Development of a Chronic Disease Management Program for Stroke Survivors Using Intervention Mapping: The Stroke Coach.
Arch Phys Med Rehabil
; 98(6): 1195-1202, 2017 06.
Article
en En
| MEDLINE
| ID: mdl-28219685
ABSTRACT
OBJECTIVE:
To describe the systematic development of the Stroke Coach, a theory- and evidence-based intervention to improve control of lifestyle behavior risk factors in patients with stroke.DESIGN:
Intervention development.SETTING:
Community.PARTICIPANTS:
Individuals who have had a stroke.INTERVENTIONS:
We used intervention mapping to guide the development of the Stroke Coach. Intervention mapping is a systematic process used for intervention development and composed of steps that progress from the integration of theory and evidence to the organization of realistic strategies to facilitate the development of a practical intervention supported by empirical evidence. Social cognitive theory was the underlying premise for behavior change, whereas control theory methods were directed toward sustaining the changes to ensure long-term health benefits. Practical evidence-based strategies were linked to behavioral determinants to improve stroke risk factor control. MAIN OUTCOMEMEASURES:
Not applicable.RESULTS:
The Stroke Coach is a patient-centered, community-based, telehealth intervention to promote healthy lifestyles after stroke. Over 6 months, participants receive seven 30- to 60-minute telephone sessions with a lifestyle coach who provides education, facilitates motivation for lifestyle modification, and empowers participants to self-management their stroke risk factors. Participants also receive a self-management manual and a self-monitoring kit.CONCLUSIONS:
Through the use of intervention mapping, we developed a theoretically sound and evidence-grounded intervention to improve risk factor control in patients with stroke. If empirical evaluation of the Stroke Coach produces positive results, the next step will be to develop an implementation intervention to ensure successful uptake and delivery of the program in community and outpatient settings.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Telemedicina
/
Consejo
/
Rehabilitación de Accidente Cerebrovascular
/
Promoción de la Salud
/
Estilo de Vida
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2017
Tipo del documento:
Article