{Reference Type}: Journal Article
{Title}: Nurse-led health coaching programme to improve hospital-to-home transitional care for stroke survivors: A randomised controlled trial.
{Author}: Lin S;Xiao LD;Chamberlain D;Ullah S;Wang Y;Shen Y;Chen Z;Wu M;
{Journal}: Patient Educ Couns
{Volume}: 0
{Issue}: 0
{Year}: Jul 2021 14
{Factor}: 3.467
{DOI}: 10.1016/j.pec.2021.07.020
{Abstract}: <B>OBJECTIVE: </B>To evaluate the effects of a nurse-led health coaching programme for stroke survivors and family caregivers in hospital-to-home transition care.<BR><B>METHODS: </B>A total of 140 dyads of stroke survivors and their family caregivers were recruited and randomly assigned to either the intervention group (received a 12-week nurse-led health coaching programme) or the usual care group. The primary outcome was self-efficacy, and secondary outcomes were quality of life (QoL), stroke-related knowledge, and caregiver-related burden. The outcomes were measured at baseline, 12 and 24 weeks.<BR><B>RESULTS: </B>Stroke survivors in the intervention group demonstrated a significant improvement in self-efficacy at 12 weeks (x̅: 24.9, 95%CI: 20.2-29.6, p < 0.001) and at 24 weeks (x̅: 23.9, 95%CI: 19.2-28.6, p < 0.001) compared to the usual care group. Findings also demonstrated significant increases in stroke survivors' QoL, stroke-related knowledge, and reduction in unplanned hospital readmissions and caregiver-related burden. There were no statistically significant changes in other outcomes between the two groups.<BR><B>CONCLUSIONS: </B>The nurse-led health coaching programme improved health outcomes for both stroke survivors and their caregivers.<BR><B>UNASSIGNED: </B>Findings from the study suggest that nurse-led health coaching should be incorporated into routine practice in hospital-to-home transitional care for stroke survivors and their caregivers.