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A systematic review of the effectiveness of stroke self-management programs for improving function and participation outcomes: self-management programs for stroke survivors
Dalhousie Univ, Sch Occupat Therapy, POB 15000, Halifax, NS B3H 4R2, Canada.
Dalhousie Univ, Sch Occupat Therapy, POB 15000, Halifax, NS B3H 4R2, Canada.
Univ Sydney, Fac Hlth Sci, Sydney, NSW 2006, Australia.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Dalhousie Univ, Sch Occupat Therapy, POB 15000, Halifax, NS B3H 4R2, Canada.
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2015 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, no 23, 2141-2163 p.Article in journal (Refereed) Published
Abstract [en]

Purpose: A systematic review of stroke self-management programs was conducted to: (i) identify how many and what self-management support strategies were included in stroke selfmanagement interventions and (ii) describe whether self-management programs effectively improved outcomes, focusing specifically on function and participation outcomes. Methods: Twelve databases were searched for the years 1986–2012 to identify self-management programs for stroke survivors. Pre-post, quasi-experimental and randomized controlled trial study designs were included. Descriptive information about the intervention was scrutinized to identify what self-management support strategies were present in the intervention and comparisons were made between programs using a group versus a one-to-one format. All outcomes were included and categorized. Results: The most prominent strategies identified in our review were goal setting and follow-up, and an individualized approach using structured information and professional support. There are indications that self-management programs can significantly increase participation and functional ability. However, the high level of clinical heterogeneity in program delivery, outcomes and level of stroke severity made it impossible to conduct a meta-analysis. Further examination of individual self-management support strategies, such as linking rehabilitation goal setting to post-acute self-management programs, the inclusion of family members and the contribution of peer-support is warranted.

Place, publisher, year, edition, pages
Informa Healthcare, 2015. Vol. 37, no 23, 2141-2163 p.
Keyword [en]
self-management, stroke, intervention, systematic litterature review
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-24686DOI: 10.3109/09638288.2014.996674ISI: 000369745400001Scopus ID: 2-s2.0-84942903051OAI: oai:DiVA.org:miun-24686DiVA: diva2:797275
Projects
Living with a neurological condition in Canada (LINC)
Available from: 2015-03-23 Created: 2015-03-23 Last updated: 2016-03-16Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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