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Accepted (AM)Open Access (License Unspecified), Open
Journal article
The Pre-Adaptation of a Stroke-Specific Self-Management Program Among Older Adults
Journal of aging and health, v 35(9), 642
01 Oct 2023
PMID: 36719035
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Managing multimorbidity as aging stroke patients is complex; standard self-management programs necessitate adaptations. We used visual analytics to examine complex relationships among aging stroke survivors' comorbidities. These findings informed pre-adaptation of a component of the Chronic Disease Self-Management Program.
Secondary analysis of 2013-2014 Medicare claims with stroke as an index condition, hospital readmission within 90 days (
= 42,938), and 72 comorbidities. Visual analytics identified patient subgroups and co-occurring comorbidities. Guided by the framework for reporting adaptations and modifications to evidence-based interventions, an interdisciplinary team developed vignettes that highlighted multimorbidity to customize the self-management program.
There were five significant subgroups (
= 6.19,
< .001) of comorbidities such as obesity and cancer. We constructed 6 vignettes based on the 5 subgroups.
Aging stroke patients often face substantial disease-management hurdles. We used visual analytics to inform pre-adaptation of a self-management program to fit the needs of older adult stroke survivors.
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Details
- Title
- The Pre-Adaptation of a Stroke-Specific Self-Management Program Among Older Adults
- Creators
- Timothy Reistetter - The University of Texas Health Science Center at San AntonioKimberly Hreha - Duke UniversityJulianna M Dean - University of Houston - Clear LakeMonique R Pappadis - The University of Texas Medical Branch at GalvestonRachel R Deer - The University of Texas Medical Branch at GalvestonChih-Ying Li - Yonsei UniversityIckpyo Hong - Drexel UniversityAnnalisa Na - Drexel University, Physical Therapy (and Rehabilitation Sciences)Sara Nowakowski - University of PennsylvaniaHashem M Shaltoni - The University of Texas Medical Branch at GalvestonSuresh K Bhavnani - Cardiovascular, Renal, Metabolism, Novartis Pharmaceuticals Field Medical Division, Houston, TX, USA
- Publication Details
- Journal of aging and health, v 35(9), 642
- Publisher
- SAGE Publications
- Grant note
- P30 AG059301 / NIA NIH HHS K01 HD101589 / NICHD NIH HHS P30 AG024832 / NIA NIH HHS T32 HS026133 / AHRQ HHS UL1 TR001439 / NCATS NIH HHS K01 AG065492 / NIA NIH HHS K12 HD055929 / NICHD NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Physical Therapy (and Rehabilitation Sciences)
- Web of Science ID
- WOS:000922357900001
- Scopus ID
- 2-s2.0-85147432874
- Other Identifier
- 991021860720504721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Gerontology
- Health Policy & Services