Self-management interventions for adults with stroke: A scoping review

Background: Stroke is a principal cause of mortality and disability globally. Numerous studies have contributed to the knowledge base regarding self-management interventions among chronic disease patients, but there are few such studies for patients with stroke. Therefore, it is necessary to analyze...

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Autores principales:	Suebsarn Ruksakulpiwat, Wendie Zhou
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2021
Materias:	Self management Intervention Stroke Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/961d6993a51d4c88bb7d2b9ec7db4f59
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spelling	oai:doaj.org-article:961d6993a51d4c88bb7d2b9ec7db4f592021-12-02T18:51:56ZSelf-management interventions for adults with stroke: A scoping review2095-882X10.1016/j.cdtm.2021.03.001https://doaj.org/article/961d6993a51d4c88bb7d2b9ec7db4f592021-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095882X21000220https://doaj.org/toc/2095-882XBackground: Stroke is a principal cause of mortality and disability globally. Numerous studies have contributed to the knowledge base regarding self-management interventions among chronic disease patients, but there are few such studies for patients with stroke. Therefore, it is necessary to analyze self-management interventions among stroke patients. This scoping review aimed to systematically identify and describe randomized controlled trials (RCTs) of self-management interventions for adults with stroke. Methods: A review team carried out a scoping review on stroke and self-management interventions based on the methodology of Arksey and O'Malley, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). PubMed, Embase, Web of Science, CINAHL Plus Full Text, Medline Plus Full Text, and Cochrane Central Register of Controlled Trials were searched from inception to July 2020. Results: Fifty-four RCTs were included. The most popular study design is comparing a self-management intervention to usual care or waitlist control condition. Physical activity is the most common intervention topic, and interventions were mainly delivered face to face. The majority of interventions were located in inpatient and multiple settings. Interventions were conducted by various providers, with nurses the most common provider group. Symptom management was the most frequently reported outcome domain that improved. Conclusions: Self-management interventions benefit the symptom management of stroke patients a lot. The reasonable time for intervention is at least 6–12 months. Multifarious intervention topics, delivery formats, and providers are adopted mostly to meet the multiple needs of this population. Physical activity was the most popular topic currently. Studies comparing the effect of different types of self-management interventions are required in the future.Suebsarn RuksakulpiwatWendie ZhouKeAi Communications Co., Ltd.articleSelf managementInterventionStrokeMedicine (General)R5-920ENChronic Diseases and Translational Medicine, Vol 7, Iss 3, Pp 139-148 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Self management Intervention Stroke Medicine (General) R5-920
spellingShingle	Self management Intervention Stroke Medicine (General) R5-920 Suebsarn Ruksakulpiwat Wendie Zhou Self-management interventions for adults with stroke: A scoping review
description	Background: Stroke is a principal cause of mortality and disability globally. Numerous studies have contributed to the knowledge base regarding self-management interventions among chronic disease patients, but there are few such studies for patients with stroke. Therefore, it is necessary to analyze self-management interventions among stroke patients. This scoping review aimed to systematically identify and describe randomized controlled trials (RCTs) of self-management interventions for adults with stroke. Methods: A review team carried out a scoping review on stroke and self-management interventions based on the methodology of Arksey and O'Malley, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). PubMed, Embase, Web of Science, CINAHL Plus Full Text, Medline Plus Full Text, and Cochrane Central Register of Controlled Trials were searched from inception to July 2020. Results: Fifty-four RCTs were included. The most popular study design is comparing a self-management intervention to usual care or waitlist control condition. Physical activity is the most common intervention topic, and interventions were mainly delivered face to face. The majority of interventions were located in inpatient and multiple settings. Interventions were conducted by various providers, with nurses the most common provider group. Symptom management was the most frequently reported outcome domain that improved. Conclusions: Self-management interventions benefit the symptom management of stroke patients a lot. The reasonable time for intervention is at least 6–12 months. Multifarious intervention topics, delivery formats, and providers are adopted mostly to meet the multiple needs of this population. Physical activity was the most popular topic currently. Studies comparing the effect of different types of self-management interventions are required in the future.
format	article
author	Suebsarn Ruksakulpiwat Wendie Zhou
author_facet	Suebsarn Ruksakulpiwat Wendie Zhou
author_sort	Suebsarn Ruksakulpiwat
title	Self-management interventions for adults with stroke: A scoping review
title_short	Self-management interventions for adults with stroke: A scoping review
title_full	Self-management interventions for adults with stroke: A scoping review
title_fullStr	Self-management interventions for adults with stroke: A scoping review
title_full_unstemmed	Self-management interventions for adults with stroke: A scoping review
title_sort	self-management interventions for adults with stroke: a scoping review
publisher	KeAi Communications Co., Ltd.
publishDate	2021
url	https://doaj.org/article/961d6993a51d4c88bb7d2b9ec7db4f59
work_keys_str_mv	AT suebsarnruksakulpiwat selfmanagementinterventionsforadultswithstrokeascopingreview AT wendiezhou selfmanagementinterventionsforadultswithstrokeascopingreview
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Self-management interventions for adults with stroke: A scoping review

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