What is important in supporting self-management in community stroke rehabilitation? A Q methodology study

Duncan Millar, J. , Mason, H. and Kidd, L. (2023) What is important in supporting self-management in community stroke rehabilitation? A Q methodology study. Disability and Rehabilitation, 45(14), pp. 2307-2315. (doi: 10.1080/09638288.2022.2087766) (PMID:35757835)

Abstract

Purpose: Supported self-management (SSM) is an important part of adapting to life after stroke however it is a complex concept. It is unclear what SSM in stroke consists of or how stroke survivors, families, and clinicians can most effectively work together to support person-centred self-management. In this study, we aimed to explore what was most important in making SSM work in community stroke rehabilitation. Methods: We conducted a Q-methodology study with stroke survivors (n = 20), community-based stroke clinicians (n = 20), and team managers (n = 8) across four health boards in Scotland, United Kingdom. Participants ranked 32 statements according to their importance in making SSM work. Factor analysis was used to identify shared viewpoints. Results: We identified four viewpoints: (i) A person-centred approach to build self-confidence and self-worth; (ii) Feeling heard, understood, and supported by everybody; (iii) Preparation of appropriate resources; and (iv) Right thing, right place, right time for the individual. Important across all viewpoints were: a trusting supportive relationship; working in partnership; focusing on meaningful goals; and building self-confidence. Conclusions: Differing views exist on what is most important in SSM. These views could be used to inform quality improvement strategies to support the delivery of SSM that considers the preferences of stroke survivors.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Kidd, Dr Lisa and Duncan Millar, Dr Julie
• Authors: Duncan Millar, J., Mason, H., and Kidd, L.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
• Journal Name: Disability and Rehabilitation
• Publisher: Taylor and Francis
• ISSN: 0963-8288
• ISSN (Online): 1464-5165
• Published Online: 25 June 2022
• Copyright Holders: Copyright © 2022 The Authors
• First Published: First published in Disability and Rehabilitation 45(14):2307-2315
• Publisher Policy: Reproduced under a Creative Commons License

Project Code	Award No	Project Name	Principal Investigator	Funder's Name	Funder Ref	Lead Dept
303248		Improving the implementation of supported stroke self-management: what does it look like and what makes it `work' in different contexts	Lisa Kidd	Stroke Association (STROKEAS)	SA PG 18\100067	Med - Nursing & Healthcare