The effectiveness of self-management interventions with action-taking components in improving health-related outcomes for adult stroke survivors: a systematic review and meta-analysis

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Oh, Hui XianNational University Health System,Universiti Kebangsaan Singapura (NUS),National University of Singapore (NUS) (författare)

The effectiveness of self-management interventions with action-taking components in improving health-related outcomes for adult stroke survivors: a systematic review and meta-analysis

Artikel/kapitelEngelska2022

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2021-11-10
Informa UK Limited,2022

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LIBRIS-ID:oai:research.chalmers.se:11af26db-34b7-4f7c-9865-b6d0fcc10c5a
https://doi.org/10.1080/09638288.2021.2001057DOI
https://research.chalmers.se/publication/527123URI

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Språk:engelska
Sammanfattning på:engelska

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Purpose This systematic review and meta-analysis aims to synthesise the evidence of the effectiveness of self-management interventions with action-taking components in improving self-efficacy, health-related quality of life, basic and instrumental activities of daily living, and depression for adult stroke survivors. Materials and methods Nine electronic databases were searched for relevant studies, including grey literature and ongoing studies. Randomised controlled trials targeting adult stroke survivors comparing health-related outcomes of patients receiving self-management interventions with action-taking components to usual care, placebo, or no-treatment were included. Screening, data extraction, and methodological quality assessment were conducted by two reviewers. Meta-analyses were performed. Overall quality of evidence was assessed using the GRADE tool. Results A total of seventeen studies were included. Meta-analyses showed that the intervention may result in a slight increase in self-efficacy (SMD = 0.29, 95% CI [0.07-0.52], p = 0.010, I-2 = 47%) and basic activities of daily living (SMD = 0.31, 95% CI [0.16-0.46], p < 0.001, I-2 = 0%), but not for the other outcomes. Conclusions Self-management interventions with action-taking components may result in a slight improvement in self-efficacy and rehabilitation of basic activities of daily living. Future research should investigate which core self-management skill, or combination of them, is most effective in improving short-term and long-term outcomes.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Annan hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Other Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Arbetsterapi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Occupational Therapy hsv//eng
systematic review
transient ischaemic attack
stroke
self-efficacy
self-management
Meta-analysis

Biuppslag (personer, institutioner, konferenser, titlar ...)

De Silva, Deidre AnneSingapore General Hospital,National Neuroscience Institute (författare)
Toh, Zheng AnNational University Health System,Universiti Kebangsaan Singapura (NUS),National University of Singapore (NUS) (författare)
Pikkarainen, Minna,1976Høgskolen i Oslo og Akershus (HiOA),Oslo and Akerhus University of Applied Sciences,Chalmers tekniska högskola,Chalmers University of Technology,Oulun Yliopisto,University of Oulu(Swepub:cth)minnapi (författare)
Wu, Vivien XiUniversiti Kebangsaan Singapura (NUS),National University of Singapore (NUS),National University Health System (författare)
He, Hong-GuNational University Health System,Universiti Kebangsaan Singapura (NUS),National University of Singapore (NUS) (författare)
National University Health SystemUniversiti Kebangsaan Singapura (NUS) (creator_code:org_t)

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Ingår i:Disability and Rehabilitation: Informa UK Limited44:25, s. 7751-77661464-51650963-8288

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Av författaren/redakt...: Oh, Hui Xian; De Silva, Deidre ...; Toh, Zheng An; Pikkarainen, Min ...; Wu, Vivien Xi; He, Hong-Gu

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Arbetsterapi

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