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Tailoring and Evalu...
Tailoring and Evaluating an Intervention to Support Self-management After Stroke : Protocol for a Multi-case, Mixed Methods Comparison Study
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- Elf, Marie, 1962- (författare)
- Dalarna University College,Högskolan Dalarna,Omvårdnad,Dalarna Univ, Sch Hlth & Welf, Hogskolegatan 2, S-79188 Falun, Sweden.
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- Klockar, Erika (författare)
- Dalarna University College,Högskolan Dalarna,Vårdvetenskap,Medicinsk vetenskap,Dalarna Univ, Sch Hlth & Welf, Hogskolegatan 2, S-79188 Falun, Sweden.
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- Kylén, Maya (författare)
- Dalarna University College,Lund University,Lunds universitet,Högskolan Dalarna,Omvårdnad,Department of Health Sciences, Lund University, Lund,Tillämpad Gerontologi,Forskargrupper vid Lunds universitet,Applied Gerontology,Lund University Research Groups,Dalarna Univ, Sch Hlth & Welf, Hogskolegatan 2, S-79188 Falun, Sweden.;Lund Univ, Dept Hlth Sci, Lund, Sweden.
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- von Koch, Lena (författare)
- Karolinska Institutet,Karolinska Institute,Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm; Theme Neuro Karolinska University Hospital, Stockholm,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.;Theme Neuro Karolinska Univ Hosp, Stockholm, Sweden.
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- Ytterberg, Charlotte (författare)
- Karolinska Institutet,Karolinska Institute,Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm; Women's Health and Allied Health Professionals Theme, Medical Unit Occupational Therapy and Physiotherapy, Karolinska University Hospital, Stockholm,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.;Karolinska Univ Hosp, Med Unit Occupat Therapy & Physiotherapy, Womens Hlth & Allied Hlth Professionals Theme, Stockholm, Sweden.
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- Wallin, Lars (författare)
- Dalarna University College,Högskolan Dalarna,Omvårdnad,Dalarna Univ, Sch Hlth & Welf, Hogskolegatan 2, S-79188 Falun, Sweden.
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- Finch, Tracy (författare)
- Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom,Northumbria Univ, Fac Hlth & Life Sci, Dept Nursing Midwifery & Hlth, Newcastle Upon Tyne, Tyne & Wear, England.
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- Gustavsson, Catharina, 1961- (författare)
- Uppsala universitet,Dalarna University College,Högskolan Dalarna,Medicinsk vetenskap,Center for Clinical Research Dalarna, Uppsala University, Falun; Department of Public Health and Caring Sciences, Uppsala University, Uppsala,Institutionen för folkhälso- och vårdvetenskap,Centrum för klinisk forskning Dalarna,Dalarna Univ, Sch Hlth & Welf, Hogskolegatan 2, S-79188 Falun, Sweden.
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- Jones, Fiona (författare)
- Faculty of Health and Social Care Sciences, Kingston University and St George's, University of London, London, United Kingdom,Kingston Univ, Fac Hlth & Social Care Sci, London, England.;St Georges Univ London, London, England.
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(creator_code:org_t)
- 2022-05-06
- 2022
- Engelska.
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Ingår i: JMIR Research Protocols. - : JMIR Publications Inc.. - 1929-0748. ; 11:5
- Relaterad länk:
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https://doi.org/10.2...
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https://du.diva-port... (primary) (Raw object)
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.2...
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https://lup.lub.lu.s...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Self-management programs are recognized as a valuable approach to supporting people with long-term conditions, such as stroke, in managing their daily lives. Bridges Self-Management (Bridges) focuses on how practitioners interact and support patients' confidence, skills, and knowledge, and it is an example of a complex intervention. Bridges has been developed and used across multiple health care pathways in the United Kingdom and is theoretically informed by social cognition theory and self-efficacy principles. Evidence shows that self-management programs based on the construct of self-efficacy can be effective. There is still much to learn about how health care services or pathways should implement support for self-management in a sustainable way and whether this implementation process is different depending on the context or culture of the team or service provided.OBJECTIVE: The aim of this study is to tailor and evaluate an intervention (Bridges) to support self-management after stroke in a Swedish context.METHODS: We will use a pretest-posttest design with a case study approach to evaluate the feasibility and implementation of self-management support in two stroke settings. This project includes a complex intervention and depends on the actions of individuals, different contexts, and the adaptation of behavior over time. A mixed methods approach was chosen to understand both outcomes and mechanisms of impact. Data collection will comprise outcome measurements and assessment tools as well as qualitative interviews. Data will be collected concurrently and integrated into a mixed methods design.RESULTS: Recruitment and data collection for the first site of the project ran from September 1, 2021, to January 17, 2022. The intervention at the first site was conducted from November 1, 2021, to March 5, 2022. The evaluation will start after the implementation phase. The second site has been recruited, and the baseline data collection will start in spring 2022. The intervention will start in early autumn 2022. Data collection will be completed by the end of 2022.CONCLUSIONS: This study represents a unique, highly relevant, and innovative opportunity to maximize knowledge and minimize practice gaps in rehabilitation stroke care. The study will produce robust data on the intervention and in-depth data on the contextual factors and mechanisms related to the feasibility of the intervention and for whom it is feasible. Bridges has been used in the United Kingdom for more than 10 years, and this study will explore its contextualization and implementation within a Swedish stroke environment. The evaluation will study results at the patient, staff, and organizational levels and provide recommendations for the adoption and refinement of future efforts to support self-management.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- home rehabilitation
- person-centered care
- self-efficacy
- self-management
- self-management support
- stroke rehabilitation
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Elf, Marie, 1962 ...
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Klockar, Erika
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Kylén, Maya
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von Koch, Lena
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Ytterberg, Charl ...
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Wallin, Lars
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visa fler...
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Finch, Tracy
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Gustavsson, Cath ...
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Jones, Fiona
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Hälso och sjukvå ...
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JMIR Research Pr ...
- Av lärosätet
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Högskolan Dalarna
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Lunds universitet
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Uppsala universitet
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Karolinska Institutet