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A systematic review of the effectiveness of stroke self-management programs for improving function and participation outcomes: self-management programs for stroke survivors
School of Occupational Therapy, Dalhousie University, Nova Scotia, Canada; Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
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2015 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, no 23, p. 2141-2163Article in journal (Refereed) Published
Abstract [en]

Purpose: A systematic review of stroke self-management programs was conducted to: (i) identify how many and what self-management support strategies were included in stroke self-management interventions and (ii) describe whether self-management programs effectively improved outcomes, focusing specifically on function and participation outcomes. Methods: Twelve databases were searched for the years 1986–2012 to identify self-management programs for stroke survivors. Pre-post, quasi-experimental and randomized controlled trial study designs were included. Descriptive information about the intervention was scrutinized to identify what self-management support strategies were present in the intervention and comparisons were made between programs using a group versus a one-to-one format. All outcomes were included and categorized. Results: The most prominent strategies identified in our review were goal setting and follow-up, and an individualized approach using structured information and professional support. There are indications that self-management programs can significantly increase participation and functional ability. However, the high level of clinical heterogeneity in program delivery, outcomes and level of stroke severity made it impossible to conduct a meta-analysis. Further examination of individual self-management support strategies, such as linking rehabilitation goal setting to post-acute self-management programs, the inclusion of family members and the contribution of peer-support is warranted.

Place, publisher, year, edition, pages
Taylor & Francis, 2015. Vol. 37, no 23, p. 2141-2163
Keywords [en]
Family-centred care, function, goal-setting, participation, self-management, stroke
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-175678DOI: 10.3109/09638288.2014.996674ISI: 000369745400001PubMedID: 000369745400001OAI: oai:DiVA.org:umu-175678DiVA, id: diva2:1473384
Available from: 2020-10-06 Created: 2020-10-06 Last updated: 2020-10-06Bibliographically approved

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Audulv, Åsa

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf