Sadler, E; Wolfe, CDA; Jones, F; McKevitt, C
(2017)
Exploring stroke survivors' and physiotherapists' views of self-management after stroke: a qualitative study in the UK.
BMJ Open, 7 (3).
e011631.
ISSN 2044-6055
https://doi.org/10.1136/bmjopen-2016-011631
SGUL Authors: Jones, Fiona
Abstract
OBJECTIVES: Stroke is a sudden-onset condition with long-term consequences. Self-management could help address long-term consequences of stroke. Stroke survivors' and health professionals' views of self-management may vary, limiting the successful introduction of self-management strategies. This paper explores stroke survivors' and physiotherapists' views of self-management, focusing on what self-management means, and factors perceived to enable and hinder self-management after stroke, to draw out implications for policy, practice and future research. DESIGN: Qualitative study using semistructured interviews and a thematic analysis approach. SETTING: Stroke unit and community stroke-rehabilitation services in London, UK. PARTICIPANTS: 13 stroke survivors (8 men and 5 women; aged 53-89 years) admitted to a London stroke unit. 13 physiotherapists: 8 working in an inpatient stroke unit and 5 in community rehabilitation. RESULTS: Key differences were evident in how self-management was understood between these groups. Stroke survivors were unfamiliar with the term self-management, but most could provide their own definition and relate to the term, and understood it as care of the self: 'doing things for yourself' and 'looking after yourself'. They did not recognise self-management as part of their care, but valued therapists as encouraging experts in supporting their recovery after stroke. Physiotherapists commonly understood self-management as a process in which stroke survivors were expected to take an active role in their rehabilitation and manage their recovery and health, with different understandings of self-management among physiotherapists shaped by the context in which they worked. They reported that individual, social and organisational factors enable and hinder self-management after stroke, with individual and organisational barriers particularly evident in the early stages. CONCLUSIONS: If self-management support approaches are to be used, further work is required to explore the language and strategies used by professionals to support self-management, and the barriers to supporting self-management at different time points after stroke.
Item Type: |
Article
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Additional Information: |
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ |
Keywords: |
QUALITATIVE RESEARCH, self-management, Aged, Aged, 80 and over, Attitude, Attitude of Health Personnel, Female, Humans, London, Male, Middle Aged, Physical Therapists, Qualitative Research, Self Care, Self-Management, Stroke, Stroke Rehabilitation, Survivors, Humans, Self Care, Attitude, Attitude of Health Personnel, Qualitative Research, Aged, Aged, 80 and over, Middle Aged, Survivors, London, Female, Male, Stroke, Physical Therapists, Stroke Rehabilitation, Self-Management, 1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences |
SGUL Research Institute / Research Centre: |
Academic Structure > Population Health Research Institute (INPH) |
Journal or Publication Title: |
BMJ Open |
ISSN: |
2044-6055 |
Language: |
eng |
Dates: |
Date | Event |
---|
10 March 2017 | Published | 26 January 2017 | Accepted |
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Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
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PubMed ID: |
28283483 |
Web of Science ID: |
WOS:000398959400008 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/115256 |
Publisher's version: |
https://doi.org/10.1136/bmjopen-2016-011631 |
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