Positive Influence of Stroke Health Manager on Risk Factors Control and Medication Adherence After Ischemic Stroke

Yan, Xiaofeng; Liu, Zhuo; Guo, Zhen‐Ni; Sun, Ye; Jin, Hang; Sun, Xin; Sun, Haijie; Yang, Yi

doi:10.3389/fneur.2020.00168

Cited by 10 publications

(12 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A component of medication self-management was the primary focus in 13 studies [ 39 , 49 , 52 , 62 – 64 , 66 , 67 , 72 , 73 , 78 , 81 , 86 ], with the majority (n = 43) including it as a part of a larger intervention or as an outcome measure. Two-thirds of the interventions consisted of multiple components (n = 42) [ 34 , 35 , 38 – 48 , 51 – 54 , 56 – 60 , 62 – 65 , 67 – 74 , 77 , 79 , 82 – 85 , 87 , 88 ], while the other third were stand-alone interventions (n = 14) [ 36 , 37 , 49 , 50 , 55 , 61 , 66 , 75 , 76 , 78 , 80 , 81 , 86 , 89 ]. The multicomponent interventions consisted of a combination of the following: education, counseling or coaching, workshops, text reminders, follow-up discussions, information materials, health assessments, referrals or connections to healthcare providers, support services, goal setting, and medication reviews.…”

Section: Resultsmentioning

confidence: 99%

“…The multicomponent interventions consisted of a combination of the following: education, counseling or coaching, workshops, text reminders, follow-up discussions, information materials, health assessments, referrals or connections to healthcare providers, support services, goal setting, and medication reviews. Just over half of the interventions (n = 33) were tailored to the participants based on their individual needs or goals [ 34 , 37 , 38 , 40 – 50 , 52 – 54 , 56 – 59 , 62 , 63 , 65 , 67 – 69 , 71 , 74 , 75 , 80 , 85 , 89 ]. Only two articles described the modification of the intervention during the course of the study [ 37 , 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…The majority of interventions were delivered by nurses (n = 15) [ 42 , 43 , 54 , 61 , 62 , 65 , 68 , 70 , 71 , 75 – 77 , 79 , 81 , 88 ], a multidisciplinary clinical team (n = 11) [ 35 , 37 , 40 , 46 , 50 – 53 , 60 , 67 , 74 ], or pharmacists (n = 7) [ 34 , 39 , 48 , 49 , 66 , 72 , 78 ] and were initiated in a hospital or healthcare setting (n = 40) [ 34 – 60 , 62 , 68 , 70 , 73 – 77 , 80 , 81 , 85 – 87 ], with 11 of those including a cross-sectoral or community-based component [ 36 , 44 – 46 , 48 , 62 , 73 – 76 , 85 ]. Fewer interventions were delivered to individuals in the community only (n = 9).…”

Section: Resultsmentioning

confidence: 99%

“…Seventeen interventions used only in-person methods for delivery [ 34 , 37 , 39 , 49 , 59 – 65 , 67 , 69 , 71 , 72 , 81 , 88 ] and six used only technological mechanisms for delivery [ 47 , 52 , 53 , 66 , 86 , 89 ]. However, most interventions leveraged the use of both face-to-face interactions and technology for delivery (n = 33) [ 35 , 36 , 38 , 40 – 46 , 48 , 50 , 51 , 54 – 58 , 68 , 70 , 73 – 80 , 82 – 85 , 87 ]. The technological component of the interventions consisted of telephone follow-ups, coaching, interviews or hotlines, informational or motivational videos, online chats, text reminders, education, and mobile applications (e.g., mHealth apps).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Medication self-management interventions for persons with stroke: A scoping review

