Tielemans Nienke S, Schepers Vera Pm, Visser-Meily Johanna Ma, van Erp Jos, Eijkenaar Mariette, van Heugten Caroline M
School for Mental Health and Neuroscience, Department of Psychiatry and Neuropsychology, Maastricht University Medical Centre, Maastricht, The Netherlands Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
Clin Rehabil. 2014 Jun;28(6):530-40. doi: 10.1177/0269215513514460. Epub 2014 Jan 22.
To describe the rationale behind and description of a group-based self-management intervention developed for stroke patients and their partners.
Based on the assumption that proactive coping strategies are beneficial for the re-uptake of daily life by stroke patients and partners, we developed a new stroke-specific, group-based self-management intervention based on proactive action planning. A first concept of the treatment protocol was developed based on the proactive coping theory, the Health Action Process Approach model, existing interventions and expert consultations. Further adjustments were based on two pilot studies, including addition of solution-based therapeutic techniques.
'Plan ahead!' is a 10-week group-based self-management intervention, consisting of six 2-hour sessions in the first six weeks and a 2-hour booster session in the 10th week. It is offered in an outpatient setting by two rehabilitation professionals with experience in group counselling and working with stroke patients. It is provided to groups of four stroke patients living at home (stroke ≥2 months ago) and their partners. The main features are (1) proactive action planning as the main constituent, (2) stroke-specific elements and (3) considering partners as full participants.
This stroke-specific intervention is expected to increase the use of proactive action planning and thus improve the participation of stroke patients and their partners. It is innovative in its aim to change behaviour patterns of participants directly, teaching participants a general action planning strategy and considering partners as full participants with their own goals and opportunities.
描述为中风患者及其伴侣开发的基于小组的自我管理干预措施背后的基本原理及该措施的具体情况。
基于积极应对策略有利于中风患者及其伴侣重新融入日常生活这一假设，我们基于积极行动计划开发了一种新的针对中风患者的、基于小组的自我管理干预措施。治疗方案的首个概念是根据积极应对理论、健康行动过程方法模型、现有干预措施及专家咨询制定的。进一步的调整基于两项试点研究，包括增加基于解决方案的治疗技术。
“提前规划！”是一项为期10周的基于小组的自我管理干预措施，在前六周包括六次每次2小时的课程，在第10周有一次2小时的强化课程。该干预措施由两名具有小组咨询经验且从事中风患者工作的康复专业人员在门诊环境中提供。它面向四名居家的中风患者（中风发生≥2个月前）及其伴侣组成的小组。其主要特点包括：（1）以积极行动计划为主要组成部分；（2）包含针对中风的特定元素；（3）将伴侣视为完全参与者。
这种针对中风的干预措施预计会增加积极行动计划的使用，从而提高中风患者及其伴侣的参与度。它的创新之处在于旨在直接改变参与者的行为模式，教导参与者一种通用的行动计划策略，并将伴侣视为有自身目标和机会的完全参与者。
