Promoting Community Reintegration for Young Adults With Stroke

Promoting Community Reintegration Using Narratives and Skills Building for Young Adults With Stroke

This project will investigate the effects of a Narrative and Skills-building Intervention on young stroke survivors' community reintegration and psychosocial outcomes. A randomised controlled trial will be conducted. This is a novel trial to test the short and long-term effects of a theory-based intervention on young stroke survivors' community reintegration.

This project will investigate the effects of a Narrative and Skills-building Intervention on young stroke survivors' community reintegration and psychosocial outcomes. A randomised controlled trial will be conducted. Participants will be facilitated to narrate their survival experiences and rebuild core life skills. Outcomes including community reintegration, depressive symptoms, health-related quality of life, self-efficacy, outcome expectation and satisfaction with performance of self-management behaviours will be measured. This is a novel trial to test the short and long-term effects of a theory-based intervention on young stroke survivors' community reintegration.

Inclusion Criteria:

• (1) are 18-64 years of age,
• (2) have a clinical diagnosis of first-ever or recurrent ischaemic or haemorrhagic stroke,
• (3) are living at home after discharge from hospital,
• (4) have a Montreal Cognitive Assessment score >20,
• (5) have a modified Rankin Scale score ≥3,
• (6) can communicate in Cantonese, and
• (7) are able to attend all intervention sessions.

Exclusion Criteria:

• 1) transient ischaemic attack, subdural or epidural haemorrhage,
• 2) experienced cerebrovascular events due to tumours or head trauma,
• 3) mental condition such as depression, schizophrenia, bipolar or personality disorder,
• 4) incomprehensible speech or difficulty in comprehending conversations, or
• 5) have received a self-management programme in the past.