Health promotion interventions post-stroke for improving self-management: A systematic review

Area of Science:

• Neuroscience
• Public Health
• Gerontology

Background:

• Women experience poorer outcomes post-stroke, including frailty, reduced independence, and depression.
• Existing stroke rehabilitation benefits individuals but lacks gender-specific interventions.
• Gender disparities in stroke impact necessitate targeted health promotion strategies for women.

Purpose of the Study:

• To systematically review the effectiveness of health promotion behavioral interventions for women post-stroke.
• To assess interventions aimed at reducing risk factors and improving self-management compared to usual care.

Main Methods:

• A systematic review of randomized controlled trials was conducted across seven major databases.
• Keywords included "health promotion," "secondary prevention," "woman," "post-stroke," and "gender difference."

Main Results:

• Ten randomized controlled trials were identified, showing successful general rehabilitation approaches.
• No interventions were specifically designed for health promotion in women post-stroke.
• Successful program components included structured, tailored approaches, formal support systems, and comprehensive reminder systems for risk reduction.

Conclusions:

• Women face disproportionate challenges post-stroke, often presenting as frail.
• Tailored, structured health promotion programs incorporating family and caregiver support are crucial.
• Comprehensive reminder systems can enhance risk reduction and enable women post-stroke.