Table 1 Overview of the nurse-led community-based self-management programme for community-residing stroke survivors
Week | Programme components | Key contents |
|---|---|---|
1 | Home visit (at participant’s home) | - Perform an individualised assessment. - Provide information about stroke self-management. - Establish a short-term goal and an action plan. - Video viewing. |
2 | Group sessions (in a community centre) | - Discuss the physical and psychosocial consequences of stroke. - Discuss the practical tips of managing post-stroke challenges. - Facilitate reflection and experience sharing among the group. - Explore alternative ways to better implement the action plans. - Practice the use of core self-management skills. - Video viewing. |
3 & 4 | Three follow-up phone calls | - Review progress towards goal attainment. - Provide individualised feedback and positive reinforcement. - Encourage to continue, revise, or set a new short-term goal. |