TY - JOUR
T1 - Nurse-led health coaching programme to improve hospital-to-home transitional care for stroke survivors
T2 - A randomised controlled trial
AU - Lin, Shuanglan
AU - Xiao, Lily
AU - Chamberlain, Di
AU - Ullah, Shahid
AU - Wang, Yanjiang
AU - Shen, Yingying
AU - Chen, Zhenfang
AU - Wu, Ya-Min
PY - 2022/4
Y1 - 2022/4
N2 - Objective: To evaluate the effects of a nurse-led health coaching programme for stroke survivors and family caregivers in hospital-to-home transition care. Methods: A 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. Results: Stroke survivors in the intervention group demonstrated a significant improvement in self-efficacy at 12 weeks (x̅: 24.9, 95%CI: 20.2–29.6, p < 0.001) and at 24 weeks (x̅: 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. Conclusion: The nurse-led health coaching programme improved health outcomes for both stroke survivors and their caregivers. Practice Impaction: Findings 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.
AB - Objective: To evaluate the effects of a nurse-led health coaching programme for stroke survivors and family caregivers in hospital-to-home transition care. Methods: A 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. Results: Stroke survivors in the intervention group demonstrated a significant improvement in self-efficacy at 12 weeks (x̅: 24.9, 95%CI: 20.2–29.6, p < 0.001) and at 24 weeks (x̅: 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. Conclusion: The nurse-led health coaching programme improved health outcomes for both stroke survivors and their caregivers. Practice Impaction: Findings 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.
KW - Family caregivers
KW - Health coaching
KW - Hospital readmissions
KW - Hospital-to-home
KW - Quality of life
KW - Self-efficacy
KW - Stroke survivors
KW - Transitional care
UR - http://www.scopus.com/inward/record.url?scp=85110761330&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2021.07.020
DO - 10.1016/j.pec.2021.07.020
M3 - Article
AN - SCOPUS:85110761330
VL - 105
SP - 917
EP - 925
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 4
ER -