Community reintegration of stroke survivors: the effect of a community navigation intervention

Montgomery, Phyllis; Jermyn, Darren; Bailey, Patricia Hill; Nangia, Parveen; Egan, Mary; Mossey, Sharolyn

doi:10.1111/jan.12471

Cited by 6 publications

(9 citation statements)

References 86 publications

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“…However, the efficacy and theoretical underpinnings of these interventions to support multiple behavioral changes are unclear. The results of a mixed methods study of a tailored self-management program showed promise in promoting patient activation, exercise, and healthy eating (Montgomery et al, 2015). Future studies should incorporate objective and self-report measures of healthy behaviors to determine whether self-management interventions can promote multiple health behaviors.…”

Section: Discussionmentioning

confidence: 99%

A mixed methods study of multiple health behaviors among individuals with stroke

Plow

Moore

Sajatovic

et al. 2017

PeerJ

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BackgroundIndividuals with stroke often have multiple cardiovascular risk factors that necessitate promoting engagement in multiple health behaviors. However, observational studies of individuals with stroke have typically focused on promoting a single health behavior. Thus, there is a poor understanding of linkages between healthy behaviors and the circumstances in which factors, such as stroke impairments, may influence a single or multiple health behaviors.MethodsWe conducted a mixed methods convergent parallel study of 25 individuals with stroke to examine the relationships between stroke impairments and physical activity, sleep, and nutrition. Our goal was to gain further insight into possible strategies to promote multiple health behaviors among individuals with stroke. This study focused on physical activity, sleep, and nutrition because of their importance in achieving energy balance, maintaining a healthy weight, and reducing cardiovascular risks. Qualitative and quantitative data were collected concurrently, with the former being prioritized over the latter. Qualitative data was prioritized in order to develop a conceptual model of engagement in multiple health behaviors among individuals with stroke. Qualitative and quantitative data were analyzed independently and then were integrated during the inference stage to develop meta-inferences. The 25 individuals with stroke completed closed-ended questionnaires on healthy behaviors and physical function. They also participated in face-to-face focus groups and one-to-one phone interviews.ResultsWe found statistically significant and moderate correlations between hand function and healthy eating habits (r = 0.45), sleep disturbances and limitations in activities of daily living (r = − 0.55), BMI and limitations in activities of daily living (r = − 0.49), physical activity and limitations in activities of daily living (r = 0.41), mobility impairments and BMI (r = − 0.41), sleep disturbances and physical activity (r = − 0.48), sleep disturbances and BMI (r = 0.48), and physical activity and BMI (r = − 0.45). We identified five qualitative themes: (1) Impairments: reduced autonomy, (2) Environmental forces: caregivers and information, (3) Re-evaluation: priorities and attributions, (4) Resiliency: finding motivation and solutions, and (5) Negative affectivity: stress and self-consciousness. Three meta-inferences and a conceptual model described circumstances in which factors could influence single or multiple health behaviors.DiscussionThis is the first mixed methods study of individuals with stroke to elaborate on relationships between multiple health behaviors, BMI, and physical function. A conceptual model illustrates addressing sleep disturbances, activity limitations, self-image, and emotions to promote multiple health behaviors. We discuss the relevance of the meta-inferences in designing multiple behavior change interventions for individuals with stroke.

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Section: Discussionmentioning

confidence: 99%

A mixed methods study of multiple health behaviors among individuals with stroke

Plow

Moore

Sajatovic

et al. 2017

PeerJ

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“…The terms "reintegration," "cancer," and "definition" were also investigated using Google's search engine to supply dictionary definitions, encyclopedia compendiums, and current uses of the term. International sources identified within the databases included supporting literature from the Government of Canada (Griffiths, Dandurand, & Murdoch, 2007), United Nations Office on Drugs and Crime (2006), the International Organization for Migration (2017) and published research articles conducted in other countries such as Canada (Kelly et al, 2016;Montgomery et al, 2015;Wood-Dauphinee & Williams, 1987) and the United Kingdom (Eshareturi, Serrant-Green, Bayliss-Pratt, & Galbraith, 2014;Pini, Gardner, & Hugh-Jones, 2013). Basic database searches using the term "reintegration" initially yielded the following results: CINAHL 2,770 results, PubMed 3,124 results, PsycINFO 21,440 results, JSTOR 886 results, and Google Scholar 298,000 results.…”

Section: Data Sourcesmentioning

confidence: 99%

“…The nursing discipline has predominantly used reintegration in studies for military personnel (Doherty & Scannell-Desch, 2015), stroke survivors (Montgomery et al, 2015), ex-prisoners (Eshareturi et al, 2014;Marlow & Chesla, 2010), mental health conditions (Gibson, 1999), and pediatric cancer survivor populations (Labay et al, 2004;Libman, Sherrod, & Weyant 2017;Pini et al, 2013). In the context of cancer survivorship, literature focuses on adult survivors' return to work (Clark & Landis, 1989), and pediatric survivors' return to school (Labay et al, 2004;Libman et al, 2017;Pini et al, 2013).…”

