Nurse-led health coaching programme to improve hospital-to-home transitional care for stroke survivors: A randomised controlled trial |
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| Affiliation: | 1. College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia;2. College of Medicine and Public Health, Flinders University, Australia;3. Department of Neurology and Centre for Clinical Neuroscience, the Third Affiliated Hospital of Army Medical University, Chongqing, China;4. Department of Neurology and Centre for Clinical Neuroscience, the First Affiliated Hospital of Army Medical University, Chongqing, China;1. Graduate Institute of Clinical Pharmacy, College of Medicine, National Taiwan University, Taipei 100025, Taiwan;2. Profession and Quality Pharmacy, Taipei 108009, Taiwan;3. Department of Industrial Education, National Taiwan Normal University, Taipei 106308, Taiwan;4. Chen-Fang Pharmacy, Yilan County 260004, Taiwan;5. School of Pharmacy, College of Medicine, National Taiwan University, Taipei 100025, Taiwan;6. Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei 100226, Taiwan;1. Children’s Hospital Los Angeles, Los Angeles, United States;2. Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, United States;1. Cardinal Stefan Wyszyński University, Institute of Psychology, Warsaw, Poland;2. SWPS University of Social Sciences and Humanities, Department of Clinical and Health Psychology, Katowice, Poland;3. Institute of Psychology of Polish Academy of Sciences, Warsaw, Poland;1. Institute of Communication and Health, University of Italian Switzerland, Lugano, Switzerland;2. Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden;3. Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden;4. Department of Psychology, Umeå University, Umeå, Sweden;1. Department of Allergy, Immunology and Respiratory Medicine, Monash University, Melbourne, Victoria, Australia;2. Department of Respiratory and Sleep Medicine, Alfred Health, Melbourne, Victoria, Australia;3. Department of Respiratory and Sleep Medicine, Austin Health, Melbourne, Victoria, Australia;4. Institute for Breathing and Sleep, Melbourne, Victoria, Australia;5. Department of Physiotherapy, Alfred Health, Melbourne, Victoria, Australia |
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| Abstract: | ObjectiveTo evaluate the effects of a nurse-led health coaching programme for stroke survivors and family caregivers in hospital-to-home transition care.MethodsA total of 140 dyads of stroke survivors and their family caregivers were recruited and randomly assigned to either the intervention group (received a 12-week nurse-led health coaching programme) or the usual care group. The primary outcome was self-efficacy, and secondary outcomes were quality of life (QoL), stroke-related knowledge, and caregiver-related burden. The outcomes were measured at baseline, 12 and 24 weeks.ResultsStroke survivors in the intervention group demonstrated a significant improvement in self-efficacy at 12 weeks (x?: 24.9, 95%CI: 20.2–29.6, p < 0.001) and at 24 weeks (x?: 23.9, 95%CI: 19.2–28.6, p < 0.001) compared to the usual care group. Findings also demonstrated significant increases in stroke survivors’ QoL, stroke-related knowledge, and reduction in unplanned hospital readmissions and caregiver-related burden. There were no statistically significant changes in other outcomes between the two groups.ConclusionThe nurse-led health coaching programme improved health outcomes for both stroke survivors and their caregivers.Practice ImpactionFindings from the study suggest that nurse-led health coaching should be incorporated into routine practice in hospital-to-home transitional care for stroke survivors and their caregivers. |
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| Keywords: | Health coaching Hospital-to-home Transitional care Stroke survivors Family caregivers Self-efficacy Quality of life Hospital readmissions |
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