ORIGINAL ARTICLE
Effects of Chronic Care Model-based interventions
on self-management, quality of life and patient
satisfaction in patients with ischemic stroke:
A single-blinded randomized controlled trial
Simge Kalav
1
| Hicran Bektas
2
| Ali Ünal
3
1
Faculty of Nursing, Department of
Internal Medicine Nursing, Aydin Adnan
Menderes University, Aydin, Turkey
2
Faculty of Nursing, Department of
Internal Medicine Nursing, Akdeniz
University, Antalya, Turkey
3
Neurology Department, Akdeniz
University School of Medicine,
Antalya, Turkey
Correspondence
Simge Kalav, Faculty of Nursing,
Department of Internal Medicine Nursing,
Adnan Menderes University, Campus,
09100, Aydın, Turkey.
Email: simge.kalav@gmail.com
Funding information
Akdeniz University Scientific Research
Projects Coordination Unit, Grant/Award
Number: TDK-2018-3584
Abstract
Aim: This study was designed to evaluate the effect of Chronic Care Model
(CCM)-based interventions on primary outcomes (self-efficacy, quality of life/
QoL, patient satisfaction) and secondary outcomes (activities of daily living/
ADL, metabolic control variables, stroke knowledge level, healthy eating
habits, physical activity, taking regular medication, measuring blood pressure
regularly, living in harmony with the disease, outcomes regarding telephone
interviews) in patients with ischemic stroke.
Method: The intervention group (IG) received a 12-week StrokeCARE inter-
vention protocol based on the four components of the CCM. The control group
(CG) received only routine patient care. Changes between scores at two time
points regarding self-efficacy, QoL, ADL, and metabolic control variables were
calculated for each group, and then the mean changes were compared between
the two groups.
Results: The mean ages of the patients were 55.9 ± 11.44 and 58.9
± 13.82 years (respectively IG; CG), and 64.7% of the patients were male in
both groups. Most patients had other chronic diseases accompanying ischemic
stroke. No significant differences were found between the two groups with
respect to self-efficacy and QoL. Patient satisfaction was significantly higher in
the IG. Positive feedback percentages of the patients in the IG regarding stroke
knowledge level and consuming whole-grain food at the end of the 12 weeks
increased significantly. This protocol had no significant effects on the second-
ary outcomes.
Conclusion: The CCM-based interventions may increase the satisfaction level
of the patients and help to raise awareness of the risk of a secondary stroke.
More studies are needed to examine the effects of these interventions
(ClinicalTrials.gov-Identifier Number:NCT04161820).
KEYWORDS
Chronic Care Model, health education, quality of life, self-management, stroke
Received: 27 January 2021 Revised: 23 April 2021 Accepted: 6 June 2021
DOI: 10.1111/jjns.12441
Jpn J Nurs Sci. 2021;e12441. wileyonlinelibrary.com/journal/jjns © 2021 Japan Academy of Nursing Science. 1 of 18
https://doi.org/10.1111/jjns.12441