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Abstract
Purpose: The purpose of this study was to investigate the experiences and expectations of people with stroke, during their transition from hospital to home, after participating in a novel inpatient outreach program, entitled STRENGTH. Methods: A qualitative study was conducted using semi-structured interviews, which were undertaken at discharge and 4–6 weeks post discharge. Thematic analysis was used to code the interview transcripts. Results: The study incorporated data from seven people with stroke, who had a mean age of 61 years. Thematic analysis derived two themes, each with two sub-themes. The first theme was “Hospital and home” and described clients’ experiences of therapy and the hospital environment. The second theme was “Life will never be what it was before” and elaborated on the adaptations and changing expectations that clients had before and after discharge. Conclusions: People with stroke described the therapy they received in both the hospital and home as beneficial. The results support the addition of the home-based inpatient program, STRENGTH, to the current rehabilitation system, as it appeared to realign the expectations of people with stroke and better prepare them for their discharge home.
STRENGTH aids clinicians to identify difficulties in the home environment for people with stroke.
STRENGTH improves the confidence of people with stroke while they transition home.
Further research is warranted for psychological interventions that prepare people with stroke for difficulties that arise in the community.
Implications for Rehabilitation
Acknowledgements
We would like to thank the staff and clients of the rehabilitation unit of the metropolitan hospital in which the study was conducted for supporting this and other related studies.