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dc.contributor.authorBoger, EJ
dc.contributor.authorDemain, SH
dc.contributor.authorLatter, SM
dc.date.accessioned2019-06-06T16:15:11Z
dc.date.available2019-06-06T16:15:11Z
dc.date.issued2015-01
dc.identifier.issn0020-7489
dc.identifier.issn1873-491X
dc.identifier.urihttp://hdl.handle.net/10026.1/14264
dc.description.abstract

BACKGROUND: Self-management refers to the strategies, decisions and activities individuals take to manage a long-term health condition. Self-management has potential importance for reducing both the personal and health service impact of illness. Stroke represents a significant health and social burden, however there is a lack of clarity about the factors that support successful self-management following stroke. OBJECTIVE: This study sought to investigate the factors which facilitate or hinder stroke self-management from the patients' perspective. DESIGN: Nested qualitative exploratory phase within a mixed-methods paradigm. Data were analysed thematically using Analytic Induction to guide development of themes. SETTING: Participants had experienced a stroke and were recruited from rural and urban community stroke support groups based in the South of England. METHOD: Five focus groups (n=28) using a semi-structured interview guide were conducted. Interviews were digitally recorded and transcribed. FINDINGS: The term 'self-management' was unfamiliar to participants. On further exploration, participants described how self-management activities were helped or hindered. Self-management was viewed as an important, unavoidable feature of life after stroke. Three key themes identified from the data affect stroke self-management: Individual capacity; support for self-management and self-management environment. People following stroke reported feeling ill-prepared to self-manage. The self-management support needs of patients following stroke are currently often unmet. CONCLUSION: Successful stroke self-management consists of features which may be modifiable at the individual level, in addition to the presence of external support and an environment which supports and facilitates people following stroke to self-manage. These findings extend current conceptualisations of stroke self-management.

dc.format.extent175-187
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoeng
dc.publisherElsevier BV
dc.subjectStroke
dc.subjectSelf-management
dc.subjectFocus group
dc.subjectAnalytic induction
dc.subjectStroke rehabilitation
dc.titleStroke self-management: A focus group study to identify the factors influencing self-management following stroke
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/24917370
plymouth.issue1
plymouth.volume52
plymouth.publisher-urlhttp://dx.doi.org/10.1016/j.ijnurstu.2014.05.006
plymouth.publication-statusPublished
plymouth.journalInternational Journal of Nursing Studies
dc.identifier.doi10.1016/j.ijnurstu.2014.05.006
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Users by role
dc.publisher.placeEngland
dcterms.dateAccepted2014-05-17
dc.identifier.eissn1873-491X
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1016/j.ijnurstu.2014.05.006
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2015-01
rioxxterms.typeJournal Article/Review


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