Self-management interventions for adults with stroke: A scoping review
Suebsarn Ruksakulpiwat1, Wendie Zhou2,3
1Medical Nursing Department, Faculty of Nursing, Mahidol University, 2 Prannok Road, Siriraj, Wanglang, Bangkoknoi, Bangkok, Thailand.
Chronic Diseases and Translational Medicine
|September 10, 2021
Summary
Self-management interventions significantly improve symptom management for stroke patients. This review of 54 randomized controlled trials highlights physical activity as a key intervention topic, with face-to-face delivery being most common.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Public Health
Background:
- Stroke is a leading global cause of death and disability.
- Limited research exists on self-management interventions specifically for stroke survivors.
- A comprehensive analysis of existing randomized controlled trials (RCTs) is needed.
Purpose of the Study:
- To systematically identify and describe RCTs evaluating self-management interventions for adult stroke patients.
- To synthesize the characteristics and outcomes of these interventions.
Main Methods:
- A scoping review was conducted following the Arksey and O'Malley methodology with PRISMA-ScR guidelines.
- Extensive database searches were performed across PubMed, Embase, Web of Science, CINAHL, Medline, and Cochrane Library up to July 2020.
- Fifty-four RCTs met the inclusion criteria.
Main Results:
- Physical activity was the most frequent intervention topic, often delivered face-to-face in inpatient or multiple settings.
- Nurses were the most common healthcare providers delivering interventions.
- Symptom management was the most frequently improved outcome domain.
Conclusions:
- Self-management interventions demonstrate significant benefits for stroke patient symptom management.
- Interventions of 6-12 months duration appear most effective.
- Future research should compare different self-management intervention types and delivery methods.
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