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Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review

A systematic review was undertaken to determine the efficacy of self-management interventions for people with stroke over the age of 65 in relation to psychosocial outcomes. PubMed, Embase, and PsycInfo were searched for randomized controlled clinical trials. Studies were eligible if the included pe...

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Autores principales: Kristine Stage Pedersen, Sedsel, Lillelund Sørensen, Susanne, Holm Stabel, Henriette, Brunner, Iris, Pallesen, Hanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345508/
https://www.ncbi.nlm.nih.gov/pubmed/32570761
http://dx.doi.org/10.3390/geriatrics5020038
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author Kristine Stage Pedersen, Sedsel
Lillelund Sørensen, Susanne
Holm Stabel, Henriette
Brunner, Iris
Pallesen, Hanne
author_facet Kristine Stage Pedersen, Sedsel
Lillelund Sørensen, Susanne
Holm Stabel, Henriette
Brunner, Iris
Pallesen, Hanne
author_sort Kristine Stage Pedersen, Sedsel
collection PubMed
description A systematic review was undertaken to determine the efficacy of self-management interventions for people with stroke over the age of 65 in relation to psychosocial outcomes. PubMed, Embase, and PsycInfo were searched for randomized controlled clinical trials. Studies were eligible if the included people with stroke had a mean age ≥65 years in both the intervention and control group. Data on psychosocial measurements were extracted and an assessment of methodological quality was undertaken. Due to heterogeneity across the studies, the results were synthesized narratively. Eleven studies were identified. They included different self-management interventions in terms of theoretical rationales, delivery, and content. Seven psychosocial outcomes were identified: i) self-management, ii) self-efficacy, iii) quality of life, iv) depression, v) activities of daily living, vi) active lifestyle, and vii) other measures. Self-management interventions for people with stroke over the age of 65 may be beneficial for self-management, self-efficacy, quality of life, activity of daily living, and other psychosocial outcomes. However, low study quality and heterogeneity of interventions, as well as variation in time of follow-up and outcome measures, limit the possibility of making robust conclusions.
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spelling pubmed-73455082020-07-09 Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review Kristine Stage Pedersen, Sedsel Lillelund Sørensen, Susanne Holm Stabel, Henriette Brunner, Iris Pallesen, Hanne Geriatrics (Basel) Review A systematic review was undertaken to determine the efficacy of self-management interventions for people with stroke over the age of 65 in relation to psychosocial outcomes. PubMed, Embase, and PsycInfo were searched for randomized controlled clinical trials. Studies were eligible if the included people with stroke had a mean age ≥65 years in both the intervention and control group. Data on psychosocial measurements were extracted and an assessment of methodological quality was undertaken. Due to heterogeneity across the studies, the results were synthesized narratively. Eleven studies were identified. They included different self-management interventions in terms of theoretical rationales, delivery, and content. Seven psychosocial outcomes were identified: i) self-management, ii) self-efficacy, iii) quality of life, iv) depression, v) activities of daily living, vi) active lifestyle, and vii) other measures. Self-management interventions for people with stroke over the age of 65 may be beneficial for self-management, self-efficacy, quality of life, activity of daily living, and other psychosocial outcomes. However, low study quality and heterogeneity of interventions, as well as variation in time of follow-up and outcome measures, limit the possibility of making robust conclusions. MDPI 2020-06-18 /pmc/articles/PMC7345508/ /pubmed/32570761 http://dx.doi.org/10.3390/geriatrics5020038 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Kristine Stage Pedersen, Sedsel
Lillelund Sørensen, Susanne
Holm Stabel, Henriette
Brunner, Iris
Pallesen, Hanne
Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review
title Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review
title_full Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review
title_fullStr Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review
title_full_unstemmed Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review
title_short Effect of Self-Management Support for Elderly People Post-Stroke: A Systematic Review
title_sort effect of self-management support for elderly people post-stroke: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345508/
https://www.ncbi.nlm.nih.gov/pubmed/32570761
http://dx.doi.org/10.3390/geriatrics5020038
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