Article

A systematic review of stroke self-management programs was conducted to:
(i) identify how many and what self-management support strategies were included
in stroke self-management interventions and (ii) describe whether self-management
programs effectively improved outcomes, focusing specifically on function and
participation outcomes. METHODS: Twelve databases were searched for the years
1986-2012 to identify self-management programs for stroke survivors. Pre-post,
quasi-experimental and randomized controlled trial study designs were included.
Descriptive information about the intervention was scrutinized to identify what
self-management support strategies were present in the intervention and
comparisons were made between programs using a group versus a one-to-one format.
All outcomes were included and categorized. RESULTS: The most prominent
strategies identified in our review were goal setting and follow-up, and an
individualized approach using structured information and professional support.
There are indications that self-management programs can significantly increase
participation and functional ability. However, the high level of clinical
heterogeneity in program delivery, outcomes and level of stroke severity made it
impossible to conduct a meta-analysis. Further examination of individual
self-management support strategies, such as linking rehabilitation goal setting
to post-acute self-management programs, the inclusion of family members and the
contribution of peer-support is warranted. IMPLICATIONS FOR REHABILITATION:
Self-management programs for stroke survivors. Linking post-acute self-management
programs to rehabilitation goal setting could improve outcomes. Involving family
members in self-management programs may benefit stroke survivors.

Langue : ANGLAIS