Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 917-925 |
| Number of pages | 9 |
| Journal | Patient Education and Counseling |
| Volume | 105 |
| Issue number | 4 |
| Early online date | 14 Jul 2021 |
| DOIs | |
| Publication status | Published - Apr 2022 |
Keywords
- Family caregivers
- Health coaching
- Hospital readmissions
- Hospital-to-home
- Quality of life
- Self-efficacy
- Stroke survivors
- Transitional care
