Self-management strategies employed by stroke survivors in the Western Cape, South Africa

Abstract

Ischaemic heart disease and stroke were the leading causes of death and disability globally, accounting for a combined 15 million deaths. Disability following a stroke is complex and multidimensional. Disability and functioning post stroke can be conceptualized within the framework of the International Classification of Functioning, Disability and Health (ICF). The involvement of the individual in their rehabilitation and recovery is essential. Therefore, it is a necessity for individuals, particularly in a low resource setting to engage in selfmanagement activities. Bandura’s social cognitive theory based on self-efficacy, forms the basis of self-management programmes. Self-management relates to one’s ability to manage one’s consequences post stroke, and self-efficacy has been proven to be pivotal in the management and improvement of long-term conditions. The aim of the study was to explore the self-management strategies employed by stroke survivors in the Western Cape, South Africa through an exploratory, qualitative design. Prior to the commencement of the data collection phase, ethical clearance was sought from the University of the Western Cape Research Ethics Committee. Participants were recruited from an urban and rural area in the Western Cape. An interview guide was developed based on previous literature. Interview questions were related to 1) what self-management strategies were adopted to address activity limitations and participation restrictions and 2) strategies used to address environmental challenges.