et al. 2023

View full text Add to dashboard Cite

The use of multiple medications is common following a stroke for secondary prevention and management of co-occurring chronic conditions. Given the use of multiple medications post-stroke, optimizing medication self-management for this population is important. The objective of this scoping review was to identify and summarize what has been reported in the literature on interventions related to medication self-management for adults (aged 18+) with stroke. Electronic databases (Ovid Medline, Ovid Embase, EBSCO CINAHL, Ovid PsycINFO, Web of Science) and grey literature were searched to identify relevant articles. For inclusion, articles were required to include an adult population with stroke undergoing an intervention aimed at modifying or improving medication management that incorporated a component of self-management. Two independent reviewers screened the articles for inclusion. Data were extracted and summarized using descriptive content analysis. Of the 56 articles that met the inclusion criteria, the focus of most interventions was on improvement of secondary stroke prevention through risk factor management and lifestyle modifications. The majority of studies included medication self-management as a component of a broader intervention. Most interventions used both face-to-face interactions and technology for delivery. Behavioural outcomes, specifically medication adherence, were the most commonly targeted outcomes across the interventions. However, the majority of interventions did not specifically or holistically target medication self-management. There is an opportunity to better support medication self-management post-stroke by ensuring interventions are delivered across sectors or in the community, developing an understanding of the optimal frequency and duration of delivery, and qualitatively exploring experiences with the interventions to ensure ongoing improvement.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Medication self-management interventions for persons with stroke: A scoping review

et al. 2023

View full text Add to dashboard Cite

show abstract

“…The multidisciplinary nutrition management team was composed of two neurology attending physicians, three neurology specialist nurses, a stroke health manager certified by the Stroke Prevention and Control Engineering Committee of the National Health Commission ( 13 ), a nutritional specialist and a rehabilitation therapist.…”

Section: Methodsmentioning

confidence: 99%

Individualized Nutritional Support for Hospitalized Patients With Oropharyngeal Dysphagia After Stroke: A Randomized Controlled Trial

et al. 2022

Self Cite

View full text Add to dashboard Cite

ObjectivesPost-stroke dysphagia may cause aspiration pneumonia, malnutrition, dehydration, and other complications. However, data on the effects of nutritional supplementation and its value after stroke are insufficient. We aimed to evaluate the effect of an individualized 1-week nutrition intervention program on swallowing function and nutritional status in stroke patients with oropharyngeal dysphagia.MethodsThis study comprised the control group receiving oral nutritional support and continuous nasogastric tube feeding according to the results of the water swallow test (WST). The intervention group additionally underwent a volume-viscosity swallowing test (V-VST) and intermittent oroesophageal tube feeding based on WST. The outcomes were measured after 7 days of intervention, including the improvement of swallowing function assessment by WST, biochemical parameters, such as total serum protein, serum albumin, hemoglobin levels and body composition. This trial was registered with the Chinese Clinical Trial Registry, identifier ChiCTR 2100054054.ResultsIn total, 173 participants completed the study between September 1, 2020, and April 30, 2021. Patients receiving individualized nutritional support showed a more significant improvement in the total effective rate of swallowing function (95.3% vs. 85.1%, P < 0.05). After the intervention, the total serum protein level (0.97 ± 0.41 vs. −0.83 ± 0.47 g/L; P < 0.05), serum albumin level (0.33 ± 0.28 vs. −1.39 ± 0.36 g/L; P < 0.001) and lean tissue mass (0.13 ± 0.35 vs. −1.00 ± 0.40 g/L; P < 0.05) increased in the intervention group. The decrease of hemoglobin levels in the control group was more evident (−6.17 ± 1.63 vs. −0.64 ± 1.40 g/L; 95%CI, −9.78 to −1.28; P = 0.001). The difference of phase angle between the two groups was statistically significant (5.93 ± 0.88° vs. 5.77 ± 0.78°; P = 0.035), but not in body fat mass.ConclusionsIn stroke patients with oropharyngeal dysphagia, the use of individualized nutritional support based on V-VST and intermittent oroesophageal tube feeding during the first week of hospitalization improved swallowing function and maintained nutritional status.Clinical Trial Registrationhttps://clinicaltrials.gov/, identifier: ChiCTR 2100054054.

show abstract

Utilising interactive technology for stroke patient education: a systematic review

Finch

Coleman

Cameron

et al. 2023

Disability and Rehabilitation: Assistive Technology

View full text Add to dashboard Cite

Positive Influence of Stroke Health Manager on Risk Factors Control and Medication Adherence After Ischemic Stroke

Cited by 10 publications

References 20 publications

Medication self-management interventions for persons with stroke: A scoping review

Medication self-management interventions for persons with stroke: A scoping review

Individualized Nutritional Support for Hospitalized Patients With Oropharyngeal Dysphagia After Stroke: A Randomized Controlled Trial

Utilising interactive technology for stroke patient education: a systematic review

Contact Info

Product

Resources

About