Effectiveness of information and communications technology interventions for stroke survivors and their support people: a systematic review.
To examine the effectiveness of self-directed, off-the-shelf information and communications technology (ICT)-based interventions in improving the quality of life, physical and psychosocial outcomes of community-dwelling stroke survivors and their support persons (SP). Medline, EMBASE, CINAHL and Coc...
| Publicado en: | Disability & Rehabilitation Vol. 44; no. 17; pp. 4563 - 4579 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158752210&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158752210 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Aug2022 vid: 44 iid: 17 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 158752210 150015838 158752210 158752210 10.1080/09638288.2021.1913245 158752210 ppf: 4563 ppct: 16 formats: tig: atl: Effectiveness of information and communications technology interventions for stroke survivors and their support people: a systematic review. aug: au: Freund, Megan Carey, Mariko Dilworth, Sophie Waller, Amy Mansfield, Elise Rose, Anna Thienel, Renate Hyde, Lisa affil: Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, Australia sug: subj: Information Technology Internet-Based Intervention Quality of Life Outcome Assessment Community Living Stroke Rehabilitation Survivors Psychosocial Factors Caregivers Psychosocial Factors Human Medline Embase CINAHL Database Cochrane Library Narratives Patient Attitudes Patient Compliance Bias (Research) Software Behavior Cellular Phone Health Resource Utilization Health Personnel Judgment Systematic Review Adult Middle Age Aged Aged, 80 and Over Mobile Applications Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: To examine the effectiveness of self-directed, off-the-shelf information and communications technology (ICT)-based interventions in improving the quality of life, physical and psychosocial outcomes of community-dwelling stroke survivors and their support persons (SP). Medline, EMBASE, CINAHL and Cochrane databases were searched (2006–19th June 2020) for randomized controlled trials, controlled trials, controlled before and after studies, or interrupted time series studies that met the eligibility criteria. The quality of included studies was assessed. Interventions effectiveness was narratively synthesized, as was participant adherence and acceptability. Seventeen studies were eligible. Three studies were rated as low risk of bias across all methodological review criteria. Nine studies reported on interventions delivered using self-directed computer programs, two studies utilized internet or web-based support programs and six studies used mobile phone interventions. Few studies reported on intervention acceptability or adherence. Those that did generally reported good acceptability, although adherence was variable. Fifteen studies reported significant positive effects for at least one outcome examined including stroke-specific outcomes, physical outcomes, behavioural outcomes and health service use. No studies found an effect for psychosocial wellbeing. ICT-based interventions are likely to provide benefit to stroke survivors and their SPs. However, there is a need for further robustly designed intervention studies that include larger sample sizes, longer follow-up, and outcomes for SPs. ICT-based interventions with minimal clinician supervision are likely to provide some benefits to stroke survivors and their SPs. There is insufficient evidence to allow recommendations to rehabilitation professionals regarding the type, length and intensity of ICT-based interventions for specific targeted outcomes. Rehabilitation professionals should use professional judgement prior to recommending ICT-based interventions to stroke survivors and their SPs. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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