Evidence map›Paper›PMID 37523144›Full record

ReviewJournal of racial and ethnic health disparities2024

Stroke Experiences and Unmet Needs of Individuals of African Descent Living in High-Income Economy Countries: a Qualitative Meta-Synthesis.

Hardeep Singh, Semtetam Patience Fakembe, Racquel K Brown, Jill I Cameron, Michelle L A Nelson, Kristina M Kokorelias, Erica Nekolaichuk, Nancy M Salbach, Sarah Munce, Terence Tang and 3 more

Open access · hybridAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of racial and ethnic health disparities, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 1 country.

Hardeep SinghDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada. hardeepk.singh@utoronto.ca.ORCID 0000-0002-7429-5580
Semtetam Patience FakembeDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
Racquel K BrownThe KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.
Jill I CameronDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
Michelle L A NelsonLunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada.
Kristina M KokoreliasDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
Erica NekolaichukGerstein Science Information Centre, University of Toronto Libraries, University of Toronto, Toronto, ON, Canada.
Nancy M SalbachThe KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, ON, Canada.
Sarah MunceDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
Terence TangInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
Carolyn Steele GrayLunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, ON, Canada.
Arta Taghavi HaghayeghDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
Heather ColquhounDepartment of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G 1V7, Canada.
University of Toronto · CAUniversity Health Network · CATrillium Health Centre · CA

Funding

Heart and Stroke Foundation of Canada G-22-0033014
6 · The paper itself

Abstract

backgroundStroke service disparities experienced by individuals of African descent highlight the need to optimize services. While qualitative studies have explored participants' unique experiences and service needs, a comprehensive synthesis is lacking. To address current knowledge gaps, this review aimed to synthesize existing literature on the experiences of individuals of African descent impacted by a stroke living in high-income economy countries in terms of stroke prevention, management, and care.

methodsA qualitative meta-synthesis incorporating a meta-study approach was conducted to obtain comprehensive and interpretive insights on the study topic. Four databases were searched to identify qualitative English-language studies published in the year 2022 or earlier on the experiences of adults of African descent who were at risk or impacted by a stroke and living in high-income economy countries. Study methods, theory, and data were analyzed using descriptive and interpretive analyses.

resultsThirty-seven studies met our inclusion criteria, including 29 journal articles and 8 dissertations. Multiple authors reported recruitment as a key challenge in study conduct. Multiple existing theories and frameworks of health behaviours, beliefs, self-efficacy, race, and family structure informed research positionality, questions, and analysis across studies. Participant experiences were categorized as (1) engagement in stroke prevention activities and responses to stroke symptoms, (2) self-management and self-identity after stroke, and (3) stroke care experiences.

conclusionsThis study synthesizes the experiences and needs of individuals of African descent impacted by stroke. Findings can help tailor stroke interventions across the stroke care continuum, as they suggest the need for intersectional and culturally humble care approaches.

Indexed as

Developed CountriesQualitative ResearchStrokeBlack PeopleHealthcare DisparitiesHealth Services Needs and DemandHumansAfricanCulturally tailoredMeta-synthesisPerspectivesQualitativeStroke

Identifiers

PMID37523144
PMCPMC11481687
OpenAlexW4385407002

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.