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Parenting after stroke: a systematic review.

Gabrielle M Harris1, Janet Prvu Bettger1,2

  • 1a School of Nursing , Duke University , Durham , NC , USA.

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This summary is machine-generated.

Stroke survivors who are parents often face limitations in parenting tasks due to residual impairments. This systematic review highlights the need for better assessment and support for parenting after stroke.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Disability Studies

Background:

  • Stroke is a primary cause of disability in the U.S., affecting all age groups, including a rising incidence in adults under 50.
  • Younger stroke survivors often have unique needs, such as childcare responsibilities, which are not addressed in current rehabilitation protocols.
  • Parenting is highly valued but not systematically assessed or supported during stroke rehabilitation.

Purpose of the Study:

  • To systematically review the existing scientific literature on the experiences and challenges of parenting after stroke.
  • To identify gaps in research regarding the impact of stroke on parental roles and responsibilities.

Main Methods:

  • A comprehensive literature search was conducted across multiple electronic databases from 1964 to February 2018.
  • Studies were selected and reviewed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Ten studies, predominantly qualitative, were included after rigorous screening of over 1200 articles.

Main Results:

  • Nine qualitative studies indicated that stroke survivors reported significant limitations in performing parenting tasks.
  • Survivors described changes in social relationships and participation in other life domains due to stroke.
  • One retrospective cohort study supplemented the qualitative findings.

Conclusions:

  • Residual impairments from stroke significantly impact stroke survivors' ability to engage in parenting activities, leading to activity limitations and participation restrictions.
  • The current body of research on parenting after stroke is notably limited.
  • There is a substantial need and opportunity to expand research in this critical area of stroke recovery and survivorship.