SynthesisBMJ open2022
Effect of home-based interventions on basic activities of daily living for patients who had a stroke: a systematic review with meta-analysis.
Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- The Extent of Evidence Supporting the Effectiveness of Extended Reality Telerehabilitation on Different Qualitative and Quantitative Outcomes in Stroke Survivors: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- A robotic rehabilitation intervention in a home setting during the Covid-19 outbreak: a feasibility pilot study in patients with stroke.Journal of neuroengineering and rehabilitation · 2025Trial
- Timing in smartphone-guided home stroke rehabilitation with functional electrical stimulation: feasibility of distributed supervision and retrospective comparison with a front-loaded model.Journal of physical therapy science · 2026Article
- Article
- Factors Underlying Stroke Recovery Variation by Neighborhood Socioeconomic Status.JAMA network open · 2026Article
- Strengths, limitations, and way forward of home-based rehabilitation practices after stroke: a scoping review.BMC health services research · 2026Article
- Holding it all together: Family caregivers' support needs after very early supported discharge post stroke.PloS one · 2026Article
- Home-Based Nonimmersive Virtual Reality Training After Discharge From Inpatient or Outpatient Stroke Rehabilitation: Parallel Feasibility Randomized Controlled Trial.JMIR rehabilitation and assistive technologies · 2025Article
- Feasibility of Smartphone-Based Exercise Training Integrated with Functional Electrical Stimulation After Stroke (SETS): A Preliminary Study.Sensors (Basel, Switzerland) · 2025Article
- Using Interpersonal Continuity of Care in Home Health Physical Therapy to Reduce Hospital Readmissions.Home health care management & practice · 2025Article
- Telerehabilitation and Its Impact Following Stroke: An Umbrella Review of Systematic Reviews.Journal of clinical medicine · 2024Review
- Elements of a nurse-coordinated post-stroke home care rehabilitation in the Philippines: A cross-sectional study.Belitung nursing journal · 2024Article
- Preferences for Rehabilitation in Persons with a History of Stroke: A Discrete Choice Experiment.Patient preference and adherence · 2023Article
- Exercise dosage to facilitate the recovery of balance, walking, and quality of life after stroke.The South African journal of physiotherapy · 2023Review
- Vagus Nerve Stimulation Paired With Rehabilitation in the Home Environment for People With Chronic Post-Stroke Upper Limb Deficits (VNS-REHAB At-Home): Protocol for a Feasibility Trial.Advances in rehabilitation science and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the effectiveness of home-based interventions in improving the ability to do basic activities of daily living in patients who had a stroke.
methodsRandomised controlled trials were searched through MEDLINE, Embase and CINAHL from their inception to 31 December 2021. We included studies involving home-based intervention prescribed by professionals and implemented at patients' homes. The characteristics of these studies were collected. Risk of bias of individual study was assessed by Physiotherapy Evidence Database scale. Meta-analyses were performed where studies reported comparable interventions and outcomes.
resultsIn total, 49 studies were included in the systematic review and 16 studies had sufficient data for meta-analyses. The short-term effect of home-based intervention showed no significant difference when compared with institution-based intervention (standardised mean difference (SMD)=0.24, 95% CI -0.15 to 0.62, I
conclusionHome-based rehabilitation with usual care, which varied from no therapy to inpatient or outpatient therapy, may have a short-term effect on the ability to do basic activities of daily living for patients who had a stroke compared with usual care alone. However, the evidence quality is low because of the limited number of studies and participants included in the meta-analysis and the possible publication bias. Future research is needed to investigate the effectiveness of home-based rehabilitation in groups with stratification by stroke severity and time since stroke onset, with elaboration of details of the home-based and the control interventions. Moreover, more high-quality studies are required to prove the cost-effectiveness of newly developed strategies like caregiver-mediated rehabilitation and telerehabilitation. THE PRIMARY SOURCE OF
fundingThe Medical Research Fund of Guangdong Province (No: A2021041).
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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.