Adapting the Bridges stroke self-management programme for use in Australia

BACKGROUND/AIMS: This study explored the applicability of the UK Bridges stroke self-management programme for use in an Australian health care context, and specifcally, the need for any modifcation to the workbook tool. METHODS: Data were collected via survey from Australian stroke professionals who had attended a 2-day Bridges training workshop and from focus groups with community-based stroke survivors across three different states. FINDINGS: A total of 18 out of 30 workshop attendees (60%) completed the electronic survey. Most (94%) agreed that the training had advanced their practice with a stronger focus on self-management principles and that they would recommend the training to colleagues. The majority (71%) had incorporated some Bridges stroke self-management programme principles or strategies into their practice; although 81% reported a range of barriers to doing so. A total of 26 stroke survivors attended focus groups. The workbook was considered to be a useful tool to support self-management. Suggestions for change included the addition of some culturally contextualised patient stories and locally relevant stroke support resources. CONCLUSIONS: Stroke survivors and health professionals recognised the need for structured training, such as the Bridges stroke self-management programme, to develop self-management skills and knowledge post stroke. The Bridges stroke self-management programme workbook would be able to be used in Australia with minor modifcation.