Journal List > J Korean Acad Nurs > v.44(5) > 1003022

TOOLS
Park and Ha: Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke
Original Article

Journal of Korean Academy of Nursing 2014; 44(5): 581-591.

Published online: 31 October 2014

DOI: https://doi.org/10.4040/jkan.2014.44.5.581

Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke

Min Gyeong Park1, Yeongmi Ha2

1Yeson Rehabilitation Medicine Hospital, Jinju, Korea.

2College of Nursing·Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.

Address reprint requests to: Ha, Yeongmi. College of Nursing & Institute of Health Sciences, Gyeongsang National University, 816-15 beon-gil Jinju-daero, Jinju 660-987, Korea. Tel: +82-55-772-8253, Fax: +82-55-772-8222, yha@gnu.ac.kr

Received 20 May 2014       Revised 30 May 2014       Accepted 17 September 2014

© 2014 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was conducted to develop a self-management program using goal setting for patients after a stroke. The program was based on a theory-based Goal setting and Action Planning framework (G-AP), and the effectiveness of the program was examined.

Methods

A non-equivalent control group pretest-posttest design was used. The experimental group (n=30) received the self-management program using goal setting based on the G-AP over 7 weeks. The education was delivered individually with a specifically designed stroke workbook. The control group (n=30) received only patient information leaflets about stroke.

Results

There were significant differences between the two groups. Stroke knowledge, self-efficacy, and health behavior compliance were significantly higher (all p<.001), and hospital anxiety (p<.001) and depression (p<.001) were significantly lower in the experimental group compared to the control group.

Conclusion

This self-management program using goal setting based on a G-AP was found to be useful and beneficial for patients in stroke rehabilitation settings.

Keywords: Stroke, Goal setting, Self care, Self efficacy, Health behavior

Figures and Tables

Table 1
Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke
jkan-44-581-i001

G-AP=Goal setting and Action Planning framework.

Table 2
Test of General Characteristics in Patients after a Stroke (N=60)
jkan-44-581-i002

*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; SES=socioeconomic status.

Table 3
Homogeneity Test of Disease-related Characteristics in Patients after a Stroke (N=60)
jkan-44-581-i003

Exp.=Experimental group; Cont.=Control group; K-MMSE=Korea Mini Mental State Examination; HAD=Hospital anxiety and depression.

Table 4
Effectiveness of a Self-management Program Using Goal Setting based on a G-AP (N=60)
jkan-44-581-i004

Exp.=Experimental group; Cont.=Control group; HAD=Hospital Anxiety and Depression; G-AP=Goal setting and Action Planning framework.

Notes

This manuscript is based on a part of the first author's master's thesis from Gyeongsang National University.

