Participation-focused interventions for stroke rehabilitation: a scoping review protocol

Area of Science:

• Neurorehabilitation
• Evidence-based practice
• Health psychology

Background:

• Stroke rehabilitation interventions focus on either correcting impairments or improving participation despite limitations.
• Participation-focused interventions are diverse, often implicitly based on metacognitive or self-management theories.
• Understanding the theory and elements of these interventions is crucial for advancing rehabilitation science.

Purpose of the Study:

• To identify adaptive stroke rehabilitation interventions employing metacognitive or self-management approaches targeting participation.
• To determine the explicit and implicit theories underpinning these interventions.
• To ascertain the specific elements within each identified intervention.

Main Methods:

• A scoping review of published literature.
• Searches conducted across multiple databases including MEDLINE, Embase, CINAHL, PsycINFO, OTSeeker, and PEDro.
• A three-step screening process (duplicate removal, title/abstract screening, full-text screening) will be used.

Main Results:

• The review will catalogue identified interventions, their underlying theories, and constituent elements.
• This catalogue will enhance understanding of how participation-focused interventions function.
• Findings will facilitate more efficient development and testing of future interventions.

Conclusions:

• This scoping review will provide a comprehensive overview of metacognitive and self-management interventions in stroke rehabilitation.
• The findings will contribute to a better understanding of participation-focused rehabilitation strategies.
• This work aims to support the advancement of evidence-based stroke rehabilitation practices.