outline the evidence program overview local initiatives

Outline

The Evidence Program overview Local Initiatives

Living with Stroke: The Evidence Research tells us:

• Post d/c time is difficult• Psychosocial support improves outcomes

↑QOL ↓Caregiver stress ↓Re-admit rates ↓Depression

CBPR:6.2 Patient and Family Education

Living with Stroke: CBPR 6.2 Patient and Family Education should include:

• Information sharing• Timed Right• Caregiver training• Promote self efficacy • Self management skills

Action planning Problem solving Modeling behaviours Group support and guidance

» Evidence Level B

Living with Stroke: CBPR 6.2

Self Management training should include:• Medications

• Exercise

• Symptom management

• Risk factor management

• Secondary prevention

Evidence Level B

• Emotions

• Cognitive and memory changes

• Communication with health professionals

• Health related problem solving

Living with Stroke: Development

Revised in 2006 9 pilots: February, March, April, 2007 6 in Ontario, 2 in Saskatchewan, 1 in Alberta Urban, rural, north, marginalized population Evaluations conducted on content and

facilitator/participant experience

Living with Stroke: Program

FREE community based education program for people with stroke and their caregivers

Six two hour sessions Total 12 hours – 6 weeks Community based

Living with Stroke: Facilitators

Facilitators: health care providers, use of peer facilitators supported

Remove the “clinical hat” – not the expert Trained by HSFO (FREE) Full Day training -program and group

facilitation

Living with Stroke: Facilitators Ability to engage participants in discussion and

skills in dealing with group dynamics Comfort in teaching using a discussion format

rather than didactic teaching methods Facilitation experience and ability to manage

participant expectations  Knowledge of stroke across the continuum of care Community orientation rather than acute care

focus Knowledge and awareness of local community

resources Client-focused approach to care

Living with Stroke: Facilitators

Ongoing support for facilitators

• Newsletter• Training

opportunities (eg. Recruitment)

Living with Stroke: Participants

People with stroke and their family member/caregivers.

Living in the community. Completed active rehabilitation. Readiness for the program.

Living with Stroke: Objectives To provide participants with introductory

information, tools, and support to:

• Understand their condition• Improve quality of life • Reduce the risk of another stroke• Participate in recovery• Find the help needed to adjust to life after

stroke• Practice problem solving and goal setting

Living with Stroke: Topics

Impact of stroke on your life Physical changes and activity Importance of nutrition to your recovery Communication and mental function issues Emotions after stroke Maintaining activities and relationships Reducing your risk of stroke Using your knowledge to continue with your

recovery and your life.

Living with Stroke: Format Interactive workshop Discussion Videos -Survivor and Professional Activities to help participants learn about

dealing with stroke Weekly goal setting Peer support & modeling Facilitator and Participant manuals

Living with Stroke: Feedback

Participants generally rated the program very highly.

Three main reasons for participating • wanting to learn more about living with stroke• learn more about managing and coping• learn about how to prevent another stroke.

Living with Stroke: Feedback

Realized that they were not alone Value in learning from others experiences and

understanding that progress would be slow but there is hope of recovery and improved function

Caregivers learned what the major stroke issues were and the need for patience during recovery as well as how to search out support.

Living with Stroke: Website

www.heartandstroke.ca/profed

Living with Stroke: Local Initiatives

For example – fill in news about your regionOshawa program beginning April 30th

Recruiting facilitators May 2012 training session in Newmarket

Living with Stroke: Local Initiatives

Discussion

In your current role, how can you support the Living with Stroke™ program in your Community

QUESTIONS?

THANK YOU