SynthesisPloS one2015
Self-Management Support Interventions for Stroke Survivors: A Systematic Meta-Review.
Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
51 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Theory-Based Self-Management Interventions for Community-Dwelling Stroke Survivors: A Systematic Review and Meta-Analysis.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2022Pooled it
- Pragmatic Solutions for Stroke Recovery and Improved Quality of Life in Low- and Middle-Income Countries-A Systematic Review.Frontiers in neurology · 2020Pooled it
- Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association.Journal of the American Heart Association · 2017Guideline
- Caregiver-mediated exercises for improving outcomes after stroke.The Cochrane database of systematic reviews · 2016Pooled it
- A feasibility study of the internet-based intervention "Strategies for Empowering activities in Everyday life" (SEE 1.0) applied for people with stroke.BMC health services research · 2025Trial
- Feasibility of a self-management intervention to improve mobility in the community after stroke (SIMS): A mixed-methods pilot study.PloS one · 2024Trial
- Health Professional- and Volunteer-partnered Self-management Support (COMBO-KEY) to Promote Self-efficacy and Self-management Behaviors in People with Stroke: A Randomized Controlled Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2023Trial
- An extended stroke rehabilitation service for people who have had a stroke: the EXTRAS RCT.Health technology assessment (Winchester, England) · 2020Trial
- Trial
- Article
- Effects of a Self-Management Program on Adults with Stroke: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2025Article
- The impact of chronic illness resources, fear of recurrence, hope, and health locus of control on self-management behaviors in post-stroke patients: a cross-sectional study.Frontiers in medicine · 2025Article
- Occupational therapy practice to support executive function impairment after acquired brain injury: A UK clinical survey.The British journal of occupational therapy · 2024Article
- Building Bridges between People with Stroke, Families, and Health Professionals: Development of a Blended Care Program for Self-Management.Journal of clinical medicine · 2024Article
- Effects of a nurse-led eHealth programme on functional outcomes and quality of life of patients with stroke: a pooled analysis of randomized controlled trials.Frontiers in public health · 2024Article
- Global burden of stroke attributable to high systolic blood pressure in 204 countries and territories, 1990-2019.Frontiers in cardiovascular medicine · 2024Article
- Co-creation of self-management support during inpatient stroke rehabilitation.PEC innovation · 2023Article
- Self-directed versus peer-supported digital self-management programmes for mental and sexual wellbeing after acquired brain injury (HOPE4ABI): protocol for a feasibility randomised controlled trial.Pilot and feasibility studies · 2023Article
- Article
- Is a novel digital system for arm and hand rehabilitation suitable for stroke survivors? A qualitative process evaluation of OnTrack.BMJ open · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundThere is considerable policy interest in promoting self-management in patients with long-term conditions, but it remains uncertain whether these interventions are effective in stroke patients.
designSystematic meta-review of the evidence for self-management support interventions with stroke survivors to inform provision of healthcare services.
methodsWe searched MEDLINE, EMBASE, CINAHL, PsychINFO, AMED, BNI, Database of Abstracts of Reviews for Effectiveness, and Cochrane Database of Systematic Reviews for systematic reviews of self-management support interventions for stroke survivors. Quality was assessed using the R-AMSTAR tool, and data extracted using a customised data extraction form. We undertook a narrative synthesis of the reviews' findings.
resultsFrom 12,400 titles we selected 13 systematic reviews (published 2003-2012) representing 101 individual trials. Although the term 'self-management' was rarely used, key elements of self-management support such as goal setting, action planning, and problem solving were core components of therapy rehabilitation interventions. We found high quality evidence that supported self-management in the context of therapy rehabilitation delivered soon after the stroke event resulted in short-term (< 1 year) improvements in basic and extended activities of daily living, and a reduction in poor outcomes (dependence/death). There is some evidence that rehabilitation and problem solving interventions facilitated reintegration into the community.
conclusionsSelf-management terminology is rarely used in the context of stroke. However, therapy rehabilitation currently successfully delivers elements of self-management support to stroke survivors and their caregivers with improved outcomes. Future research should focus on managing the emotional, medical and social tasks of long-term survivorship.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.