The effectiveness of the adapted Bridge's self-management programme in South African community-dwelling stroke survivors: A randomized controlled trial with two arms will be used, with the intervention group receiving self-management sessions delivered by experienced therapists and usual care and control group will only receive usual care which includes a information booklet.
This study aim to determine the effectiveness of the Adapted bridges self-management intervention on South African stroke patients' functional activity, self-efficacy, and participation. Method: This experimental study will make use of a randomized controlled design (RCT), consisting of one hundred and sixty eight stroke survivors recruited from different health care facilities within the Cape Metropolitan area. The study participants will be divided randomly into two groups, with one receiving the intervention - the experimental group - and the other receiving an educational booklet - the control group. Participants will be assessed at baseline, immediately post-intervention (six weeks), three and sixth-month post intervention, using standardized outcome measures (both subjective outcome measures and objective clinical tools). Ethical clearance and permission to conduct the study will be obtained and patient information will be kept confidential. Analyses will be conducted using descriptive statistics of frequencies and percentages for categorical variables and mean and standard deviation for continuous variables. Given the assumptions of equal variance, a two-way full factorial ANOVA will be computed in order to assess interaction between groups and intervention type.
- Control Device
Intervention Desc: Participants will receive usual rehabilitation treatment, they will also be given a booklet with education program and exercises they can perform at home. ARM 1: Kind: Experimental Label: control group Description: Will receive booklet consist of home exercises and education besides the usual care
- Self-management Other
Intervention Desc: one session of up to one-hour per week over a six-week period in addition to their usual rehabilitation. During each session strategies will be used to promote specific behaviors that exemplify the hallmarks of self-management. These behaviors include enabling patients to work out ways of taking control of their daily lives by setting small targets, recording their progress and problem-solving. The content of the sessions is determined by the patient and their personal goals rather than being professionally directed ARM 1: Kind: Experimental Label: intervention group Description: Will receive one session of up to one-hour per week over a six-week period in self-management in addition to their usual rehabilitation and workbook.
|Type||Measure||Time Frame||Safety Issue|
|Primary||Stroke Self-Efficacy Questionnaire(SSEQ):||baseline to the 6 months after intervention|
|Secondary||The Rivermead Mobility Index:||baseline to the 6 months after intervention|
|Secondary||Rivermead Activities of Daily Living Scale:||baseline to the 6 months after intervention|
|Secondary||The Mini-BESTest:||baseline to the 6 months after intervention|
|Secondary||The Subjective Index of Physical and Social Outcome scale||baseline to the 6 months after intervention|
|Secondary||National Institute for Health Stroke Scale||baseline to the 6 months after intervention|
|Secondary||Action Research Arm Test||baseline to the 6 months after intervention|
|Secondary||6-minute walk test||baseline to the 6 months after intervention|