TY - JOUR
T1 - Effects of Home-Based Supportive Care on Improvements in Physical Function and Depressive Symptoms in Patients With Stroke
T2 - A Meta-Analysis
AU - Huang, Hui Chuan
AU - Huang, Yi Chieh
AU - Lin, Mei Feng
AU - Hou, Wen Hsuan
AU - Shyu, Meei Ling
AU - Chiu, Hsiao Yean
AU - Chang, Hsiu Ju
N1 - Publisher Copyright:
© 2017 American Congress of Rehabilitation Medicine
PY - 2017/8
Y1 - 2017/8
N2 - Objective To examine the effects of home-based supportive care on improvements in physical function and depressive symptoms in home-dwelling patients after stroke. Data Sources Seven electronic databases (eg, MEDLINE, PubMed, CINAL, EMBASE, the Cochrane Central Register of Controlled Trials, ProQuest, and Google Scholar) and 4 Chinese databases (eg, WANFANG MED ONLINE, Chinese Electronic Periodical Services, China Academic Journals Full-text Database, and National Central Library) were fully searched for all relevant articles up to June 25, 2016. Study Selection Randomized controlled trials examining the effects of home-based supportive care on physical function and depressive symptoms in home-dwelling patients after stroke were included. Finally, 16 articles in Chinese (n=4) and English (n=12) met the inclusion criteria. Data Extraction Data on patient characteristics, study characteristics, intervention details, and outcome were extracted. Two reviewers independently extracted data and assessed methodological quality using the Cochrane risk of bias tool. Data Synthesis Home-based supportive care had a small size effect on physical function (Hedges' g=.17; 95% confidence interval,.09–.26) and a moderate size effect on depressive symptoms (Hedges' g=−.44; 95% confidence interval, −.83 to −.05) in home-dwelling patients after stroke. The moderator analysis revealed that some components of study participants and intervention programs improved the effects on physical function and depressive symptoms; however, no significant moderators were further identified to have superiorly improved physical function and depressive symptoms. Conclusions Regular performance of home-based supportive interventions should be considered for inclusion as routine care for managing and improving physical function and depressive symptoms in home-dwelling patients after stroke. The present findings provide further evidence with which to design appropriate supportive interventions for home-dwelling stroke survivors.
AB - Objective To examine the effects of home-based supportive care on improvements in physical function and depressive symptoms in home-dwelling patients after stroke. Data Sources Seven electronic databases (eg, MEDLINE, PubMed, CINAL, EMBASE, the Cochrane Central Register of Controlled Trials, ProQuest, and Google Scholar) and 4 Chinese databases (eg, WANFANG MED ONLINE, Chinese Electronic Periodical Services, China Academic Journals Full-text Database, and National Central Library) were fully searched for all relevant articles up to June 25, 2016. Study Selection Randomized controlled trials examining the effects of home-based supportive care on physical function and depressive symptoms in home-dwelling patients after stroke were included. Finally, 16 articles in Chinese (n=4) and English (n=12) met the inclusion criteria. Data Extraction Data on patient characteristics, study characteristics, intervention details, and outcome were extracted. Two reviewers independently extracted data and assessed methodological quality using the Cochrane risk of bias tool. Data Synthesis Home-based supportive care had a small size effect on physical function (Hedges' g=.17; 95% confidence interval,.09–.26) and a moderate size effect on depressive symptoms (Hedges' g=−.44; 95% confidence interval, −.83 to −.05) in home-dwelling patients after stroke. The moderator analysis revealed that some components of study participants and intervention programs improved the effects on physical function and depressive symptoms; however, no significant moderators were further identified to have superiorly improved physical function and depressive symptoms. Conclusions Regular performance of home-based supportive interventions should be considered for inclusion as routine care for managing and improving physical function and depressive symptoms in home-dwelling patients after stroke. The present findings provide further evidence with which to design appropriate supportive interventions for home-dwelling stroke survivors.
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U2 - 10.1016/j.apmr.2017.03.014
DO - 10.1016/j.apmr.2017.03.014
M3 - Review article
C2 - 28427926
AN - SCOPUS:85020393785
SN - 0003-9993
VL - 98
SP - 1666-1677.e1
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
IS - 8
ER -