Self-Management Strategies for Stroke Rehabilitation
Summary
Self-management strategies empower stroke survivors to take an active role in their rehabilitation by combining goal setting, problem solving, education and behavioural adaptation to address physical, cognitive and emotional sequelae. Central to these approaches is the fostering of self-efficacy and the enhancement of health literacy, enabling individuals to monitor symptoms, manage risk factors and navigate healthcare resources. Programmes often integrate multidisciplinary input, peer support and technology-enabled tools—such as mobile applications and telehealth—to promote autonomy, adherence to secondary prevention and reintegration into community life. Evidence from diverse settings demonstrates improvements in activities of daily living, mood, health behaviours and long-term quality of life, underlining the global significance of embedding personalised self-management within stroke care pathways.
Research from Nature Portfolio
Recent studies have illuminated the link between self-efficacy and health literacy among stroke survivors one year post-discharge. Findings reveal that higher general self-efficacy is associated with better performance in daily activities and greater capacity to understand health information, indicating that confidence in personal abilities underpins effective self-management. This work highlights the importance of exploring the mechanisms connecting health literacy and self-efficacy, particularly in survivors with severe deficits or low literacy, to tailor rehabilitation programmes that strengthen patient autonomy and long-term engagement.
Self-Management Strategies for Stroke Rehabilitation publication trend
The graph below shows the total number of articles in self-management strategies for stroke rehabilitation across all publications each year (not limited to Nature Index journals).
Technical terms
Self-efficacy: An individual’s belief in their capacity to execute behaviours necessary for achieving specific goals.
Health literacy: The ability to obtain, process and comprehend basic health information to make informed decisions.
Intervention mapping: A systematic framework for designing health interventions that align theoretical determinants, evidence and stakeholder input.
Behaviour change techniques: Discrete components within an intervention devised to alter behaviour through specific methods.
Telehealth: The delivery of healthcare services and information via telecommunications technology.
References
- Association between general self-efficacy and health literacy among stroke survivors 1-year post-discharge: a cross-sectional study. Scientific Reports (2024).
- Using Intervention Mapping and Behavior Change Techniques to Develop a Digital Intervention for Self-Management in Stroke: Development Study. JMIR Human Factors (2023).
- Leveraging Factors of Self-Efficacy and Motivation to Optimize Stroke Recovery. Frontiers in Neurology (2022).
- Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review. Healthcare (2021).
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