Nurse-led health coaching programme to improve hospital-to-home transitional care for stroke survivors: A randomised controlled trial

Shuanglan Lin, Lily Xiao, Di Chamberlain, Shahid Ullah, Yanjiang Wang, Yingying Shen, Zhenfang Chen, Ya-Min Wu

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Number of pages9
JournalPatient Education and Counseling
Early online date14 Jul 2021
DOIs
Publication statusE-pub ahead of print - 14 Jul 2021

Keywords

  • Family caregivers
  • Health coaching
  • Hospital readmissions
  • Hospital-to-home
  • Quality of life
  • Self-efficacy
  • Stroke survivors
  • Transitional care

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