References

1. Statistics Korea. Annual report on the cause of death statistics [Internet]. Daejeon: Author;2013. cited 2013 July 20. Available from:http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=260046.
2. Korean Stroke Society. Stroke story [Internet]. Seoul: Author;2011. cited 2013 August 15. Available from: http://www.stroke.or.kr/stroke/stroke_con.php.
3. Jones F, Riazi A. Self-efficacy and self-management after stroke: A systematic review. Disabil Rehabil. 2011; 33(10):797–810. http://dx.doi.org/10.3109/09638288.2010.511415.
4. Lorig KR, Holman H. Self-management education: History, definition, outcomes, and mechanisms. Ann Behav Med. 2003; 26(1):1–7. http://dx.doi.org/10.1207/S15324796ABM2601_01.
5. Scottish Intercollegiate Guidelines Network. Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning. A national clinical guideline. Edinburgh, UK: NHS Quality Improvement Scotland;2010.
6. Intercollegiate Stroke Working Party. National clinical guideline for stroke. 4th ed. London, UK: Royal College of Physicians;2012.
7. Ajou University Industry Academic Cooperation Foundation. Development of clinical practice guideline for stroke rehabilitation in Korea. Cheongju: Korea Centers for Disease Control and Prevention;2012.
8. National Stroke Foundation. Clinical guidelines for stroke management 2010. Melbourne, AU: Author;2010.
9. Forster A, Brown L, Smith J, House A, Knapp P, Wright JJ, et al. Information provision for stroke patients and their caregivers. Cochrane Database Syst Rev. 2012; 11:CD001919. http://dx.doi.org/10.1002/14651858.CD001919.pub3.
10. Jones F, Riazi A, Norris M. Self-management after stroke: Time for some more questions. Disabil Rehabil. 2013; 35(3):257–264. http://dx.doi.org/10.3109/09638288.2012.691938.
11. Department of Health. The national stroke strategy. London, UK: DH;2007.
12. Hoffmann T, McKenna K, Worrall L, Read SJ. Randomised trial of a computer-generated tailored written education package for patients following stroke. Age Ageing. 2007; 36(3):280–286. http://dx.doi.org/10.1093/ageing/afm003.
13. Hackett ML, Anderson CS, House A, Halteh C. Interventions for preventing depression after stroke. Cochrane Database Syst Rev. 2008; 3:CD003689. http://dx.doi.org/10.1002/14651858.CD003689.pub3.
14. Shin ES, Hwang SY, Jeong MH, Lee ES. Relationships of factors affecting self-care compliance in acute coronary syndrome patients following percutaneous coronary intervention. Asian Nurs Res. 2013; 7(4):205–211. http://dx.doi.org/10.1016/j.anr.2013.10.003.
15. Lennon S, McKenna S, Jones F. Self-management programmes for people post stroke: A systematic review. Clin Rehabil. 2013; 27(10):867–878. http://dx.doi.org/10.1177/0269215513481045.
16. Levack WM, Taylor K, Siegert RJ, Dean SG, McPherson KM, Weatherall M. Is goal planning in rehabilitation effective? A systematic review. Clin Rehabil. 2006; 20(9):739–755. http://dx.doi.org/10.1177/0269215506070791.
17. Siegert RJ, Taylor WJ. Theoretical aspects of goal-setting and motivation in rehabilitation. Disabil Rehabil. 2004; 26(1):1–8. http://dx.doi.org/10.1080/09638280410001644932.
18. Scobbie L, Dixon D, Wyke S. Goal setting and action planning in the rehabilitation setting: Development of a theoretically informed practice framework. Clin Rehabil. 2011; 25(5):468–482. http://dx.doi.org/10.1177/0269215510389198.
19. Allen K, Hazelett S, Jarjoura D, Hua K, Wright K, Weinhardt J, et al. A randomized trial testing the superiority of a postdischarge care management model for stroke survivors. J Stroke Cerebrovasc Dis. 2009; 18(6):443–452. http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2009.02.002.
20. Kang SM. An effect of the secondary stroke prevention education program on self-care of acute ischemic stroke patients [master's thesis]. Seoul: Konkuk University;2005.
21. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983; 67(6):361–370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.x.
22. Oh SM, Min KJ, Park DB. A study on the standardization of the hospital anxiety and depression scale for Koreans: A comparison of normal, depressed and anxious groups. J Korean Neuropsychiatr Assoc. 1999; 38(2):289–296.
23. Kim CG, Park HA. Development and evaluation of a web-based education program to prevent secondary stroke. J Korean Acad Nurs. 2011; 41(1):47–60. http://dx.doi.org/10.4040/jkan.2011.41.1.47.
24. Lowe DB, Sharma AK, Leathley MJ. The carefile project: A feasibility study to examine the effects of an individualised information booklet on patients after stroke. Age Ageing. 2007; 36(1):83–89. http://dx.doi.org/10.1093/ageing/afl145.
25. Hafsteinsdóttir TB, Vergunst M, Lindeman E, Schuurmans M. Educational needs of patients with a stroke and their caregivers: A systematic review of the literature. Patient Educ Couns. 2011; 85(1):14–25. http://dx.doi.org/10.1016/j.pec.2010.07.046.
26. Jones F, Mandy A, Partridge C. Changing self-efficacy in individuals following a first time stroke: Preliminary study of a novel self-management intervention. Clin Rehabil. 2009; 23(6):522–533. http://dx.doi.org/10.1177/0269215508101749.
27. Johnston M, Bonetti D, Joice S, Pollard B, Morrison V, Francis JJ, et al. Recovery from disability after stroke as a target for a behavioural intervention: Results of a randomized controlled trial. Disabil Rehabil. 2007; 29(14):1117–1127. http://dx.doi.org/10.1080/03323310600950411.
28. Bandura A. Self-efficacy: The exercise of control. New York, NY: Worth Publishers;1997.
29. Taylor WJ, Brown M, William L, McPherson KM, Reed K, Dean SG, et al. A pilot cluster randomized controlled trial of structured goal-setting following stroke. Clin Rehabil. 2012; 26(4):327–338. http://dx.doi.org/10.1177/0269215511419384.
30. Jones F, Partridge C, Reid F. The stroke self-efficacy questionnaire: Measuring individual confidence in functional performance after stroke. J Clin Nurs. 2008; 17(7B):244–252. http://dx.doi.org/10.1111/j.1365-2702.2008.02333.x.
TOOLS
Similar articles