Please use this identifier to cite or link to this item: https://doi.org/10.1080/09638288.2021.2001057
Title: The effectiveness of self-management interventions with action-taking components in improving health-related outcomes for adult stroke survivors: a systematic review and meta-analysis
Authors: Oh, HX
De Silva, DA 
Toh, ZA
Pikkarainen, M
Wu, VX 
He, HG 
Keywords: Meta-analysis
self-efficacy
self-management
stroke
systematic review
transient ischaemic attack
Issue Date: 1-Jan-2021
Publisher: Taylor and Francis
Citation: Oh, HX, De Silva, DA, Toh, ZA, Pikkarainen, M, Wu, VX, He, HG (2021-01-01). The effectiveness of self-management interventions with action-taking components in improving health-related outcomes for adult stroke survivors: a systematic review and meta-analysis. Disability and Rehabilitation : 1-16. ScholarBank@NUS Repository. https://doi.org/10.1080/09638288.2021.2001057
Abstract: Purpose: This systematic review and meta-analysis aims to synthesise the evidence of the effectiveness of self-management interventions with action-taking components in improving self-efficacy, health-related quality of life, basic and instrumental activities of daily living, and depression for adult stroke survivors. Materials and methods: Nine electronic databases were searched for relevant studies, including grey literature and ongoing studies. Randomised controlled trials targeting adult stroke survivors comparing health-related outcomes of patients receiving self-management interventions with action-taking components to usual care, placebo, or no-treatment were included. Screening, data extraction, and methodological quality assessment were conducted by two reviewers. Meta-analyses were performed. Overall quality of evidence was assessed using the GRADE tool. Results: A total of seventeen studies were included. Meta-analyses showed that the intervention may result in a slight increase in self-efficacy (SMD = 0.29, 95% CI [0.07–0.52], p = 0.010, I 2 = 47%) and basic activities of daily living (SMD = 0.31, 95% CI [0.16–0.46], p < 0.001, I 2 = 0%), but not for the other outcomes. Conclusions: Self-management interventions with action-taking components may result in a slight improvement in self-efficacy and rehabilitation of basic activities of daily living. Future research should investigate which core self-management skill, or combination of them, is most effective in improving short-term and long-term outcomes.IMPLICATIONS FOR REHABILITATION Stroke can be a chronic condition as approximately half of stroke survivors suffer from permanent disabilities. Self-management interventions are one form of rehabilitation programmes available to stroke survivors. Self-management interventions with action-taking components may result in a slight increase in patient self-efficacy and carrying out basic activities of daily living compared to usual care given.
Source Title: Disability and Rehabilitation
URI: https://scholarbank.nus.edu.sg/handle/10635/217536
ISSN: 0963-8288
1464-5165
DOI: 10.1080/09638288.2021.2001057
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