Portal de Periódicos da CAPES

Self-management after stroke: time for some more questions?

2012; Informa; Volume: 35; Issue: 3 Linguagem: Inglês

10.3109/09638288.2012.691938

1464-5165

Fiona Jones, Afsane Riazi, Meriel Norris,

Cardiac Health and Mental Health

Purpose: To discuss current research and issues which contribute towards the debate on the direction of self-management programmes for individuals after stroke and make recommendations for future research. Method: This paper includes a critical discussion on self-management specifically applied to stroke. The findings are positioned in the context of the wider stroke literature and debates on the suitability of different programmes. Results: Three main areas of concern and potential opportunities were identified which contribute to the debate on self-management; the "individual stroke survivor"; "professional models and practice" and "organizational context". Conclusion: The body of literature on self-management programmes for people with stroke is relatively new and although research is building many issues are unknown. We have highlighted a number of potential areas of inquiry and concern. In order to further advance the research on stroke and self-management we believe a convergence of the evidence base for chronic disease self-management programmes and research which has illuminated the specific challenges and barriers of living with stroke is warranted. There is also a need to avoid the potential consequence of focusing on a "one-size" programme but rather develop interventions which can be inclusive of social aspects of self-management, and identify new methods of delivery.Implications for RehabilitationStroke is a common cause of long-term disability in the developed worldSelf-management programmes designed specifically for people with stroke are rare but research is emergingOngoing research focusing on behaviour change should acknowledge individual needs, professional beliefs and values, as well as the organizational context post-stroke