of becoming overburdened. The objectives are to describe the social psychological mechanisms and processes involved in a novel self-management intervention, and to evaluate their feasibility and acceptability from the stroke individuals’, the informal caregivers’ and the mentors’ perspectives, before implementation into a randomised controlled trial. METHODS: Qualitative interviews were conducted and analysed using a phenomenological approach. Informants comprised four stroke individuals, three informal caregivers and two mentors. The UK Medical Research Council Framework for developing and evaluating complex interventions was used in the evaluation design of the intervention. RESULTS: Six social psychological mechanisms were revealed as the mentors’ focus areas in their interaction with stroke individuals and informal caregivers: a) Tailored approach – by individual preferences, b) Dialogue-based communication, c) Development of a good relationship, d) Transfer of activities to everyday and social contexts, e) Involvement of relatives and social networks, and f) Supporting tools – to optimise actions and communication. Furthermore, interaction processes between the stroke individual and the informal caregiver and the mentors occurred, and generated processes of change and learning in the stroke individual and the informal caregiver. The mechanisms and processes described were perceived as feasible and acceptable to the informants – with the exception of the technological supporting tool. CONCLUSION: The social psychological mechanisms and processes involved in the intervention indicated a positive association to self-management behaviour from the informants’ perspectives. The informants evaluated them to be relevant and meaningful in the novel self-management intervention. TRIAL REGISTRATION: ClinicalTrials.gov NCT03183960. Reg. June 15, 2017. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12913-019-4150-x) contains supplementary material, which is available to authorized users. BioMed Central 2019-05-22 /pmc/articles/PMC6530065/ /pubmed/31113442 http://dx.doi.org/10.1186/s12913-019-4150-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Sørensen, Susanne Lillelund Pedersen, Sedsel Kristine Stage Pallesen, Hanne Social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study |
title | Social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study |
title_full | Social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study |
title_fullStr | Social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study |
title_full_unstemmed | Social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study |
title_short | Social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study |
title_sort | social psychological mechanisms and processes in a novel, health professional-led, self-management intervention for older stroke individuals: a synthesis and phenomenological study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6530065/ https://www.ncbi.nlm.nih.gov/pubmed/31113442 http://dx.doi.org/10.1186/s12913-019-4150-x |
work_keys_str_mv | AT sørensensusannelillelund socialpsychologicalmechanismsandprocessesinanovelhealthprofessionalledselfmanagementinterventionforolderstrokeindividualsasynthesisandphenomenologicalstudy AT pedersensedselkristinestage socialpsychologicalmechanismsandprocessesinanovelhealthprofessionalledselfmanagementinterventionforolderstrokeindividualsasynthesisandphenomenologicalstudy AT pallesenhanne socialpsychologicalmechanismsandprocessesinanovelhealthprofessionalledselfmanagementinterventionforolderstrokeindividualsasynthesisandphenomenologicalstudy |