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Int. J. Environ. Res. Public Health 2017, 14(11), 1353; https://doi.org/10.3390/ijerph14111353

BUS TRIPS—A Self-Management Program for People with Cognitive Impairments after Stroke

1
Department of Health Sciences, Lund University, P.O. Box 157, SE-22100 Lund, Sweden
2
Department of Technology and Society, Lund University, P.O. Box 118, SE-22100 Lund, Sweden
3
Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, SE-22185 Lund-Malmö, Sweden
4
Department of Clinical Sciences, Lund University, P.O. Box 117, SE-22100 Lund, Sweden
*
Author to whom correspondence should be addressed.
Received: 18 September 2017 / Revised: 13 October 2017 / Accepted: 3 November 2017 / Published: 7 November 2017
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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Abstract

Stroke is a major cause of disability worldwide and different types of impairments can affect the individual’s ability to manage everyday activities such as travel that is essential for participation in society. The purpose of this study was to investigate the feasibility of a new self-management intervention (BUS TRIPS) focusing on travelling by bus, and potential contributions to an improved ability to travel by bus for people with cognitive impairments after stroke. This is a pilot study of five individuals, utilizing a multiple case study design with a mixed methods approach. Assessments (Stroke Impact Scale, General Self-Efficacy Scale and Life Satisfaction Scale-11, Item 1) were performed before, two weeks after, and three months after the program. The data collection also comprised reflection notes from the group leaders (an occupational therapist and a physiotherapist), a semi-structured group interview and an individual phone survey. The feasibility of the intervention was presented in four sub-categories: (1) appreciated group format despite too short sessions; (2) the importance of skilled leaders and motivated participants; (3) session material adequate but needs minor revision to fit the target group; and (4) homework is valuable but reflective group discussions must be supported. The narratives of each case showed that all participants made some progress related to travelling by bus, but the overall positive results could not be verified by all of the quantitative assessments. We conclude that the BUS TRIPS intervention is feasible and can potentially contribute to an improved ability to travel by bus for the target group. Future studies is called for, and should focus on recruitment challenges, to clarify assessments that would be suitable to use in larger scale clinical trials and during subsequent implementation in clinical practice. View Full-Text
Keywords: bus travelling; feasibility; participation; public transport; self-efficacy; stroke bus travelling; feasibility; participation; public transport; self-efficacy; stroke
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Carlstedt, E.; Iwarsson, S.; Ståhl, A.; Pessah-Rasmussen, H.; Månsson Lexell, E. BUS TRIPS—A Self-Management Program for People with Cognitive Impairments after Stroke. Int. J. Environ. Res. Public Health 2017, 14, 1353.

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