Effectiveness of a Home-Based Coping Enhancement Program for Stroke Survivors: A Randomized Controlled Trial

Sunanta  Tangnitipong; Nuttamon  Vuttanon; Linchong  Pothiban; Rojanee  Chintanawat

Authors

Sunanta Tangnitipong RN, PhD (Candidate), Faculty of Nursing, Chiang Mai University, Thailand.
Nuttamon Vuttanon RN, PhD, Associate Professor, Faculty of Nursing, Chiang Mai University, Thailand.
Linchong Pothiban RN, DNS, Associate Professor, Faculty of Nursing, Chiang Mai University, Thailand.
Rojanee Chintanawat RN, PhD, Assistant Professor, Faculty of Nursing, Chiang Mai University, Thailand.

Keywords:

Adherence, Home-based care, Coping, Psychological well-being, Rehabilitation, Stroke survivors

Abstract

Stoke is serious and causes disability and dependence, resulting in survivor stress and lack of motivation for self-rehabilitation. Assisting survivors to maintain psychological well-being and adhere to rehabilitation is essential. This randomized control trial investigated the effectiveness of a home-based coping enhancement program on psychological well-being and adherence to rehabilitation in stroke survivors in northern Thailand. The program is based on the Stress Process Model. Sixty-two stroke survivors were randomly assigned to either an experimental (n = 30) or control group (n = 32). The experimental group received the Home-based Coping Enhancement Program in addition to usual care, while the control group received only usual care. Data were collected using the Psychological Well-Being Scale and the Adherence to Rehabilitation Scale, and analyzed using descriptive statistics, t-test, and two-way repeated measures ANOVA.
Results indicated that the psychological well-being and adherence to rehabilitation mean scores of the experimental group significantly increased at weeks 6 and 12 after intervention completion. In addition, mean psychological well-being scores in the experimental group were significantly higher than those in the control group at weeks 6 and 12, but not significantly different between groups in the mean adherence to rehabilitation scores. The results revealed that the program could improve psychological well-being among stroke survivors. Further testing of the program is needed before it is incorporated into practice.

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