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Effects of a Self-Management Program on Adults with Stroke

dc.contributor.authorPereira, Carla Mendes
dc.contributor.authorBranco, Daniela
dc.contributor.authorSalvador, Dina
dc.contributor.authorDias, Teresa L.
dc.contributor.authorCarvalho, Daniel
dc.contributor.authorMatos, Mara
dc.contributor.authorRodrigues, Sandra
dc.contributor.authorCalheiros, José M.
dc.contributor.authorMarques, António Manuel
dc.contributor.authorJones, Fiona
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblMDPI - Multidisciplinary Digital Publishing Institute
dc.date.accessioned2025-04-26T21:26:25Z
dc.date.available2025-04-26T21:26:25Z
dc.date.issued2025-03
dc.descriptionFunding Information: This research was funded by Funda\u00E7\u00E3o para a Ci\u00EAncia e Tecnologia (FCT, literally The Foundation for Science and Technology), grant number EXPL/SAU-SER/1478/2021 (http://doi.org/10.54499/EXPL/SAU-SER/1478/2021). Publisher Copyright: © 2025 by the authors.
dc.description.abstractBackground: Stroke is a leading cause of death and disability, underscoring the importance of effective self-management programs to improve the quality of life for survivors. Objectives: This study investigates the impact of the ComVida (Bridges-PT) self-management program on self-efficacy, physical function, health-related quality of life, and emotional state of stroke survivors in Portugal. Methods: A quasi-experimental study was conducted with 28 participants from hospital and community settings. The ComVida program, combining personalized rehabilitation sessions and the use of a self-management workbook was implemented. Assessments were conducted at baseline, 6 weeks, and 12 weeks using the Stroke Self-Efficacy Questionnaire (SSEQ), the Stroke Impact Scale (SIS-16), Hospital Anxiety and Depression Scale (HADS), and Short Form Questionnaire-12 (SF-12v2). Results: Significant improvements were observed in self-efficacy, physical function, emotional state, and health-related quality of life over the study period. The SSEQ scores increased from 23.3 at baseline to 33.3 at 12 weeks, while SIS-16 scores improved from 47.5 to 67.2. Anxiety and depression levels, measured by HADS, also showed significant reductions, as did health-related quality of life, evaluated by the SF-12v2. Conclusions: The results suggest that the program may enhance self-efficacy, physical function, and emotional well-being in stroke survivors, highlighting its potential as a valuable component of post-stroke care in Portugal.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent652079
dc.identifier.doi10.3390/healthcare13050495
dc.identifier.issn2227-9032
dc.identifier.otherPURE: 115341227
dc.identifier.otherPURE UUID: 07da861c-8778-46ff-8dd0-c8ea98e01002
dc.identifier.otherScopus: 86000496957
dc.identifier.urihttp://hdl.handle.net/10362/182629
dc.identifier.urlhttps://www.scopus.com/pages/publications/86000496957
dc.language.isoeng
dc.peerreviewedyes
dc.subjectpatient participation
dc.subjectquality of life
dc.subjectself-efficacy
dc.subjectself-management
dc.subjectstroke
dc.subjectLeadership and Management
dc.subjectHealth Policy
dc.subjectHealth Informatics
dc.subjectHealth Information Management
dc.subjectSDG 3 - Good Health and Well-being
dc.titleEffects of a Self-Management Program on Adults with Strokeen
dc.title.subtitleA Quasi-Experimental Studyen
dc.typejournal article
degois.publication.issue5
degois.publication.titleHealthcare (Switzerland)
degois.publication.volume13
dspace.entity.typePublication
rcaap.rightsopenAccess

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