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Qual Health Res. 2019 Mar 12:1049732319833366. doi: 10.1177/1049732319833366. [Epub ahead of print]

Finding the Way Forward: The Lived Experience of People With Stroke After Participation in a Complex Psychosocial Intervention.

Author information

1
1 UiT The Arctic University of Norway, Narvik, Norway.
2
2 Oslo University Hospital, Oslo, Norway.
3
3 Aarhus University, Aarhus, Denmark.
4
4 Molde University College, Molde, Norway.
5
5 Hammel Neurorehabilitation Centre and University Research Clinic, Hammel, Denmark.
6
6 Inland Norway University of Applied Sciences, Elverum, Norway.
7
7 Nord University, Sandnessjøen, Norway.
8
8 University of Oslo, Oslo, Norway.
9
9 Oslo Metropolitan University, Oslo, Norway.

Abstract

Stroke patients' well-being is threatened after stroke. A psychosocial intervention was developed for Norwegian stroke patients living in the community. Eight individual sessions between people with stroke and a trained health care professional were conducted 1 to 6 months post-stroke with one group of participants and 6 to 12 months post-stroke with another group. Subsequently, 19 of these stroke patients were interviewed to gain an in-depth understanding of their lived experience of the influence of the intervention on their adjustment process. Interview texts were analyzed using Ricoeur's interpretation theory. Two participants did not personally find the intervention useful. The remaining participants greatly appreciated dialogues with the empathetic intervention personnel, feeling free to discuss their fears and worries. The intervention raised these participants' awareness of their needs and resources. They were guided to resume their everyday life and adopt a future-oriented attitude. The intervention facilitated their meaning-making endeavors and post-stroke adjustment.

KEYWORDS:

Antonovsky; Norway; Ricoeur; guided self-determination; intervention; lived experience; phenomenological hermeneutics; psychosocial; qualitative method; stroke

PMID:
30862270
DOI:
10.1177/1049732319833366

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