Exploring the experience of facilitating self-management with minority ethnic stroke survivors: a qualitative study of therapists' perceptions.

Abstract:

PURPOSE:The utility of self-management with people from minority ethnic backgrounds has been questioned, resulting in the development of culturally specific tools. Yet, the use of stroke specific self-management programmes is underexplored in these high risk groups. This article presents the experience of stroke therapists in using a stroke specific self-management programme with stroke survivors from minority ethnic backgrounds. METHODS:26 stroke therapists with experience of using the self-management programme with stroke survivors from minority ethnic backgrounds participated in semi-structured interviews. These were audio recorded, transcribed verbatim and analysed thematically. RESULTS:Three themes were identified. One questioned perceived differences in stroke survivors interaction with self-management based on ethnicity. The other themes contrasted with this view demonstrating two areas in which ethnic and cultural attributes were deemed to influence the self-management process both positively and negatively. Aspects of knowledge of health, illness and recovery, religion, family and the professionals themselves are highlighted. CONCLUSIONS:This study indicates that ethnicity should not be considered a limitation to the use of an individualized stroke specific self-management programme. However, it highlights potential facilitators and barriers, many of which relate to the capacity of the professional to effectively navigate cultural and ethnic differences.

journal_name

Disabil Rehabil

authors

Norris M,Jones F,Kilbride C,Victor C

doi

10.3109/09638288.2014.904936

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

2252-61

issue

26

eissn

0963-8288

issn

1464-5165

journal_volume

36

pub_type

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