Stroke survivors' perspectives on recovering in rural and remote Australia: A systematic mixed studies review

Abstract Background Technology is being increasingly investigated as an option to allow stroke survivors to exploit their full potential for recovery by facilitating home-based upper limb practice. This review seeks to explore the factors that influence perseverance with technology-facilitated home-based upper limb practice after stroke. Methods A systematic mixed studies review with sequential exploratory synthesis was undertaken. Studies investigating adult stroke survivors with upper limb disability undertaking technology-facilitated home-based upper limb practice administered ≥ 3 times/week over a period of ≥ 4 weeks were included. Qualitative outcomes were stroke survivors’ and family members’ perceptions of their experience utilising technology to facilitate home-based upper limb practice. Quantitative outcomes were adherence and dropouts, as surrogate measures of perseverance. The Mixed Methods Appraisal Tool was used to assess quality of included studies. Results Forty-two studies were included. Six studies were qualitative and of high quality; 28 studies were quantitative and eight were mixed methods studies, all moderate to low quality. A conceptual framework of perseverance with three stages was formed: (1) getting in the game; (2) sticking with it, and; (3) continuing or moving on. Conditions perceived to influence perseverance, and factors mediating these conditions were identified at each stage. Adherence with prescribed dose ranged from 13 to 140%. Participants were found to be less likely to adhere when prescribed sessions were more frequent (6–7 days/week) or of longer duration (≥ 12 weeks). Conclusion From the mixed methods findings, we propose a framework for perseverance with technology-facilitated home-based upper limb practice. The framework offers opportunities for clinicians and researchers to design strategies targeting factors that influence perseverance with practice, in both the clinical prescription of practice and technology design. To confirm the clinical utility of this framework, further research is required to explore perseverance and the factors influencing perseverance. Registration: PROSPERO CRD42017072799—https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=72799

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0086 Mental health in formerly incarcerated black men: a systematic mixed studies review

10.1136/injuryprev-2021-savir.63 ◽

2021 ◽

Author(s):

H Addison ◽

SF Jacoby

Keyword(s):

Mental Health ◽

Black Men ◽

Formerly Incarcerated ◽

Mixed Studies Review ◽

Systematic Mixed Studies Review

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A systematic mixed studies review of women's experiences of perineal trauma sustained during childbirth

Journal of Advanced Nursing ◽

10.1111/jan.13724 ◽

2018 ◽

Vol 74 (9) ◽

pp. 2038-2052 ◽

Cited By ~ 2

Author(s):

Rebecca Crookall ◽

Gillian Fowler ◽

Caroline Wood ◽

Pauline Slade

Keyword(s):

Perineal Trauma ◽

Women’S Experiences ◽

Women's Experiences ◽

Mixed Studies Review ◽

Systematic Mixed Studies Review

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Advantages and challenges in using telehealth for home-based palliative care: A systematic mixed studies review protocol (Preprint)

10.2196/preprints.22626 ◽

2020 ◽

Author(s):

Simen A Steindal ◽

Andréa Aparecida Goncalves Nes ◽

Tove E. Godskesen ◽

Susanne Lind ◽

Alfhild Dhle ◽

...

Keyword(s):

Palliative Care ◽

Care Delivery ◽

Patient Centered ◽

Care Services ◽

Home Based ◽

Mixed Studies Review ◽

Palliative Care Services ◽

Meta Analyses ◽

Systematic Mixed Studies Review ◽

At Home

BACKGROUND Due to the increasing number of people in need of palliative care services and the current health care professional workforce strain, providing equitable, quality palliative care has become a challenge. Telehealth could be an innovative approach to palliative care delivery, enabling patients to spend more time or even remain at home, if they wish, throughout the illness trajectory. However, no previous systematic mixed studies reviews have synthesized evidence on patients’ experiences of the advantages and challenges of telehealth for home-based palliative care. OBJECTIVE The aim of this systematic mixed studies review is to critically appraise and synthesize findings from studies that investigated patients’ use of telehealth in home-based palliative care with a focus on the advantages and challenges experienced by the patients. METHODS This article describes the protocol for a systematic mixed studies review with a convergent design. The reporting will be guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. A systematic search was performed in eight databases for studies published from January 2010 to June 2020. The search will be updated in 2021. Pairs of authors will independently assess eligibility, extract data and assess methodological quality. The data will then be analyzed using thematic synthesis. RESULTS We described the rationale and design of a systematic mixed studies review. The database searches were performed on June 25, 2020. Assessment of eligibility and further steps have not yet been performed. Results are anticipated by August 2021. CONCLUSIONS Following the ethos of patient-centered palliative care, this systematic mixed studies review could contribute recommendations for practice and policy enabling the development of telehealth applications and services that align with patients’ preferences and needs when using telehealth applications and services at home.

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