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

Emma Carlstedt, Susanne Iwarsson, Agneta Ståhl, Hélène Pessah-Rasmussen and Eva Månsson Lexell
Additional contact information
Emma Carlstedt: Department of Health Sciences, Lund University, P.O. Box 157, SE-22100 Lund, Sweden
Susanne Iwarsson: Department of Health Sciences, Lund University, P.O. Box 157, SE-22100 Lund, Sweden
Agneta Ståhl: Department of Technology and Society, Lund University, P.O. Box 118, SE-22100 Lund, Sweden
Hélène Pessah-Rasmussen: Department of Neurology and Rehabilitation Medicine, Skåne University Hospital, SE-22185 Lund-Malmö, Sweden
Eva Månsson Lexell: Department of Health Sciences, Lund University, P.O. Box 157, SE-22100 Lund, Sweden

IJERPH, 2017, vol. 14, issue 11, 1-16

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.

Keywords: bus travelling; feasibility; participation; public transport; self-efficacy; stroke (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
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