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Self-Management in Stroke Survivors: Development and Implementation of the Look after Yourself (LAY) Intervention

Author

Listed:
  • Stefania Fugazzaro

    (Physical Medicine and Rehabilitation Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Viale Risorgimento n°80, 42123 Reggio Emilia, Italy)

  • Monica Denti

    (Physical Medicine and Rehabilitation Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Viale Risorgimento n°80, 42123 Reggio Emilia, Italy)

  • Monia Allisen Accogli

    (Physical Medicine and Rehabilitation Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Viale Risorgimento n°80, 42123 Reggio Emilia, Italy)

  • Stefania Costi

    (Scientific Directorate, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Viale Umberto I n°50, 42123 Reggio Emilia, Italy
    Department of Surgery, Medicine, Dentistry and Morphological Sciences, University of Modena and Reggio Emilia, Via del Pozzo n°74, 41100 Modena, Italy)

  • Donatella Pagliacci

    (Department of Community Health Care, Azienda Unità Sanitaria Locale Toscana Nord-Ovest, Via A. Cocchi n°7/9, 56124 Pisa, Italy)

  • Simona Calugi

    (Department of Biomedical and Neuromotor Sciences, University of Bologna, Via Ugo Foscolo, n°7, 40123 Bologna, Italy)

  • Enrica Cavalli

    (Physical Medicine and Rehabilitation Unit, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Via Albertoni n°15, 40138 Bologna, Italy)

  • Mariangela Taricco

    (Physical Medicine and Rehabilitation Unit, Azienda Ospedaliero-Universitaria Policlinico S.Orsola-Malpighi, Via Albertoni n°15, 40138 Bologna, Italy)

  • Roberta Bardelli

    (Physical Medicine and Rehabilitation Unit, IRCCS Istituto Ortopedico Rizzoli, via Giulio Cesare Pupilli n°1, 40136 Bologna, Italy)

  • on behalf of Look after Yourself Project

    (Members are listed in the Acknowledgments.)

Abstract

Objective: Self-management is recommended in stroke rehabilitation. This report aims to describe timing, contents, and setting of delivery of a patient-centered, self-management program for stroke survivors in their early hospital rehabilitation phase: the Look After Yourself (LAY) intervention. Methods: After extensive literature search, the LAY intervention was developed by integrating the Chronic Disease Self-Management Program, based on the self-efficacy construct of social cognitive theory, with evidence-based key elements and input from stroke survivors. Results: the LAY intervention aims to implement self-management skills in stroke survivors, enabling them to be active in goal setting and problem solving using action plans and to facilitate the critical transition from hospital to community. It includes both group sessions to facilitate sharing of experiences, social comparison, vicarious learning, and increase motivation and one-to-one sessions focused on setting feasible action plans and on teaching personalized strategies to prevent falls. Standardization is ensured by manuals for facilitators and patients. Conclusion: The LAY intervention is the first Italian program to support early self-management in stroke rehabilitation; it has been experimented and its efficacy proven in improving self-efficacy, mental health, and activities of daily living, and detailed results have been published. The LAY intervention is described according to the TIDieR checklist.

Suggested Citation

  • Stefania Fugazzaro & Monica Denti & Monia Allisen Accogli & Stefania Costi & Donatella Pagliacci & Simona Calugi & Enrica Cavalli & Mariangela Taricco & Roberta Bardelli & on behalf of Look after Your, 2021. "Self-Management in Stroke Survivors: Development and Implementation of the Look after Yourself (LAY) Intervention," IJERPH, MDPI, vol. 18(11), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:5925-:d:566489
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    References listed on IDEAS

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    1. Kendall, Elizabeth & Catalano, Tara & Kuipers, Pim & Posner, Natasha & Buys, Nicholas & Charker, Jill, 2007. "Recovery following stroke: The role of self-management education," Social Science & Medicine, Elsevier, vol. 64(3), pages 735-746, February.
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    Cited by:

    1. Suzanne Hoi Shan Lo & Janita Pak Chun Chau & Ravneet Saran, 2022. "Volunteer Engagement in a Stroke Self-Management Program: Qualitative Analysis of a Hybrid Team of Healthcare Providers and Trained Volunteers," IJERPH, MDPI, vol. 19(15), pages 1-16, July.

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