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PreprintCited by 27Nursing care and researchStroke Rehabilitation and RecoveryMedical Practices and Rehabilitation

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A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

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Xiao, Lily, Lin, Shuanglan, Chamberlain, Diane·2020·Trials
DOI 10.21203/rs.2.14466/v2PMC PMC7057579

Preprint — published as 10.1186/s13063-020-4156-z

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Abstract

Background Hospital to home transition care is a most stressful period for stroke survivors and their caregivers to learn self-management of stroke-related health conditions and to engage in rehabilitation. Health coaching has been identified as a strategy to enhance self-management of poststroke care at home. However, interventions in this field that are informed by a health coaching framework are scarce. This study will address a gap in research by testing the hypothesis that a nurse-led health coaching intervention can improve health outcomes for stroke survivors and their family caregivers in hospital to home transition care. Methods This is a single-blind, two-arm parallel randomized controlled trial of a nurse-led health coaching program versus routine care situated in two tertiary hospitals in Chongqing, China. Stroke survivors and their primary family caregivers will be recruited together as “participant dyads”, and the estimated sample size is 140 (70 in each group). The intervention includes a 12-week nurse-led health coaching program in hospital to home transition care commencing at discharge from the hospital. The primary outcomes are changes in self-efficacy and quality of life of stroke survivors at 12 weeks from the baseline. The secondary outcomes are changes in stroke survivors’ functional ability, stroke-related knowledge, the number of adverse events, and unplanned hospital admissions, and caregivers’ self-efficacy and caregiver-related burden at 12 weeks from the baseline. The outcomes will be measured at 12 weeks and 24 weeks from the baseline. Discussion This study will examine the effect of nurse-led health coaching on hospital to home transition care for stroke survivors and their caregivers. It is anticipated that findings from this trial will provide research evidence to inform policy, and resource and practice development to improve hospital to home transition care for stroke survivors and their caregivers.

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Metadata

Authors
Xiao, L., Lin, S., & Chamberlain, D.
Affiliations
Flinders University (AU)
Corresponding author
Xiao, Lily
ORCID
Venue
Trials
Publisher
Springer Science and Business Media LLC
Published
2020-01-23
Volume
21
Issue
1
Pages
240-240
ISSN
1745-6215 (ISSN-L)
DOI
10.21203/rs.2.14466/v2
PMC
PMC7057579
OpenAlex
W3009678444
Cited by
27
References
55
Citations by year
2026: 3 · 2025: 3 · 2024: 5 · 2023: 5 · 2022: 7 · 2021: 2 · 2020: 2
FWCI
6.16
Type
journal article
Language
en
Open access
Licence
Locations
  • Trials (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Flinders University
  • Army Medical University
  • School of Nursing and Midwifery, Flinders University (601. 41545 - 2017, 601. 41545)
Topics
  • Health Sciences › Nursing › Research and Theory › Nursing care and research
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
stroke survivors, family caregivers, self-efficacy, caregiver burden, stroke self-management, stroke rehabilitation, quality of life, functional capacity, emergency admissions
MeSH terms
Transitional Care, Stroke Rehabilitation, China, Health Education, Humans, Health Knowledge, Attitudes, Practice, Quality of Life, Multicenter Studies as Topic, Randomized Controlled Trials as Topic, Single-Blind Method, Caregivers, Survivors, Home Care Services, Hospital-Based, Stroke, Nurses, Community Health

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