The effectiveness of self-management interventions with action-taking components in improving health-related outcomes for adult stroke survivors: a systematic review and meta-analysis
Artikel i vetenskaplig tidskrift, 2021

Purpose This systematic review and meta-analysis aims to synthesise the evidence of the effectiveness of self-management interventions with action-taking components in improving self-efficacy, health-related quality of life, basic and instrumental activities of daily living, and depression for adult stroke survivors. Materials and methods Nine electronic databases were searched for relevant studies, including grey literature and ongoing studies. Randomised controlled trials targeting adult stroke survivors comparing health-related outcomes of patients receiving self-management interventions with action-taking components to usual care, placebo, or no-treatment were included. Screening, data extraction, and methodological quality assessment were conducted by two reviewers. Meta-analyses were performed. Overall quality of evidence was assessed using the GRADE tool. Results A total of seventeen studies were included. Meta-analyses showed that the intervention may result in a slight increase in self-efficacy (SMD = 0.29, 95% CI [0.07-0.52], p = 0.010, I-2 = 47%) and basic activities of daily living (SMD = 0.31, 95% CI [0.16-0.46], p < 0.001, I-2 = 0%), but not for the other outcomes. Conclusions Self-management interventions with action-taking components may result in a slight improvement in self-efficacy and rehabilitation of basic activities of daily living. Future research should investigate which core self-management skill, or combination of them, is most effective in improving short-term and long-term outcomes.

systematic review

stroke

Meta-analysis

self-efficacy

transient ischaemic attack

self-management

Författare

Hui Xian Oh

National University Health System

Universiti Kebangsaan Singapura (NUS)

Deidre Anne De Silva

Singapore General Hospital

National Neuroscience Institute

Zheng An Toh

National University Health System

Universiti Kebangsaan Singapura (NUS)

Minna Pikkarainen

Oulun Yliopisto

OsloMet – storbyuniversitetet

Chalmers, Elektroteknik, Signalbehandling och medicinsk teknik, Medicinska signaler och system

Vivien Xi Wu

Universiti Kebangsaan Singapura (NUS)

National University Health System

Hong-Gu He

National University Health System

Universiti Kebangsaan Singapura (NUS)

Disability and Rehabilitation

0963-8288 (ISSN) 1464-5165 (eISSN)

Vol. In Press

Ämneskategorier

Sjukgymnastik

Annan hälsovetenskap

Arbetsterapi

DOI

10.1080/09638288.2021.2001057

PubMed

34757862

Mer information

Senast uppdaterat

2021-11-19