Interventions for behaviour change and self-management in stroke secondary prevention: protocol for an overview of reviews.
Abstract Background Stroke secondary prevention guidelines recommend medication prescription and adherence, active education and behavioural counselling regarding lifestyle risk factors. To impact on recurrent vascular events, positive behaviour/s must be adopted and sustained as a lifestyle choice,...
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | Systematic Reviews |
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| Online Access: | http://link.springer.com/article/10.1186/s13643-018-0888-1 |
| _version_ | 1818291046367363072 |
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| author | Olive Lennon Catherine Blake Jo Booth Alex Pollock Maggie Lawrence |
| author_facet | Olive Lennon Catherine Blake Jo Booth Alex Pollock Maggie Lawrence |
| author_sort | Olive Lennon |
| collection | DOAJ |
| description | Abstract Background Stroke secondary prevention guidelines recommend medication prescription and adherence, active education and behavioural counselling regarding lifestyle risk factors. To impact on recurrent vascular events, positive behaviour/s must be adopted and sustained as a lifestyle choice, requiring theoretically informed behaviour change and self-management interventions. A growing number of systematic reviews have addressed complex interventions in stroke secondary prevention. Differing terminology, inclusion criteria and overlap of studies between reviews makes the mechanism/s that affect positive change difficult to identify or replicate clinically. Adopting a two-phase approach, this overview will firstly comprehensively summarise systematic reviews in this area and secondly identify and synthesise primary studies in these reviews which provide person-centred, theoretically informed interventions for stroke secondary prevention. Methods An overview of reviews will be conducted using a systematic search strategy across the Cochrane Database of Systematic Reviews, PubMed and Epistomonikas. Inclusion criteria: systematic reviews where the population comprises individuals post-stroke or TIA and where data relating to person-centred risk reduction are synthesised for evidence of efficacy when compared to standard care or no intervention. Primary outcomes of interest include mortality, recurrent stroke and other cardiovascular events. In phase 1, two reviewers will independently (1) assess the eligibility of identified reviews for inclusion; (2) rate the quality of included reviews using the ROBIS tool; (3) identify unique primary studies and overlap between reviews; (4) summarise the published evidence supporting person-centred behavioural change and self-management interventions in stroke secondary prevention and (5) identify evidence gaps in this field. In phase 2, two independent reviewers will (1) examine person-centred, primary studies in each review using the Template for Intervention Description and Replication (TIDieR checklist), itemising, where present, theoretical frameworks underpinning interventions; (2) group studies employing theoretically informed interventions by the intervention delivered and by the outcomes reported (3) apply GRADE quality of evidence for each intervention by outcome/s identified from theoretically informed primary studies. Disagreement between reviewers at each process stage will be discussed and a third reviewer consulted. Discussion This overview will comprehensively bring together the best available evidence supporting person-centred, stroke secondary prevention strategies in an accessible format, identifying current knowledge gaps. |
| first_indexed | 2024-12-13T02:37:50Z |
| format | Article |
| id | doaj.art-403b3a6857df4bce89ffa0cf8897ac97 |
| institution | Directory Open Access Journal |
| issn | 2046-4053 |
| language | English |
| last_indexed | 2024-12-13T02:37:50Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Systematic Reviews |
| spelling | doaj.art-403b3a6857df4bce89ffa0cf8897ac972022-12-22T00:02:22ZengBMCSystematic Reviews2046-40532018-12-01711910.1186/s13643-018-0888-1Interventions for behaviour change and self-management in stroke secondary prevention: protocol for an overview of reviews.Olive Lennon0Catherine Blake1Jo Booth2Alex Pollock3Maggie Lawrence4School of Public Health, Physiotherapy and Sports Science, University College Dublin, Health Sciences CentreSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Health Sciences CentreSchool of Health and Life Sciences, Glasgow Caledonian UniversityNursing, Midwifery and Allied Health Professionals Research Unit, Glasgow Caledonian UniversitySchool of Health and Life Sciences, Glasgow Caledonian UniversityAbstract Background Stroke secondary prevention guidelines recommend medication prescription and adherence, active education and behavioural counselling regarding lifestyle risk factors. To impact on recurrent vascular events, positive behaviour/s must be adopted and sustained as a lifestyle choice, requiring theoretically informed behaviour change and self-management interventions. A growing number of systematic reviews have addressed complex interventions in stroke secondary prevention. Differing terminology, inclusion criteria and overlap of studies between reviews makes the mechanism/s that affect positive change difficult to identify or replicate clinically. Adopting a two-phase approach, this overview will firstly comprehensively summarise systematic reviews in this area and secondly identify and synthesise primary studies in these reviews which provide person-centred, theoretically informed interventions for stroke secondary prevention. Methods An overview of reviews will be conducted using a systematic search strategy across the Cochrane Database of Systematic Reviews, PubMed and Epistomonikas. Inclusion criteria: systematic reviews where the population comprises individuals post-stroke or TIA and where data relating to person-centred risk reduction are synthesised for evidence of efficacy when compared to standard care or no intervention. Primary outcomes of interest include mortality, recurrent stroke and other cardiovascular events. In phase 1, two reviewers will independently (1) assess the eligibility of identified reviews for inclusion; (2) rate the quality of included reviews using the ROBIS tool; (3) identify unique primary studies and overlap between reviews; (4) summarise the published evidence supporting person-centred behavioural change and self-management interventions in stroke secondary prevention and (5) identify evidence gaps in this field. In phase 2, two independent reviewers will (1) examine person-centred, primary studies in each review using the Template for Intervention Description and Replication (TIDieR checklist), itemising, where present, theoretical frameworks underpinning interventions; (2) group studies employing theoretically informed interventions by the intervention delivered and by the outcomes reported (3) apply GRADE quality of evidence for each intervention by outcome/s identified from theoretically informed primary studies. Disagreement between reviewers at each process stage will be discussed and a third reviewer consulted. Discussion This overview will comprehensively bring together the best available evidence supporting person-centred, stroke secondary prevention strategies in an accessible format, identifying current knowledge gaps.http://link.springer.com/article/10.1186/s13643-018-0888-1OverviewStrokeSecondary preventionBehaviour changeLifestyleSelf-management |
| spellingShingle | Olive Lennon Catherine Blake Jo Booth Alex Pollock Maggie Lawrence Interventions for behaviour change and self-management in stroke secondary prevention: protocol for an overview of reviews. Systematic Reviews Overview Stroke Secondary prevention Behaviour change Lifestyle Self-management |
| title | Interventions for behaviour change and self-management in stroke secondary prevention: protocol for an overview of reviews. |
| title_full | Interventions for behaviour change and self-management in stroke secondary prevention: protocol for an overview of reviews. |
| title_fullStr | Interventions for behaviour change and self-management in stroke secondary prevention: protocol for an overview of reviews. |
| title_full_unstemmed | Interventions for behaviour change and self-management in stroke secondary prevention: protocol for an overview of reviews. |
| title_short | Interventions for behaviour change and self-management in stroke secondary prevention: protocol for an overview of reviews. |
| title_sort | interventions for behaviour change and self management in stroke secondary prevention protocol for an overview of reviews |
| topic | Overview Stroke Secondary prevention Behaviour change Lifestyle Self-management |
| url | http://link.springer.com/article/10.1186/s13643-018-0888-1 |
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