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BUS TRIPS—A self-management program for people with cognitive impairments after stroke

Carlstedt, Emma LU ; Iwarsson, Susanne LU ; Ståhl, Agneta LU ; Pessah-Rasmussen, Hélène LU and Lexell, Eva Månsson LU (2017) In International Journal of Environmental Research and Public Health 14(11).
Abstract

Stroke is a major cause of disability worldwide and different types of impairments can affect the individual’s ability to manage everyday activities such as travel that is essential for participation in society. The purpose of this study was to investigate the feasibility of a new self-management intervention (BUS TRIPS) focusing on travelling by bus, and potential contributions to an improved ability to travel by bus for people with cognitive impairments after stroke. This is a pilot study of five individuals, utilizing a multiple case study design with a mixed methods approach. Assessments (Stroke Impact Scale, General Self-Efficacy Scale and Life Satisfaction Scale-11, Item 1) were performed before, two weeks after, and three months... (More)

Stroke is a major cause of disability worldwide and different types of impairments can affect the individual’s ability to manage everyday activities such as travel that is essential for participation in society. The purpose of this study was to investigate the feasibility of a new self-management intervention (BUS TRIPS) focusing on travelling by bus, and potential contributions to an improved ability to travel by bus for people with cognitive impairments after stroke. This is a pilot study of five individuals, utilizing a multiple case study design with a mixed methods approach. Assessments (Stroke Impact Scale, General Self-Efficacy Scale and Life Satisfaction Scale-11, Item 1) were performed before, two weeks after, and three months after the program. The data collection also comprised reflection notes from the group leaders (an occupational therapist and a physiotherapist), a semi-structured group interview and an individual phone survey. The feasibility of the intervention was presented in four sub-categories: (1) appreciated group format despite too short sessions, (2) the importance of skilled leaders and motivated participants, (3) session material adequate but needs minor revision to fit the target group, and (4) homework is valuable but reflective group discussions must be supported. The narratives of each case showed that all participants made some progress related to travelling by bus, but the overall positive results could not be verified by all of the quantitative assessments. We conclude that the BUS TRIPS intervention is feasible and can potentially contribute to an improved ability to travel by bus for the target group. Future studies is called for, and should focus on recruitment challenges, to clarify assessments that would be suitable to use in larger scale clinical trials and during subsequent implementation in clinical practice.

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Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bus travelling, Feasibility, Participation, Public transport, Self-efficacy, Stroke
in
International Journal of Environmental Research and Public Health
volume
14
issue
11
publisher
Multidisciplinary Digital Publishing Institute (MDPI)
external identifiers
  • scopus:85033575164
  • wos:000416545200069
ISSN
1661-7827
DOI
10.3390/ijerph14111353
language
English
LU publication?
yes
id
5bdd3a2d-327b-4cfd-a30e-43c4e0c359e6
date added to LUP
2017-11-22 10:34:36
date last changed
2018-05-29 10:39:25
@article{5bdd3a2d-327b-4cfd-a30e-43c4e0c359e6,
  abstract     = {<p>Stroke is a major cause of disability worldwide and different types of impairments can affect the individual’s ability to manage everyday activities such as travel that is essential for participation in society. The purpose of this study was to investigate the feasibility of a new self-management intervention (BUS TRIPS) focusing on travelling by bus, and potential contributions to an improved ability to travel by bus for people with cognitive impairments after stroke. This is a pilot study of five individuals, utilizing a multiple case study design with a mixed methods approach. Assessments (Stroke Impact Scale, General Self-Efficacy Scale and Life Satisfaction Scale-11, Item 1) were performed before, two weeks after, and three months after the program. The data collection also comprised reflection notes from the group leaders (an occupational therapist and a physiotherapist), a semi-structured group interview and an individual phone survey. The feasibility of the intervention was presented in four sub-categories: (1) appreciated group format despite too short sessions, (2) the importance of skilled leaders and motivated participants, (3) session material adequate but needs minor revision to fit the target group, and (4) homework is valuable but reflective group discussions must be supported. The narratives of each case showed that all participants made some progress related to travelling by bus, but the overall positive results could not be verified by all of the quantitative assessments. We conclude that the BUS TRIPS intervention is feasible and can potentially contribute to an improved ability to travel by bus for the target group. Future studies is called for, and should focus on recruitment challenges, to clarify assessments that would be suitable to use in larger scale clinical trials and during subsequent implementation in clinical practice.</p>},
  articleno    = {1349},
  author       = {Carlstedt, Emma and Iwarsson, Susanne and Ståhl, Agneta and Pessah-Rasmussen, Hélène and Lexell, Eva Månsson},
  issn         = {1661-7827},
  keyword      = {Bus travelling,Feasibility,Participation,Public transport,Self-efficacy,Stroke},
  language     = {eng},
  month        = {11},
  number       = {11},
  publisher    = {Multidisciplinary Digital Publishing Institute (MDPI)},
  series       = {International Journal of Environmental Research and Public Health},
  title        = {BUS TRIPS—A self-management program for people with cognitive impairments after stroke},
  url          = {http://dx.doi.org/10.3390/ijerph14111353},
  volume       = {14},
  year         = {2017},
}