Creating a supportive environment for living with stroke in rural areas: two low-cost community-based interventions

• Published in: Topics in stroke rehabilitation Vol. 16; no. 2; p. 147
• Main Authors: Newell, Joanne M, Lyons, Renee, Martin-Misener, Ruth, Shearer, Cindy L
• Format: Journal Article
• Language: English
• Published: England 01.03.2009
• Subjects: Aged; Caregivers; Cost of Illness; Female; Humans; Information Dissemination; Male; Middle Aged; Narration; Needs Assessment; Nova Scotia - epidemiology; Rural Health Services - statistics & numerical data; Rural Population - statistics & numerical data; Social Class; Social Support; Stroke - epidemiology; Stroke Rehabilitation; Survivors
• ISSN: 1074-9357
• DOI: 10.1310/tsr1602-147

With the growing burden of chronic illness affecting aging populations, rural health systems are faced with unique challenges to support and promote health in their communities. The Yarmouth Stroke Project was a 5-year initiative aimed at improving health care services for stroke survivors in rural Nova Scotia, Canada. A needs assessment indicated a lack of support to self-manage stroke during community re-integration. The needs reported by stroke survivors and their caregivers included informational and emotional support. A logic model approach was used to frame program planning leading to the design of two low-cost interventions. The first, a Community Resource Guide, was developed to address informational needs and enable stroke survivors to access community-specific resources. The second intervention, designed to address the emotional support needs of stroke survivors and their caregivers, involved collection and publication of local narratives. The stories described the experiences of community members affected by stroke, offering practical knowledge and messages of hope. The resource guide and stories represent two low-cost strategies for supporting and promoting the health of people living with stroke in rural settings.