Poster Presentation Australian and New Zealand Stroke Organisation Conference 2026

Pilot Evaluation of the "Take Charge – Chinese Version" Intervention: Enhancing Self-Management, Insight, and Self-Efficacy in Community-Dwelling Stroke Survivors in Hong Kong (#107)

Cheuk Yin Kwan 1
  1. Hospital Authority, Hong Kong, Shatin, New Territories, HONG KONG, Hong Kong

Background/ Aim

Stroke survivors often experience reduced quality of life, particularly in psychosocial domains. The New Zealand-developed “Take Charge” intervention promotes autonomy through a structured booklet and individualized therapist interviews to support post-stroke independence. This pilot study examined whether the Chinese version of Take Charge (“Take Charge-C”) could improve insight and self-efficacy among stroke survivors in Hong Kong context.

Methodology

The Take Charge-C booklet was translated from the original version with the authors’ endorsement. Three stroke patients were recruited soon after discharge from acute or rehabilitation hospitals in Hong Kong. They received two 1-hour home-based sessions delivered by a case manager. Outcomes were assessed using the Chinese version of the Stroke-Specific Quality of Life (SS-QOL-C) scale and patient reflection questionnaires.

Outcomes

Three participants (mean age: 69 years) showed improved results in SS-QOL-C after the intervention. Patient 1 had gains in mobility, language, and mood. Patient 2 improved in mood, personality, energy, family roles, mobility, and productivity. Patient 3 showed gains in mobility, mood, language, personality, family roles, and energy. Physical, emotional, and social domain gains exceeded minimal detectable change thresholds, showing preliminary intervention efficacy in community stroke rehabilitation.

Post-intervention questionnaires also showed strong perceived gains in insight (7.7/10), recognition of post-stroke challenges (9.3/10), exploring new directions and practical solutions for daily activities, and family relationships (8.3/10), and self-efficacy (9.0/10).

Conclusion

Take Charge-C was feasible and showed promising benefits in improving self-management, insight, and self-efficacy among Hong Kong stroke survivors. Larger randomized controlled trials are needed to confirm these findings.

  1. Lin, K., Fu, T., Wu, C., & Hsieh, C. (2011). Assessing the Stroke-Specific Quality of Life for Outcome Measurement in Stroke Rehabilitation: Minimal Detectable Change and Clinically Important Difference. Health and Quality of Life Outcomes, 9(1), 5. https://doi.org/10.1186/1477-7525-9-5
  2. Take Charge After Stroke. (2022). Stroke.org.nz. https://www.stroke.org.nz/affected-by-stroke/living-with-stroke/take-charge-after-stroke/