The perceived benefits of the chronic disease self-management program among participants with stroke: A qualitative study

Despite the expense associated with rehabilitation following stroke, dissatisfaction with psychosocial outcomes is common (Thomas & Parry, 1996). The rehabilitation system has been critiqued as lacking a theoretical base for psychosocial interventions (Goldberg, Segal, Berk, Schall, & Gershkoff, 1997). The current paper examines the possible role of the Chronic Disease Self-Management Program ([CDSMP] Lorig, 1996) in contributing to the psychosocial rehabilitation of people with stroke. This paper focuses on the analysis of incidental comments made by participants about a version of the CDSMP, tailored for people with stroke. These comments, collected over an 18-month follow-up period, provide interesting insights into the key aspects of the program. Six informative themes emerged from the more specific comments, namely (1) the importance of social contact and comparison, (2) increased awareness and knowledge about stroke, (3) motivation to pursue goals and activities, (4) a sense of achievement, (5) maintenance of gains, and (6) the paradoxical nature of social support. According to participants, the program was associated with enhanced self-efficacy. Other reported benefits (such as social support and enhanced knowledge) were indirectly associated with the program and appeared to reflect social aspects of the group and its stroke-specific focus. Maintenance of gains made by participants was seen as a crucial issue.

Window, Lake Weyba House, Sunshine Coast

Vinyl window to daybed alcove, bedroom pavilion, South-West elevation.

Window, Lake Weyba House, Sunshine Coast

Vinyl window to bath house pavilion, South-West elevation.

Main Pavilion, Lake Weyba House, Sunshine Coast

As seen from West, looking towards front of main pavilion. Standard roller doors to clerestory.

Pivoting vent, Lake Weyba House, Sunshine Coast

Bedroom pavilion, South-East elevation. Day bed alcove on left.

Pavilions and outdoor seating area, Lake Weyba House, Sunshine Coast

As seen from back of bedroom pavilion, looking towards main pavilion. Day bed alcove to bedroom in foreground.

South-West elevation, Lake Weyba House, Sunshine Coast

Bath house and bedroom pavilions, with outdoor seating area in foreground.

Main pavilion, Lake Weyba House, Sunshine Coast

South-West elevation of main pavilion - living, kitchen, dining and study/guest areas.

Bedroom pavilion, Lake Weyba House, Sunshine Coast

As seen from outdoor seating area. Pivoting vent on left and day bed alcove on right. Standard roller doors to clerestory.

Bath house pavilion, Lake Weyba House, Sunshine Coast

South-West elevation. Paved seating area in foreground.