
TY  - JOUR
A1  - Catalano, Tara 
A1  - Dickson, Paul 
A1  - Kendall, Elizabeth 
A1  - Kuipers, Kim 
A1  - Posner, T. Natasha 
T1  - The perceived benefits of the chronic disease self-management program among participants with stroke: A qualitative study
JF  - Australian Journal of Primary Health
JO  - Aust. J. Prim. Health
Y1  - 2003
VL  - 9
IS  - 3
SP  - 80
EP  - 89
KW  - 
UR  - https://doi.org/10.1071/PY03028 
N2  - Despite the expense associated with rehabilitation following stroke, dissatisfaction with psychosocial outcomes is common (Thomas &amp; Parry, 1996). The rehabilitation system has been critiqued as lacking a theoretical base for psychosocial interventions (Goldberg, Segal, Berk, Schall, &amp; 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. 
ER  -

