The effect of transition care interventions incorporating health coaching strategies for stroke survivors: A systematic review and meta-analysis
Article
Article Title | The effect of transition care interventions incorporating health coaching strategies for stroke survivors: A systematic review and meta-analysis |
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ERA Journal ID | 13745 |
Article Category | Article |
Authors | Lin, Shuanglan, Xiao, Lily Dongxia, Chamberlain, Diane, Newman, Peter, Xie, Shiqi and Tan, Jing-Yu |
Journal Title | Patient Education and Counseling |
Journal Citation | 103 (10), pp. 2039 - 2060 |
Number of Pages | 22 |
Year | 2020 |
Publisher | Elsevier |
Place of Publication | Ireland |
ISSN | 0738-3991 |
1873-5134 | |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.pec.2020.05.006 |
Web Address (URL) | https://www.sciencedirect.com/science/article/pii/S0738399120302470?via%3Dihub |
Abstract | Objective: To systematically analyse health coaching strategies in transition care and synthesise the effect of these strategies on health care outcomes for stroke survivors. Methods: A systematic search of nine databases in two languages was conducted. Meta-analysis was conducted when data were available. Results: Twenty-five randomised controlled trials met the inclusion criteria. The meta-analysis revealed that health coaching strategies in transition care interventions significantly improve quality of life (QoL) (p < 0.001), activities of daily living (ADL) (p = 0.002) and reduce depression (p = 0.001) for stroke survivors at 3 months. Further subgroup analysis demonstrated that transition care interventions with a greater number of health coaching strategies are associated with a larger effect size on QoL (SMD=1.15) and ADL (SMD=1.177) at 3 months, and a medium effect size (SMD=0.674) on depression reduction. However, the effects of health coaching strategies on readmission, mortality and falls in stroke survivors remain inconclusive. Conclusions: This review provides evidence that incorporating health coaching strategies in transitional care improves health outcomes of stroke survivors. Practice implication: More trials of health coaching interventions to improve transition care with a rigorous study design are much needed to address the lack of support for stroke survivors and their caregivers in this crucial care period. |
Keywords | Activity of daily living; Health coaching; Quality oflife; Stroke survivors; Transition care |
Contains Sensitive Content | Does not contain sensitive content |
ANZSRC Field of Research 2020 | 420599. Nursing not elsewhere classified |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Flinders University |
Chongqing Medical University, China | |
Charles Darwin University |
https://research.usq.edu.au/item/z4v9v/the-effect-of-transition-care-interventions-incorporating-health-coaching-strategies-for-stroke-survivors-a-systematic-review-and-meta-analysis
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