The realist view that you seemed to miss is that only 10% get fully recovered and nobody in the world knows a damn thing about how to get into that 10%.
A rapid realist review of post-stroke rehabilitation for young adults
Research output: Contribution to conference › Abstract › peer-review
Abstract
Introduction:
Stroke is a significant global burden of disease. Despite the increased
risk with age, there is an increasing prevalence trend of stroke in
individuals under 65. With a growing rate of stroke survival in young
adults, recovery and rehabilitation has become important aspect of
stroke management. Previous studies suggest that post-stroke
rehabilitation is more suited to older adults and not to be
age-appropriate for young adults, resulting in their unmet needs. Little
is known about post-stroke rehabilitation provision for young adults.
Aims and Objectives:
Aims and Objectives:
A rapid realist review was conducted to understand
post-stroke rehabilitation for young adults aged between 18 and 45: what
works (or not), for whom, why and in what circumstances?
Methods:
Methods:
We followed Saul et al (2013)’s rapid realist review methodology. The
literature search had two stages: (1) An initial search of nine
databases (2000-2022): CINAHL, MEDLINE, EMBASE, PsycINFO, ASSIA, AMED,
PEDro, Cochrane Library and Web of Science, (2) A secondary search to
find relevant literature or documents that could illuminate the
development of the realist causal explanations. Extracted data were
analysed using retroductive reasoning to establish programme theories in
form of context-mechanism-outcome (CMO) configurations.
Outcomes:
Outcomes:
Thirty-two articles were included as a final result. We identified
three theory areas overarching five CMO configurations that can explain
how stroke rehabilitation works (or not) for young adults, including (1)
the relationship between young adults and their therapists/peer
supporters, (2) person-centred approach in goal setting, and (3)
returning to ‘new normal’. An understanding of age-appropriate needs and
person-centred approach in rehabilitation delivery are
required to enable post-stroke rehabilitation that works for young adults, leading to desirable outcomes.
Conclusion:
required to enable post-stroke rehabilitation that works for young adults, leading to desirable outcomes.
Conclusion:
This review highlights the complex factors involved in post-stroke
rehabilitation for young adults. Evidence on how employers can support
young adults returning to work post-stroke is lacking and warrants
further exploration.
| Original language | English |
|---|---|
| Pages | 45 |
| Number of pages | 1 |
| Publication status | Published - 23 Feb 2023 |
| Event | The 42nd Annual International Nursing & Midwifery Research and Education Conference - RCSI University of Medicine and Health Sciences, 123 St Stephen’s Green, Dublin 2, Ireland, D02 YN77, Dublin, Ireland Duration: 23 Feb 2023 → … |
Conference
| Conference | The 42nd Annual International Nursing & Midwifery Research and Education Conference |
|---|---|
| Country/Territory | Ireland |
| City | Dublin |
| Period | 23/02/23 → … |
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