Table 1.
Stroke self-management strategies mapped onto self-efficacy theoretical concepts
Self-efficacy theoretical concepts | Mapped stroke self-management strategies |
---|---|
1. Verbal persuasions | • Staff and lay leader explanations |
• Promotion of physician and therapeutic recommendations | |
2. Social modeling/vicarious experiences | • Staff and lay leader demonstration of all strategies and new behaviors |
• Peers practice behavior in group meetings and share vicarious experiences | |
• View material depicting stroke patients similar to them | |
3. Past achievements/failures | • Set realistic, achievable behavioral goals |
• Past failures may influence current level of effort so plan to overcome past failures | |
• Gain an understanding of the course of stroke rehabilitation and realistic outcome expectations | |
• Negotiate the effort placed into cardiovascular risk factor modification | |
4. Reinterpretation of sensations/physical state | • Discuss symptoms and how to diminish |
• Employ distraction methods — mental imagery | |
• Employ relaxation techniques |