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Self-Management Support Interventions for Stroke Survivors: A Systematic Meta-Review

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  • Hannah L Parke
  • Eleni Epiphaniou
  • Gemma Pearce
  • Stephanie J C Taylor
  • Aziz Sheikh
  • Chris J Griffiths
  • Trish Greenhalgh
  • Hilary Pinnock

Abstract

Background: There is considerable policy interest in promoting self-management in patients with long-term conditions, but it remains uncertain whether these interventions are effective in stroke patients. Design: Systematic meta-review of the evidence for self-management support interventions with stroke survivors to inform provision of healthcare services. Methods: We searched MEDLINE, EMBASE, CINAHL, PsychINFO, AMED, BNI, Database of Abstracts of Reviews for Effectiveness, and Cochrane Database of Systematic Reviews for systematic reviews of self-management support interventions for stroke survivors. Quality was assessed using the R-AMSTAR tool, and data extracted using a customised data extraction form. We undertook a narrative synthesis of the reviews' findings. Results: From 12,400 titles we selected 13 systematic reviews (published 2003-2012) representing 101 individual trials. Although the term ‘self-management’ was rarely used, key elements of self-management support such as goal setting, action planning, and problem solving were core components of therapy rehabilitation interventions. We found high quality evidence that supported self-management in the context of therapy rehabilitation delivered soon after the stroke event resulted in short-term (

Suggested Citation

  • Hannah L Parke & Eleni Epiphaniou & Gemma Pearce & Stephanie J C Taylor & Aziz Sheikh & Chris J Griffiths & Trish Greenhalgh & Hilary Pinnock, 2015. "Self-Management Support Interventions for Stroke Survivors: A Systematic Meta-Review," PLOS ONE, Public Library of Science, vol. 10(7), pages 1-23, July.
    • Handle: RePEc:plo:pone00:0131448
    DOI: 10.1371/journal.pone.0131448
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