title: One size does not fit all - Stroke survivor's views on group self-management interventions.
abstract: Stroke is the main cause of complex disability in the UK. Many stroke survivors feel abandoned when rehabilitation ends and more than half are left with long-term unmet needs. There is now emerging interest in whether group self-management programs (SMP) specifically for stroke survivors could help. However, more work is required to understand the acceptability of group SMPs to stroke survivors and the factors of concern that could impact efficacy.
  
  
  
  The purpose of this study is to explore stroke survivor's views on (1) possible benefits of a group SMP, (2) possible challenges of a group SMP, and (3) when/where to implement a SMP in an individual's stroke journey.
  
  
  
  Fourteen stroke survivors took part in semi-structured interviews, which were analyzed using an inductive thematic approach.
  
  
  
  Three main themes were identified in the data: (1) a space to share support, (2) it is not a one size fits all problem, and (3) how is it all going to happen?
  
  
  
  A varied group of stroke survivors can provide valuable insight and ideas about how group SMP's should be constructed. To the best of our knowledge, this is the first patient engagement study that explores group SMPs for stroke. In future work, researchers may find it helpful to consider the findings from this study to inform the design of group SMPs. Implications for Rehabilitation There is interest in whether unmet needs after stroke could be addressed through a group self-management program (SMP). Stroke survivors can provide valuable insight and ideas about how group SMPs should be constructed. Group SMPs should carefully consider: how to create a safe space in which stroke survivors feel comfortable, the impact of the facilitators, tailoring the group to the individual, the presence of carers, and the emotional impact of a group SMP.
authors.affiliation: a The National Hospital for Neurology and Neurosurgery, Queen Square , London & Sobell Department of Motor Neuroscience, UCL Institute of Neurology , London , United Kingdom of Great Britain and Northern Ireland.
authors.forename: Ella
authors.initials: E
authors.lastname: Clark
authors.affiliation: b The Institute of Psychology and Health and Society , University of Liverpool , Liverpool , United Kingdom of Great Britain and Northern Ireland.
authors.forename: Kate
authors.initials: K
authors.lastname: Bennett
authors.affiliation: a The National Hospital for Neurology and Neurosurgery, Queen Square , London & Sobell Department of Motor Neuroscience, UCL Institute of Neurology , London , United Kingdom of Great Britain and Northern Ireland.
authors.forename: Nick
authors.initials: N
authors.lastname: Ward
authors.affiliation: c Faculty of Health, Social Care and Education , Kingston University and St Georges University of London , London , United Kingdom of Great Britain and Northern Ireland.
authors.forename: Fiona
authors.initials: F
authors.lastname: Jones
mesh_terms: D000368:Aged; D006233:Persons with Disabilities / Q000523:psychology; D005260:Female; D006126:Group Processes; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D000073278:Self-Management; D012944:Social Support; D000071939:Stroke Rehabilitation; D017741:Survivors / Q000523:psychology*
keywords: Self-management; chronic disease; group; peer support; rehabilitation; stroke