Evidence map›Paper›PMID 38454384›Full record

ArticleBMC public health2024

Community-based rehabilitation services implemented by multidisciplinary teams among adults with stroke: a scoping review with a focus on Chinese experience.

Zifen An, Ke Li, Xinyi Yang, Jie Ke, Yuying Xu, Xi Zhang, Xianmei Meng, Xianwu Luo, Liping Yu

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

9 authors at 2 institutions in 1 country.

Zifen An *School of Nursing, Wuhan University, No. 115 Donghu Road, 430071, Wuhan, Hubei Province, China.
Ke Li *School of Nursing, Wuhan University, No. 115 Donghu Road, 430071, Wuhan, Hubei Province, China.
Xinyi Yang *School of Nursing, Wuhan University, No. 115 Donghu Road, 430071, Wuhan, Hubei Province, China.
Jie KeDepartment of General Practice, Zhongnan Hospital of Wuhan University, No. 169 Donghu Road, 430071, Wuhan, Hubei Province, China.
Yuying XuSchool of Nursing, Wuhan University, No. 115 Donghu Road, 430071, Wuhan, Hubei Province, China.
Xi ZhangSchool of Nursing, Wuhan University, No. 115 Donghu Road, 430071, Wuhan, Hubei Province, China.
Xianmei MengSchool of Nursing, Wuhan University, No. 115 Donghu Road, 430071, Wuhan, Hubei Province, China. mengmei@whu.edu.cn.
Xianwu LuoSchool of Nursing, Wuhan University, No. 115 Donghu Road, 430071, Wuhan, Hubei Province, China. luoxw187@126.com.
Liping YuSchool of Nursing, Wuhan University, No. 115 Donghu Road, 430071, Wuhan, Hubei Province, China. yuliping@whu.edu.cn.
Wuhan University · CNWuhan Donghu University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the growing interest in hospital rehabilitation services for communities, studies on existing community-based rehabilitation (CBR) services remain scarce owing to limitations in the development of community health services and regional cultural diversity. As a guaranteed measure for ensuring the quality of rehabilitation services and achieving the desired service outcomes, clear roles and responsibilities in multidisciplinary teams and effective service delivery are particularly important.

objectiveThis scoping review aimed to determine the scope of community stroke rehabilitation programs involving existing multidisciplinary teams and to analyze the implementation content and implementers' functional roles to provide guidance for future CBR programs.

methodsThe scoping review design followed the methodology of the Joanna Briggs Institute and was based on the normative scoping review framework proposed by Arksey and O'Malley. The comprehensive CBR framework was proposed by World Health Organization-guided data charting and analysis.

resultsOf the 22,849 identified citations, 74 studies were included, consisting of 6,809 patients with stroke and 49 primary caregivers, most of whom were from China. The most common working mode in CBR programs was a dual approach involving both healthcare professionals in medical institutions and community healthcare professionals. The number of programs in each discipline was in the following descending order: nursing, medical care, rehabilitation, psychology, nutrition, and public health. Among these, multidisciplinary teams comprising medical, nursing, and rehabilitation disciplines were the most common, with a total of 29 programs. Disciplinary members were mainly responsible for implementing their respective disciplinary content, with physicians providing guidance for the programs. More than 82.4% of the studies reported 2-4 intervention strategies. The intervention forms of rehabilitation content were the most diverse, whereas preventive interventions were more homogeneous than others. Physical function and socio-psychological measurements were the most commonly reported outcomes.

conclusionCBR services implemented by multidisciplinary teams can effectively achieve functional and emotional improvement in patients with stroke, and nurses are the most involved in implementation, especially in community settings. The results further emphasize the importance of strengthening the exploration of nurses' maximum potential to implement CBR plans in future practice.

trial registrationThe registration information for this scoping review can be found at osf.io/pv7tg.

Indexed as

Community Health ServicesStrokeAdultHospitalsHumansPatient Care TeamPopulation GroupsAdultsCommunity-based rehabilitationMultidisciplinaryScoping reviewStroke

Identifiers

PMID38454384
PMCPMC10921794
OpenAlexW4392563247

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.