Self‐management interventions for adults with stroke: A scoping review

Abstract

Background Stroke is a principal cause of mortality and disability globally. Numerous studies have contributed to the knowledge base regarding self-management interventions among chronic disease patients, but there are few such studies for patients with stroke. Therefore, it is necessary to analyze self-management interventions among stroke patients. This scoping review aimed to systematically identify and describe randomized controlled trials (RCTs) of self-management interventions for adults with stroke. Methods A review team carried out a scoping review on stroke and self-management interventions based on the methodology of Arksey and O'Malley, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). PubMed, Embase, Web of Science, CINAHL Plus Full Text, Medline Plus Full Text, and Cochrane Central Register of Controlled Trials were searched from inception to July 2020. Results Fifty-four RCTs were included. The most popular study design is comparing a self-management intervention to usual care or waitlist control condition. Physical activity is the most common intervention topic, and interventions were mainly delivered face to face. The majority of interventions were located in inpatient and multiple settings. Interventions were conducted by various providers, with nurses the most common provider group. Symptom management was the most frequently reported outcome domain that improved. Conclusions Self-management interventions benefit the symptom management of stroke patients a lot. The reasonable time for intervention is at least 6–12 months. Multifarious intervention topics, delivery formats, and providers are adopted mostly to meet the multiple needs of this population. Physical activity was the most popular topic currently. Studies comparing the effect of different types of self-management interventions are required in the future.

Continuity of Care and Self-Management among Patients with Stroke: A Cross-Sectional Study

“…Additionally, it was found in this study that although there were only 4 patients diagnosed with their first stroke within 2-6 months, their scores in self-management, medical management, and role management were better than the other 146 patients who were diagnosed within 1 month, which could explain 2.4% of the variance. Furthermore, Ruksakulpiwat and Zhou [36] suggested that the information provided by medical teams to patients who suffered from stroke within 6-12 months could bridge gaps and meet their needs in proactively managing diseases. This is possibly because stroke survivors request more information and medical support from medical experts regarding stroke recovery due to disease progression [16,17].…”

The dyadic self‐care experience of stroke survivors and their caregivers: A qualitative descriptive study

“…Indeed, as described by studies, self-care could significantly improve the physical and mental health outcomes of stroke survivors. 6,7 For example, a systematic review demonstrated that compared with usual care, self-care-related programmes could significantly improve self-efficacy and quality of life in stroke survivors. 8 However, self-care could have an impact not only on stroke survivors but also on their caregivers.…”

Effectiveness of a smartphone-enabled dyadic self-care programme (SDSCP) for stroke survivors and caregivers: study protocol for a randomised controlled trial

“…Furthermore, she emphasised the need for refining the definition of self-care to cater to specific diseases and their unique requirements 11. Studies have shown that self-care is of great significance to improve the physical and mental health outcomes (eg, preventing stroke recurrence, reducing readmission rates and improving quality of life) of stroke survivors 12 13. And the improvement of self-care has progressively acted as the core response strategy of the global health system to the increasing burden of stroke 14 15.…”