Section: Nursing and Reintegrationmentioning

confidence: 99%

“…Wood-Dauphinee and Williams (1987) introduced the concept of patient reintegration in a normal living environment to better understand the effects of disease and associated treatments on patients' lives. Other articles have explored reintegration in clinical contexts for liver transplant patients (Kelly et al, 2016), stroke patients (Montgomery et al, 2015), and brain injury survivors (Reistetter & Abreu, 2005). Reintegration literature within the cancer survivorship experience currently focuses on specific stages of the reintegration experience such as returning to school (Labay, Mayans, & Harris, 2004;Libman, Sherrod, & Weyant, 2017) or the workplace (Clark & Landis, 1989).…”

Section: Introductionmentioning

confidence: 99%

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Reintegration for Post-treatment Cancer Survivors: A Concept Analysis

Ore

Foli

2019

J Holist Nurs

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Background: Cancer survivors who have completed active treatments experience challenges in the survivorship phase of cancer care. Survivors transitioning through an illness experience negotiate former roles and relationships and reevaluate their self-identity. Reintegration of post-treatment cancer survivors has not been analyzed; however, nurses with a clear understanding of reintegration influence holistic care. Purpose: The goal of this artricle is to provide a theoretical definition of the concept of reintegration for cancer survivors post-treatment. The definition is derived and supported from a multidisciplinary literature review. Method: The discussion was organized using the Walker and Avant approach to concept analysis. Findings: This concept analysis defined reintegration as a dynamic process involving the reorganization of former performance roles concurrent with the reevaluation of personal abilities. Survivors are involved in creating a new normal and post-treatment cancer survivor identity. Reintegration is characterized by transitional phases that may be cyclical and evolve with time. Finally, desired outcomes are based on perceived subjective and objective criteria of importance and are strengthened through multidimensional supportive networks. Conclusion: Incorporating the physical, social, emotional, spiritual, and community/environmental aspects of the cancer survivorship experience enhances reintegration.

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“…However, the efficacy and theoretical underpinnings of these interventions to support multiple behavioral changes are unclear. The results of a recent mixed methods study of a tailored self-management program showed promise in promoting patient activation, exercise, and healthy eating (Montgomery et al 2015). Future studies should PeerJ reviewing PDF | (2016:12:15018:1:1:ACCEPTED 17 Mar 2017)…”

Section: Addressing Purpose 3: Developing Multiple Behavior Change Inmentioning

confidence: 99%

Peer Review #1 of "A mixed methods study of multiple health behaviors among individuals with stroke (v0.1)"

2017

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Background. Individuals with stroke often have multiple cardiovascular risk factors that necessitate promoting engagement in multiple healthy behaviors. However, observational studies of individuals with stroke have typically focused on promoting a single health behavior. Thus, there is a poor understanding of linkages between healthy behaviors and the circumstances in which factors, such as stroke impairments, may influence a single or multiple health behaviors. Methods. We conducted a mixed methods convergent parallel study of 25 individuals with stroke to examine the relationships between stroke impairments and physical activity, sleep, and nutrition. Our goal was to gain further insight into possible strategies to promote multiple health behaviors among individuals with stroke. This study focused on physical activity, sleep, and nutrition because of their importance in achieving energy balance, maintaining a healthy weight, and reducing cardiovascular risks. Qualitative and quantitative data were collected concurrently, with the former being prioritized over the latter in order to develop a conceptual model of multiple health behaviors. Qualitative and quantitative data were analyzed independently and then were integrated during the inference stage to identify meta-inferences. The 25 individuals with stroke completed closed-ended questionnaires on healthy behaviors and physical function. They also participated in face-to-face focus groups and one-to-one phone interviews. Results. We found statistically significant and moderate correlations between hand function and healthy eating habits (r = 0.45), sleep disturbances and limitations in activities of daily living (r =-0.55), BMI and limitations in activities of daily living (r =-0.49), physical activity and limitations in activities of daily living (r = 0.41), mobility impairments and BMI (r =-0.41), sleep disturbances and physical activity (r =-0.48), sleep disturbances and BMI (r = 0.48), and physical activity and BMI (r =-0.45). We identified five qualitative themes: (1) Impairments: reduced autonomy, (2) Environmental forces: caregivers and information, (3) Re-evaluation: priorities and attributions, (4)

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Community reintegration of stroke survivors: the effect of a community navigation intervention

Cited by 6 publications

References 86 publications

A mixed methods study of multiple health behaviors among individuals with stroke

A mixed methods study of multiple health behaviors among individuals with stroke

Reintegration for Post-treatment Cancer Survivors: A Concept Analysis

Peer Review #1 of "A mixed methods study of multiple health behaviors among individuals with stroke (v0.1)"

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