title: The effect of self-management education following mild stroke: an exploratory randomized controlled trial.
abstract: Mild stroke comprises 53% of stroke hospital admissions; however, the majority of those with mild stroke patients receive little support to address chronic symptoms following stroke.
  
  
  
  To evaluate the feasibility and preliminary effect of the Chronic Disease Self-Management Program (CDSMP) for use with individuals immediately post mild-stroke.
  
  
  
  Single-blind, exploratory, randomized controlled trial with participants who sustained a mild stroke (NIHSS <6). Participants were randomized to either receive the CDSMP intervention or to an inactive control group. Primary outcomes were self-reported health and self-efficacy and were obtained at baseline, post-intervention (treatment group only), and at six months post-baseline. Wilcoxon Signed Rank Tests were used to compare change score differences for all participants and effect size was computed using effect size r for non-parametric data.
  
  
  
  There were no differences between groups in demographics or baseline data with the exception of how participants felt they are able to manage their health in general (p = 0.05). At follow-up, effect sizes ranged from 0 to 0.35 (no effect to medium effect); however, while the treatment group reported improvements in several areas of health at follow-up, the results are not compelling when compared to the control group over the same time period.
  
  
  
  The results did not identify a positive effect that would support the use of the CDSMP with individual's post-mild stroke; however, the generalizability of these results is limited secondary to several limitations in this exploratory study.
authors.affiliation: a Department of Occupational Therapy , University of Missouri , Columbia , MO , USA.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Wolf
authors.affiliation: a Department of Occupational Therapy , University of Missouri , Columbia , MO , USA.
authors.forename: Meredith J
authors.initials: MJ
authors.lastname: Spiers
authors.affiliation: b Program in Occupational Therapy , Washington University in St. Louis , St. Louis , MO , USA.
authors.forename: Meghan
authors.initials: M
authors.lastname: Doherty
authors.affiliation: c Biostatistics & Research Design Unit, School of Medicine , University of Missouri , Columbia , MO , USA.
authors.forename: Emily V
authors.initials: EV
authors.lastname: Leary
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000534:rehabilitation; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods*; D000073278:Self-Management / Q000379:methods*; D016037:Single-Blind Method; D020521:Stroke / Q000628:therapy*; D000071939:Stroke Rehabilitation / Q000379:methods*
keywords: Stroke; chronic disease; occupational therapy; rehabilitation; stroke management