Narrative Therapy in reconstructing the meaning of life of stroke survivors : Findings from a randomized controlled trial

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Original languageEnglish
Pages (from-to)S466
Journal / PublicationJournal of Nutrition, Health and Aging
Issue numberSupplement 1
Publication statusPublished - Jun 2013


Introduction : To examine the effectiveness of narrative therapy (NT), use of life narrative, in helping stroke survivors (SS) to externalize their experiences, reconstruct the identity and their meaning of life. Method : A randomized controlled trial was conducted to SS who had stroke within 2 years and aged over 59. SS participants were recruited from five different hospital clusters, and intervention was taken place in the older adults’ district community centers. Fifteen intervention and fifteen control groups were carried out for eight weekly sessions. SSs were assessed at baseline, interim and post-intervention through face-to-face interviews. Repeated-measures ANOVA were used to assess the group changes throughout these three time-points on their self-esteem, proactive coping skills and meaning of life. Results : 181 SS were randomly assigned to intervention groups (n= 91) or control groups (n= 90). Significant group and time changes were found in selfesteem (F=4.78, p=.01), proactive coping skills (F=5.52, p=.004), and their meaning of life (F=4.49, p=.01) after the intervention. Conclusion: NT was found effective in enhancing SS’ self-esteem, proactive coping skills and the meaning of life. NT could be an alternative or even a better psychosocial intervention option in helping the stroke survivors and caregivers to ensure their strengths and wisdom, reconstruct the preferred identity and hold the positive & appreciative perspective of life.

Research Area(s)

  • Stroke rehabilitation, life narratives, meaning of life