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Updated: Mar 3, 2026
Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
Effects of Home-Based Supportive Care on Improvements in Physical Function and Depressive Symptoms in Patients With
Hui-Chuan Huang1, Yi-Chieh Huang2, Mei-Feng Lin3
1Accelerated Bachelor of Science in Nursing, College of Nursing, Taipei Medical University, Taipei City, Taiwan, Republic of China; School of Nursing, College of Nursing, Taipei Medical University, Taipei City, Taiwan, Republic of China.
Objective:
To examine the effects of home-based supportive care on improvements in physical function and depressive symptoms in home-dwelling patients after stroke.
Data Sources:
Seven electronic databases (eg, MEDLINE, PubMed, CINAL, EMBASE, the Cochrane Central Register of Controlled Trials, ProQuest, and Google Scholar) and 4 Chinese databases (eg, WANFANG MED ONLINE, Chinese Electronic Periodical Services, China Academic Journals Full-text Database, and National Central Library) were fully searched for all relevant articles up to June 25, 2016.
Study Selection:
Randomized controlled trials examining the effects of home-based supportive care on physical function and depressive symptoms in home-dwelling patients after stroke were included. Finally, 16 articles in Chinese (n=4) and English (n=12) met the inclusion criteria.
Data Extraction:
Data on patient characteristics, study characteristics, intervention details, and outcome were extracted. Two reviewers independently extracted data and assessed methodological quality using the Cochrane risk of bias tool.
Data Synthesis:
Home-based supportive care had a small size effect on physical function (Hedges' g=.17; 95% confidence interval, .09-.26) and a moderate size effect on depressive symptoms (Hedges' g=-.44; 95% confidence interval, -.83 to -.05) in home-dwelling patients after stroke. The moderator analysis revealed that some components of study participants and intervention programs improved the effects on physical function and depressive symptoms; however, no significant moderators were further identified to have superiorly improved physical function and depressive symptoms.
Conclusions:
Regular performance of home-based supportive interventions should be considered for inclusion as routine care for managing and improving physical function and depressive symptoms in home-dwelling patients after stroke. The present findings provide further evidence with which to design appropriate supportive interventions for home-dwelling stroke survivors.
