Oh God, going down the rathole of figuring out how to blame the patient for not recovering. Where is the research showing the participation of doctors in stroke rehab being a complete fucking failure? Blame the correct party, the doctor!
Egan, Mary1,2; Kessler, Dorothy2,3; Duong, Patrick1; Gurgel-Juarez, Nalia1; Linkewich, Elizabeth4; Sikora, Lindsey5; Montgomery, Phyllis6; Chopra, Anchal7
Author Information
doi: 10.11124/JBISRIR-D-19-00387
Abstract
Objective:
The objectives of this scoping review are to i) identify adaptive stroke rehabilitation interventions using metacognitive or self-management
approaches targeting participation as an outcome; ii) determine the
explicit and implicit theories underlying these interventions; and iii)
ascertain the elements in each intervention. This review will develop a
catalogue of these interventions, improving the understanding of how
these interventions work, thereby facilitating efficient development and
testing of participation-focused interventions.
Introduction:
Stroke rehabilitation
interventions can be categorized as those aiming to correct impairment
and those seeking participation improvement despite impairment.
Impairment-focused interventions include a relatively small number of
well-defined elements, generally based on motor learning or other types
of learning theory. Participation-focused interventions span a large
group of diverse interventions. The underlying theory is typically
varied and often implicit, but many of these interventions are based on metacognitive or self-management
approaches. An examination of the underlying theory and elements of
participation-focused interventions would allow researchers to more
effectively advance the science of these approaches.
Inclusion criteria:
The review will include published papers describing rehabilitation interventions using metacognitive or self-management approaches to improve participation among adults who have experienced a stroke.
Methods:
The search will include JBI Evidence-Based Practice Database,
MEDLINE, Embase, CINAHL, PsycINFO, OTSeeker, and PEDro databases.
Studies will be selected according to a three-step process including i)
managing search results and removing duplicates, ii) title and abstract
screening, and iii) full text screening. The extracted data will be
presented in table form and narrative summary, aligning with the
objectives and scope of this review.
© 2020 Joanna Briggs Institute.
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