Deans' stroke musings: Theory-based self-management interventions for community-dwelling stroke survivors: A systematic review and meta-analysis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, October 25, 2022

Theory-based self-management interventions for community-dwelling stroke survivors: A systematic review and meta-analysis

WHY, WHY, WHY? Why should there be any self management? Survivors expect that their therapists and doctors have created EXACT 100% RECOVERY PROTOCOLS. And all survivors have to do is follow them to get recovered.

Theory-based self-management interventions for community-dwelling stroke survivors: A systematic review and meta-analysis

American Journal of Occupational Therapy (AJOT) , Volume 76(4) , Pgs. 7604205010.

NARIC Accession Number: J89979. What's this?
ISSN: 0272-9490.
Author(s): Lau, Stephen C. L.; Judycki, Stephanie; Mix, Mikayla; DePaul, Olivia; Tomazin, Rachel; Hardi, Angela; Wong, Alex W. K.; Baum, Carolyn.
Publication Year: 2022.
Number of Pages: 12.
Abstract:

This review examined what theories and behavior change techniques (BCTs) have been applied in stroke self-management interventions; investigated the extent to which these interventions encourage implementation of behavior changes; and appraised their effectiveness to enhance self-efficacy, quality of life, and functional independence. Ovid MEDLINE, Embase, Scopus, CINAHL, Cochrane Library, and ClinicalTrials.gov were searched from inception to May 26, 2020, for randomized controlled trials (RCTs) that: involved community-dwelling adult stroke survivors, assessed the effectiveness of self-management interventions, and explicitly mentioned the use of theory in the development of the intervention. A total of 3,049 studies were screened; 13 RCTs were retained for systematic review, 8 of which were included for meta-analysis. The use of theory and BCTs were assessed using the Theory Coding Scheme and the BCT taxonomy v1, respectively. The predominant theory and BCT categories were Social Cognitive Theory (7 studies) and goals and planning (12 studies), respectively. Significant and small effect sizes were found for self-efficacy (0.27) and functional independence (0.19). Theory-based self-management interventions have the potential to enhance stroke outcomes. Systematic reporting on the use of theory and BCTs is recommended to enhance clarity and facilitate evaluations of future interventions. This review supports and guides occupational therapy practitioners to use theory-based self-management intervention as a routine part of stroke rehabilitation to improve stroke survivors' experience in the community.
Descriptor Terms: INTERVENTION, LITERATURE REVIEWS, OCCUPATIONAL THERAPY, PHILOSOPHY, SELF CARE, STROKE.

Can this document be ordered through NARIC's document delivery service*?: Y.

Citation: Lau, Stephen C. L., Judycki, Stephanie, Mix, Mikayla, DePaul, Olivia, Tomazin, Rachel, Hardi, Angela, Wong, Alex W. K., Baum, Carolyn. (2022). Theory-based self-management interventions for community-dwelling stroke survivors: A systematic review and meta-analysis. American Journal of Occupational Therapy (AJOT) , 76(4), Pgs. 7604205010. Retrieved 10/25/2022, from REHABDATA database.