Evidence map›Paper›PMID 40410285›Full record

Trial reportScientific reports2025

A randomized controlled trial of trans-theoretical model combined with empowerment education to enhance self-management behaviors in young and middle-aged stroke survivors.

Ning Sun, Xiaoli Cui, Man Zhang, Xutong Zheng, Xi Wang, Di Song, Lingyu Li, Mengwen Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ning SunNursing Department of Shaanxi Provincial People's Hospital, West Youyi Road #256, Beilin District, Xi'an, China.
Xiaoli CuiDepartment of Neurology, Shaanxi Provincial People's Hospital, Xi'an, China.
Man ZhangNursing Department of Shaanxi Provincial People's Hospital, West Youyi Road #256, Beilin District, Xi'an, China.
Xutong ZhengDepartment of Public Service, The First Affiliated Hospital of China Medical University, Shenyang, China.
Xi WangDepartment of Neurology, Shaanxi Provincial People's Hospital, Xi'an, China.
Di SongDepartment of Neurology, Shaanxi Provincial People's Hospital, Xi'an, China.
Lingyu LiDepartment of Neurology, Shaanxi Provincial People's Hospital, Xi'an, China.
Mengwen LiNursing Department of Shaanxi Provincial People's Hospital, West Youyi Road #256, Beilin District, Xi'an, China. limwccmu@163.com.

Funding

shannxi provincial people's hospital 2022HL-04
6 · The paper itself

Abstract

Post-stroke self-management presents a challenge due to the multifaceted care needs and complex disabling consequences, hindering survivor engagement. This study aims to investigate the effects of a Trans-theoretical model-based Empowerment education on self-management behaviors, self-efficacy, and activities of daily living in young and middle-aged stroke survivors. A single-blind randomized controlled trial was conducted, dividing participants into a control group receiving conventional health education and an intervention group receiving a Trans-theoretical model-based Empowerment education. Outcome data were collected at baseline, 1 month, 3 months, and 6 months. Repeated measures ANOVA was used to assess changes in self-management behaviors, self-efficacy, and activities of daily living. A total of 101 young and middle-aged stroke survivors participated in the study. No significant differences were found between the intervention methods of the two groups in improving self-management behaviors (F = 0.608, P = 0.438). However, significant differences were observed in self-management behavior scores at different intervention time points (F = 77.048, P < 0.001), with an interaction effect between the intervention method and time factors (F = 19.714, P < 0.001). Simple effects analysis indicated that the intervention group scored significantly better in self-management behaviors at all time points compared to baseline (P < 0.05). Significant between-group differences in self-efficacy were observed between pre- and post-intervention periods (F = 3.993, P = 0.05). Additionally, within-group differences in self-efficacy scores across intervention time points demonstrated statistically significant variations (F = 5.900, P < 0.001). Significant differences in Barthel Index scores were observed between pre- and post-intervention periods (F = 7.893, P < 0.006). Additionally, The Barthel Index scores at different time points within the two groups showed statistically significant variations (F = 14.977, P < 0.001). The Trans-theoretical model-based Empowerment education improved self-management behaviors, enhanced self-efficacy, and increased daily activity living in young and middle-aged stroke survivors. These findings provide valuable insights for developing personalized intervention strategies and improving stroke survivor care protocols.

Indexed as

EmpowermentPatient Education as TopicSelf-ManagementStrokeStroke RehabilitationSurvivorsActivities of Daily LivingAdultFemaleHumansMaleMiddle AgedModels, TheoreticalSelf EfficacySingle-Blind MethodEmpowerment educationSelf-managementStrokeTrans-theoretical model

Identifiers

PMID40410285
PMCPMC12102210

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.