{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T15:08:31Z","timestamp":1769353711331,"version":"3.49.0"},"reference-count":47,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia (FCT, literally The Foundation for Science and Technology)","award":["EXPL\/SAU-SER\/1478\/2021"],"award-info":[{"award-number":["EXPL\/SAU-SER\/1478\/2021"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Background: Stroke is a leading cause of death and disability, underscoring the importance of effective self-management programs to improve the quality of life for survivors. Objectives: This study investigates the impact of the ComVida (Bridges-PT) self-management program on self-efficacy, physical function, health-related quality of life, and emotional state of stroke survivors in Portugal. Methods: A quasi-experimental study was conducted with 28 participants from hospital and community settings. The ComVida program, combining personalized rehabilitation sessions and the use of a self-management workbook was implemented. Assessments were conducted at baseline, 6 weeks, and 12 weeks using the Stroke Self-Efficacy Questionnaire (SSEQ), the Stroke Impact Scale (SIS-16), Hospital Anxiety and Depression Scale (HADS), and Short Form Questionnaire-12 (SF-12v2). Results: Significant improvements were observed in self-efficacy, physical function, emotional state, and health-related quality of life over the study period. The SSEQ scores increased from 23.3 at baseline to 33.3 at 12 weeks, while SIS-16 scores improved from 47.5 to 67.2. Anxiety and depression levels, measured by HADS, also showed significant reductions, as did health-related quality of life, evaluated by the SF-12v2. Conclusions: The results suggest that the program may enhance self-efficacy, physical function, and emotional well-being in stroke survivors, highlighting its potential as a valuable component of post-stroke care in Portugal.<\/jats:p>","DOI":"10.3390\/healthcare13050495","type":"journal-article","created":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T06:13:18Z","timestamp":1740463998000},"page":"495","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of a Self-Management Program on Adults with Stroke: A Quasi-Experimental Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2899-9640","authenticated-orcid":false,"given":"Carla M.","family":"Pereira","sequence":"first","affiliation":[{"name":"School of Health, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), NOVA University of Lisbon, 1150-082 Lisbon, Portugal"}]},{"given":"Daniela","family":"Branco","sequence":"additional","affiliation":[{"name":"School of Health, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"}]},{"given":"Dina","family":"Salvador","sequence":"additional","affiliation":[{"name":"Set\u00fabal School of Technology, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3041-9131","authenticated-orcid":false,"given":"Teresa L.","family":"Dias","sequence":"additional","affiliation":[{"name":"School of Health, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"}]},{"given":"Daniel","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Local Health Unit Litoral Alentejano (ULSLA), 7540-230 Santiago do Cac\u00e9m, Portugal"}]},{"given":"Mara","family":"Matos","sequence":"additional","affiliation":[{"name":"NOVA Clinical Research Unit, Nova Medical School, 1150-190 Lisbon, Portugal"}]},{"given":"Sandra","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"School of Health, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2724-0675","authenticated-orcid":false,"given":"Jos\u00e9 M.","family":"Calheiros","sequence":"additional","affiliation":[{"name":"Institute for Research, Innovation and Development (FP-I3ID), University Fernando Pessoa, 4249-004 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0200-8976","authenticated-orcid":false,"given":"Ant\u00f3nio Manuel","family":"Marques","sequence":"additional","affiliation":[{"name":"School of Health, Polytechnic University of Set\u00fabal, 2910-761 Set\u00fabal, Portugal"}]},{"given":"Fiona","family":"Jones","sequence":"additional","affiliation":[{"name":"Population Health Research Institute, St George\u2019s, University of London, London SW17 ORE, UK"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hsdr02530","article-title":"A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS\u2014Practical systematic RevIew of Self-Management Support for long-term conditions","volume":"2","author":"Taylor","year":"2014","journal-title":"Health Soc. 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