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.


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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.