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Table 1 The guide for health coaching intervention program

From: A nurse-led health coaching intervention for stroke survivors and their family caregivers in hospital to home transition care in Chongqing, China: a study protocol for a randomized controlled trial

Health coaching session Items Topics
Three days prior to discharge Self-care skills To demonstrate the skills of personal hygiene, dressing, eating, maintaining continence and transferring, and how to record health coaching diary for self-monitoring.
Creating a safe home environment To assess the home environment according to the stroke survivors’ needs. To demonstrate and discuss how to create a safe home environment. Examples will be provided in relation to the increase of the lighting in the living room, bedroom and toilet. Minimizing the furniture and provide the patient with an accessible area. Creating floor with non-slip, no steps, and to install handrails on the walls.
Functional ability rehabilitation and exercise plan Based on the plan provided by medical specialist, the coach will demonstrate how to perform the recommended activities, provide opportunity for stroke survivors to perform these activities and gain feedback from the coach. The training also includes, but not limited to:
• Maintain the correct posture and correct the abnormal pattern.
• Maintain the functional position of the paralysed limb to prevent malformation.
• Active and passive function training on hemiplegic side.
• Guide the transfer training, swallowing function training.
Two days prior to discharge Medication management • Give health education about medication use, monitoring side effects and medication adherence.
• Demonstrate how to record the medication using Health Coaching Diary.
Complication prevention • To assess the complication prevention according to the stroke survivors’ condition.
• To demonstrate how to prevent, identify and manage stroke-related complications(second stroke, bedsore, falls and urinary tract infection).
  1. Sources: 1. Stroke Foundation. National Stroke Audit – Rehabilitation Services Report 2016. Melbourne, Australia. 2. National Stroke Foundation. Clinical Guidelines for Stroke Management 2010. Melbourne, Australia. 3.