scholarly journals Health promotion interventions post-stroke for improving self-management: A systematic review

2021 ◽  
Vol 10 ◽  
pp. 204800402110044
Author(s):  
Karenza Taft ◽  
Bobbi Laing ◽  
Cynthia Wensley ◽  
Lorraine Nielsen ◽  
Julia Slark
Keyword(s):  
Systematic Review ◽  
Health Promotion ◽  
Self Management ◽  
Controlled Trials ◽  
Caregiver Support ◽  
Family Networks ◽  
Reminder System ◽  
Post Stroke ◽  
Randomised Controlled ◽  
Health Promotion Interventions

Background It is well-documented that women tend to be worse off post-stroke. They are often frailer, have less independence, lower functionality, increased rates of depression, and overall a lower quality of life. People who have had strokes benefit from rehabilitative support to increase their independence and reduce the risk of stroke reoccurrence. Despite the gender differences in the effects of stroke, interventions explicitly aimed at helping women have not been identified. Purpose This systematic review aimed to summarize the effectiveness of the health promoting behavioural interventions for reducing risk factors and improved self-management in women post-stroke, compared to usual care. Method Seven databases, Medline (Ovid), CINAHL, PsychInfo, Embase, PubMed, Scopus, and Google Scholar, were reviewed for randomized controlled trials covering post-stroke interventions. The following keywords were used: health promotion, secondary prevention, woman, women, female, sex difference, gender difference, after stroke, and post-stroke. Results Ten randomised controlled trials were found. These demonstrated common successful approaches for rehabilitation, but none specifically described health promotion strategies for women. Core components of successful programs appeared to be a structured approach, tailored to clientele and formalised support systems through their carer, family networks, or community engagement. Comprehensive reminder systems were successful for stroke risk reduction. Conclusion Women are disproportionately affected by stroke and are often in the frail category. Tailored structured health promotion programs with family and caregiver support combined with a comprehensive reminder system would appear to enable women post-stroke.

scholarly journals Dysphagia treatment post stroke: a systematic review of randomised controlled trials

2008 ◽  
Vol 37 (3) ◽  
pp. 258-264 ◽  
Author(s):  
Norine Foley ◽  
Robert Teasell ◽  
Katherine Salter ◽  
Elizabeth Kruger ◽  
Rosemary Martino
Keyword(s):  
Systematic Review ◽  
Randomised Controlled Trials ◽  
Controlled Trials ◽  
Post Stroke ◽  
Dysphagia Treatment ◽  
Randomised Controlled

scholarly journals Self-management interventions for adolescents living with HIV: a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Talitha Crowley ◽  
Anke Rohwer
Keyword(s):  
Systematic Review ◽  
Randomised Controlled Trials ◽  
The United States ◽  
Self Management ◽  
Controlled Trials ◽  
Hiv Viral Load ◽  
Management Interventions ◽  
Health Related ◽  
Randomised Controlled ◽  
Living With Hiv

Abstract Background Self-management interventions aim to enable people living with chronic conditions to increase control over their condition in order to achieve optimal health and may be pertinent for young people with chronic illnesses such as HIV. Our aim was to evaluate the effectiveness of self-management interventions for improving health-related outcomes of adolescents living with HIV (ALHIV) and identify the components that are most effective, particularly in low-resource settings with a high HIV burden. Methods We considered randomised controlled trials (RCTs), cluster RCTs, non-randomised controlled trials (non-RCTs) and controlled before-after (CBA) studies. We did a comprehensive search up to 1 August 2019. Two authors independently screened titles, abstracts and full texts, extracted data and assessed the risk of bias. We synthesised results in a meta-analysis where studies were sufficiently homogenous. In case of substantial heterogeneity, we synthesised results narratively. We assessed the certainty of evidence using GRADE and presented our findings as summaries in tabulated form. Results We included 14 studies, comprising 12 RCTs and two non-RCTs. Most studies were conducted in the United States, one in Thailand and four in Africa. Interventions were diverse, addressing a variety of self-management domains and including a combination of individual, group, face-to-face, cell phone or information communication technology mediated approaches. Delivery agents varied from trained counsellors to healthcare workers and peers. Self-management interventions compared to usual care for ALHIV made little to no difference to most health-related outcomes, but the evidence is very uncertain. Self-management interventions may increase adherence and decrease HIV viral load, but the evidence is very uncertain. We could not identify any particular components of interventions that were more effective for improving certain outcomes. Conclusion Existing evidence on the effectiveness of self-management interventions for improving health-related outcomes of ALHIV is very uncertain. Self-management interventions for ALHIV should take into account the individual, social and health system contexts. Intervention components need to be aligned to the desired outcomes. Systematic review registration PROSPERO CRD42019126313.

Sign in / Sign up

Export Citation Format

Share Document