ArticleEvidence-based complementary and alternative medicine : eCAM2020
Development of a Care Bundle for Stroke Survivors with Psychological Symptoms: Evidence Summary and Delphi Study.
Article in Evidence-based complementary and alternative medicine : eCAM, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 14 citations in OpenAlex.
- Developing and evaluating a multidimensional progress-based assessment standard for standing long jump performance in university physical education: a sequential mixed-methods study.Frontiers in psychology · 2026Article
- Design and validation of a comprehensive educational program for stroke nursing care: a mixed methods study.BMC medical education · 2025Article
- Clinical Effectiveness of Multimodal Exercise Combined With Supportive Music and Imagery in the Management of Poststroke Mood Disorders.The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses · 2025Article
- Article
- Development of an evidence-based care bundle protocol for preventing falls in hospitalized children: Delphi study and trial test.Nursing open · 2023Article
- A Mobile-based Virtual Reality Speech Rehabilitation App for Patients With Aphasia After Stroke: Development and Pilot Usability Study.JMIR serious games · 2022Article
- Breast Cancer Stigma Scale: A Reliable and Valid Stigma Measure for Patients With Breast Cancer.Frontiers in psychology · 2022Article
- Establishment of a no-notice drill mode evaluation system for public health emergencies.PloS one · 2022Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychological symptoms such as depression and anxiety are quite common among stroke survivors and have great negative impacts on patients.
objectiveTo develop a care bundle through reviewing and integrating care strategies for psychological symptoms after stroke and then improve the bundle by Delphi study.
methodsA structured search of the literature was performed to identify studies evaluating interventions for stroke patients with psychological symptoms such as depression and anxiety. Two trained researchers screened papers through the titles, abstracts, and full-texts independently. All studies complying with the eligibility criteria were appraised using quality assessment tools. Related interventions with evaluated evidence levels formed the preliminary bundle. Afterward, the Delphi study was carried out to improve the bundle, and the experts were contacted by e-mail. Ten clinical experts specialized in stroke and psychological rehabilitation were recruited. The reliability of experts was represented by the effective response rate and authority coefficient (Cr). The consensus was deemed to be reached when the mean score for item importance is all equal or above 3.50 and the coefficient of variation (CV) is all equal or below 0.20. The Kendall coefficient W test was adopted to evaluate the consensus on agreement among the experts as well. Data analysis was performed using SPSS V.22.0.
resultsThrough a systematic evidence summary and two-round Delphi study, the items that were given high scores and got consensus by experts were chosen for the bundle. The iDAME bundle consisted of five interventions eventually: maintaining
conclusionThe development of an evidence-based and consensus-based iDAME bundle which integrated western and traditional Chinese medicine intervention was described. Evidence summary made the bundle become scientific, while the Delphi study made it more maneuverable. Based on these results, the bundle would be potentially implemented in stroke patients for their psychological symptoms.
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Registered trials
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