Highlights
- •At least half of patients in our sample, who were diagnosed with transient ischemic attack or stroke in the past three years and had Mini-Mental State Examination score ≥ 22, would be interested in self-management programs.
- •Survivors are especially interested in health education and risk management.
- •Program topic and schedule and financial incentive/burden are key to improving program uptake.
Abstract
Background and purpose
Self-management programs enhance survival in stroke patients. However, they require
patient-centered designs to be effective. The aim of this study was therefore to investigate
the type of post-stroke self-management programs that appeal to stroke survivors,
and to estimate their willingness to participate in such programs.
Methods
A Discrete Choice Experiment was administered to patients who had either a transient
ischemic attack (TIA) or stroke within the past 3 years and were cognitively intact
(i.e., stroke survivors). Stroke survivors were presented with eight choice tasks
and asked to choose between ‘No Program’ and two hypothetical post-stroke management
programs that varied by six attributes: Topics covered by the program; schedule of
the program; frequency and duration of the sessions; number of participants; out-of-pocket
registration fee for the whole program; and rewards for completing the program.
Results
The analysis involved 146 stroke survivors. Based on the mixed logit model, the predicted
willingness to participate ranged from 53% to 76%. The most popular characteristics
in a program were topics on health education and risk management, being scheduled
during weekends as four sessions that are each 2 hours long and involve four participants,
a registration fee of SGD50 (∼USD36), and SGD500 (∼USD359) reward for program completion.
Conclusions
Interest in post-stroke self-management programs was high, with at least half of the
sample showing interest in participating in these programs. Program features such
as focusing on health education and risk management, charging a low registration fee,
and offering incentives helped to increase the demand.
Keywords
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Article info
Publication history
Published online: January 19, 2023
Accepted:
January 10,
2023
Received in revised form:
January 9,
2023
Received:
October 7,
2022
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2023.106993
Copyright
© 2023 Elsevier Inc. All rights reserved.
