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  4. Vol 6, Issue 5, 2025

Development of a Frailty Intervention Protocol Based on HAPA and HPM Theories for Older Adults with Stroke

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DOI: 10.23977/medsc.2025.060507 | Downloads: 0 | Views: 82

Author(s)

Peiqi Li 1, Haizhen Li 2, Wei Zhao 1, Yajing Guo 1, Fan Chen 3, Jingwen Zhu 4, Pan Zhang 1

Affiliation(s)

1 College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan, Hebei, China
2 Nursing Department, Handan Central Hospital, Handan, Hebei, China
3 Gynecology and Tumor Area 1, Neurosurgery Area 2, First Affiliated Hospital of Henan Polytechnic University (Jiaozuo Second People's Hospital), Jiaozuo, Henan, China
4 College of Nursing, Shandong Modern College, Jinan, Shandong, China

Corresponding Author

Pan Zhang

ABSTRACT

This study developed a comprehensive intervention program for frail elderly stroke patients to provide evidence-based clinical nursing guidance. Guided by the Health Action Process Approach (HAPA) and the Health Promotion Model (HPM), the initial program was drafted by synthesizing literature evidence, integrating clinical experience, and considering patient needs, and was subsequently refined through two rounds of Delphi expert consultation. Consensus was reached among 16 experts, with an authority coefficient of 0.866, a Kendall's W of 0.314 (P<0.001) for item importance, and coefficients of variation ranging from 0 to 0.115. The finalized program consists of 3 first-level, 8 second-level, and 48 third-level items structured within a 3-month intervention cycle. The final program demonstrates strong content validity, practical feasibility, and relevance to patient needs, offering a valuable reference for alleviating frailty, improving emotional well-being and quality of life, and promoting health behaviors in this vulnerable population.

KEYWORDS

Elderly; Stroke; Frailty; HAPA; HPM; Intervention; Protocol

CITE THIS PAPER

Peiqi Li, Haizhen Li, Wei Zhao, Yajing Guo, Fan Chen, Jingwen Zhu, Pan Zhang, Development of a Frailty Intervention Protocol Based on HAPA and HPM Theories for Older Adults with Stroke. MEDS Clinical Medicine (2025) Vol. 6: 47-53. DOI: http://dx.doi.org/10.23977/medsc.2025.060507.

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