Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Neurologic Rehabilitation Center, Clalit Health Services, Kiryat Byalik, Israel.
Occup Ther Health Care. 2021 Apr;35(2):198-216. doi: 10.1080/07380577.2021.1905197. Epub 2021 Apr 1.
Self-management programs are used to assist stroke survivors to manage their condition and participation. This study was designed to examine correlations between occupational identity and outcomes of participation-focused self-management program using the Occupational Performance History Interview for the occupational identity and participation and self-efficacy as outcome measures. Spearman's rho correlations were calculated between occupational Identity and the program's outcomes. Results showed moderate significant positive correlations with self-efficacy for self-management and self-efficacy for participation scales at baseline; few were found at post-intervention and follow-up. Non-significant correlations were found between occupational identity and the change in outcome measures from baseline to post-intervention and to follow-up. Findings suggest occupational identity is strongly related to self-efficacy after stroke, and less related to intervention outcomes. However, other factors may possibly affect the effectiveness of self-management programs for a stroke population. Exploration of these factors might help develop programs better tailored to each stroke survivor.
自我管理计划用于帮助中风幸存者管理他们的病情和参与度。本研究旨在通过使用职业表现历史访谈来检查职业认同与以参与为重点的自我管理计划结果之间的相关性，以职业认同和参与度以及自我效能感作为结果测量指标。计算了职业认同与计划结果之间的斯皮尔曼 rho 相关性。结果显示，在基线时，与自我管理和参与自我效能感量表的自我效能感呈中度显著正相关；在干预后和随访时发现的相关性较少。在职业认同与从基线到干预后和随访的结果测量变化之间发现没有显著相关性。研究结果表明，职业认同与中风后自我效能感密切相关，与干预结果的相关性较小。然而，其他因素可能会影响中风人群自我管理计划的有效性。探索这些因素可能有助于开发更适合每个中风幸存者的计划。
