Interventions for improving psychosocial well-being after stroke: A systematic review

Nimwegen, Dagmar van; Hjelle, Ellen Gabrielsen; Bragstad, Line Kildal; Kirkevold, Marit; Sveen, Unni; Hafsteinsdøttir, Thóra B.; Schoonhoven, Lisette; Visser‐Meily, Johanna M. A.; Ginkel, Janneke de ­Man-van

doi:10.1016/j.ijnurstu.2023.104492

Cited by 6 publications

(2 citation statements)

References 108 publications

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“…Therefore, a need exists for continued care in the community to support individuals with stroke [ 19 , 22 , 23 ]. Community stroke services have been found to support stroke recovery by enhancing the individual’s social connections [ 24 ], reducing psychosocial distress [ 25 , 26 ] and improving physical functioning [ 27 ]. The COVID-19 pandemic has changed how community services are delivered [ 28 , 29 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the experiences of adults with stroke in virtual community-based stroke programs: a qualitative descriptive study

Cruickshank,

Brooks,

Sperling

et al. 2024

BMC Health Serv Res

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Background Stroke is among the top contributors to disability and can impact an individual’s cognition, physical functioning, and mental health. Since the COVID-19 pandemic, several community-based organizations have started delivering stroke programs virtually. However, participants’ experiences in these programs remain understudied, and evidence-based guidelines to inform and optimize virtual stroke program development and delivery are lacking. Thus, this study aimed to describe the perspectives and experiences of individuals with stroke who participated in virtual community-based organization stroke programs, including perceived access and participation facilitators and barriers and suggestions for improving these programs. Methods A qualitative descriptive design was used to gather participant experiences through semi-structured interviews. Audio-recorded interviews were conducted on Zoom and transcribed verbatim. Adult participants who had experienced a stroke and attended at least one Canadian virtual community-based organization stroke program were recruited. Data were analyzed using inductive thematic analysis. Results Twelve participants (32–69 years, 2–23 years post-stroke, eight women and four men) participated in this study. Five themes were identified: (1) motives to join virtual community-based organization stroke programs, including gaining peer connections, knowledge and information; (2) perceived barriers to accessing and participating in virtual community-based organization stroke programs, including technology inequities, difficulties navigating technology, and inadequate facilitation; (3) perceived facilitators to accessing and participating in virtual community-based organization stroke programs, including remote access, virtual platform features and program leader characteristics/skills; (4) unmet needs during virtual community-based organization stroke programs, including in-person connection and individualized support; and (5) suggestions and preferences for improving virtual community-based organization stroke programs, including program facilitation, content and format. Conclusions Study findings highlight opportunities to improve virtual community-based organization stroke programs to optimize participant experiences and outcomes. Addressing the barriers and suggestions identified in this study may improve virtual community-based organization stroke programs’ access and quality.

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Section: Introductionmentioning

confidence: 99%

Exploring the experiences of adults with stroke in virtual community-based stroke programs: a qualitative descriptive study

Cruickshank,

Brooks,

Sperling

et al. 2024

BMC Health Serv Res

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“…Although evidence of its effectiveness in many conditions is robust, it is less conclusive in the context of stroke survivors. Clinical trials have investigated the effectiveness of PST, and systematic reviews and guidelines have mentioned PST or psychotherapy after stroke; however, they have reported conflicting findings without any clear evidence [ 6 , 37 , 38 , 39 , 40 ]. This raises the fundamental question of whether PST use in patients with stroke is justified and what outcomes can be expected.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Problem-Solving Therapy in Improving Patient Mental Health, Function, Quality of Life, and Mortality Post-Stroke: A Systematic Review

Le,

Honma,

Annaka

et al. 2024

Behavioral Sciences

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Problem-solving therapy (PST) is a potential psychological intervention aimed at preventing and treating psychological issues in stroke patients, although its efficacy is not clearly established. This systematic review assessed the effectiveness of PST in improving mental health, functioning, quality of life, and mortality in this population. Six databases were searched for literature indexed through March 2024, including the Cochrane Library, PubMed, Scopus, CINAHL, NeuroBITE, and OTseeker. This review (CRD42023483757) followed the PRISMA guidelines and the Cochrane Library Handbook, utilizing the RoB 2 tool and GRADE system to assess the quality of the evidence. It included eight randomized controlled trials (RCTs) involving 1249 patients with stroke. Among them, five RCTs showed that PST might improve depression. Additionally, individual RCTs demonstrated the efficacy of PST in addressing patient anxiety, apathy, and coping. With respect to mental health, PST might affect patient quality of life and mortality. However, the results of four RCTs demonstrated no effect of PST on patient functioning. The quality of evidence for the outcomes ranged from very low to high. PST may improve mental health, quality of life, and mortality in patients with stroke.

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Influencing Factors of Psychological Resilience in Stroke Patients: A Systematic Review and Meta-Analysis

Wang,

Xie,

Sun

et al. 2024

Archives of Clinical Neuropsychology

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Objective To systematically review the current status and influencing factors of psychological resilience in stroke patients and to provide a theoretical basis for future personalized rehabilitation support and psychological interventions. Method This systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. A comprehensive search of databases including PubMed, Web of Science, Medline, PsycINFO, CINAHL, Cochrane Library, CNKI, VIP, CMB, and WANGFANG was conducted from inception until November 22, 2023, resulting in the retrieval of 2099 studies. Literature screening and data extraction were performed by two independent evaluators based on pre-defined inclusion and exclusion criteria, and meta-analysis was performed using Review Manager 5.4 software. Results The final review included 23 studies. The results showed that self-efficacy, hope, confrontation coping, avoidance coping, functional independence, quality of life, and social support were positively associated with psychological resilience. Conversely, anxiety, depression, and resignation coping were negatively associated with psychological resilience. Conclusions Patients with stroke have a low level of psychological resilience, which was influenced by a variety of factors. However, longitudinal and large sample studies are needed to further confirm these findings. These results should be integrated into clinical practice for early assessment and targeted intervention in psychological resilience to assist patients in coping with the rehabilitation process and life changes after a stroke.

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Interventions for improving psychosocial well-being after stroke: A systematic review

Cited by 6 publications

References 108 publications

Exploring the experiences of adults with stroke in virtual community-based stroke programs: a qualitative descriptive study

Exploring the experiences of adults with stroke in virtual community-based stroke programs: a qualitative descriptive study

Effectiveness of Problem-Solving Therapy in Improving Patient Mental Health, Function, Quality of Life, and Mortality Post-Stroke: A Systematic Review

Influencing Factors of Psychological Resilience in Stroke Patients: A Systematic Review and Meta-Analysis

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