A stroke rehabilitation training program for community-based primary health care, South Africa

African Journal of Disability

Field Value
Title A stroke rehabilitation training program for community-based primary health care, South Africa
Creator Scheffler, Elsje Mash, Robert
Subject Family medicine Primary healthcare; family caregiving; stroke rehabilitation; community care; education and training; participative methods.
Description Background: With an increasing burden of stroke and a lack of access to rehabilitation services in rural South African settings, stroke survivors rely on untrained family caregivers for support and care. Community health workers (CHWs) support these families but have no stroke-specific training.Objectives: To describe the development of a contextually appropriate stroke training program for CHWs in the Cape Winelands District, South Africa.Method: Twenty-six health professionals and CHWs from the local primary healthcare services participated in action research over a 15-month period from September 2014 to December 2015. The groups participated in two parallel cooperative inquiry (CI) groups. The inquiry followed the cyclical steps of planning, action, observation and reflection. In this article, the planning step and how the CI groups used the first three steps of the analyse, design, develop, implement, evaluate (ADDIE) instructional design model are described.Results: The CHWs’ scope of practice, learning needs, competencies and characteristics, as well as the needs of the caregivers and stroke survivors, were identified in the analysis step. The program design consisted of 16 sessions to be delivered over 20 h. Program resources were developed with appropriate technology, language and instructional methodology.Conclusion: The program aims to equip CHWs to support family caregivers and stroke survivors in their homes as part of their generalist scope of practice. The implementation and initial evaluation will be described in a future article.Contribution: The study developed a unique training program for CHWs to support caregivers and stroke survivors in a resource-constrained, rural, middle-income country setting.
Publisher AOSIS
Contributor Stellenbosch University (Harry Crossley Fund and SURMEPI), Discovery Foundation
Date 2023-03-06
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Participatory action research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v12i0.1135
Source African Journal of Disability; Vol 12 (2023); 14 pages 2226-7220 2223-9170
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/1135/2274 https://ajod.org/index.php/ajod/article/view/1135/2275 https://ajod.org/index.php/ajod/article/view/1135/2276 https://ajod.org/index.php/ajod/article/view/1135/2277
Coverage Cape Winelands — —
Rights Copyright (c) 2023 Elsje Scheffler, Robert Mash https://creativecommons.org/licenses/by/4.0