Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review

Telehealth (TH) intervention is a method to optimize self-management (SM) support in stroke survivors. Objectives of this study included identifying the TH-SM intervention’s focus and SM support components, the TH delivery type, and the TH-SM support effects on stroke survivors. Five databases were...

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Main Authors: Na-Kyoung Hwang, Ji-Su Park, Moon-Young Chang
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/9/4/472
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author Na-Kyoung Hwang
Ji-Su Park
Moon-Young Chang
author_facet Na-Kyoung Hwang
Ji-Su Park
Moon-Young Chang
author_sort Na-Kyoung Hwang
collection DOAJ
description Telehealth (TH) intervention is a method to optimize self-management (SM) support in stroke survivors. Objectives of this study included identifying the TH-SM intervention’s focus and SM support components, the TH delivery type, and the TH-SM support effects on stroke survivors. Five databases were searched for the years 2005–2020 to identify TH-SM support interventions for stroke survivors. Randomized controlled trials and quasi-experimental, one-group re-post study designs were included. Ten studies were reviewed. TH-SM support focused on post-stroke depression, obesity management, participation, functional mobility, and activities of daily living. The TH delivery type most used in selected studies was messaging. Regarding the SM support components, the education component was used in all studies, and psychological support and lifestyle advice and support were used in 8 out of 10 studies. TH-SM intervention had positive effects in terms of goal achievement for SM behavior, emotional state, and mobility of clinical outcomes, and TH acceptance in stroke survivors. Although the TH-SM-supported intervention effects were not found consistently in all outcomes, this review discovered a positive effect on various SM-related outcomes. In addition, TH delivery types and SM support components showed the possibility of various options to be considered for intervention. Therefore, we suggest that TH-SM supported intervention is a positive alternative for SM support in stroke survivors.
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spelling doaj.art-dcacd5bbe8dc49e999599d0be27100a72023-11-21T15:47:03ZengMDPI AGHealthcare2227-90322021-04-019447210.3390/healthcare9040472Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic ReviewNa-Kyoung Hwang0Ji-Su Park1Moon-Young Chang2Department of Occupational Therapy, Seoul North Municipal Hospital, 38 Yangwonyeokro, Jungnang-gu, Seoul 02062, KoreaAdvanced Human Resource Development Project Group for Health Care in Aging Friendly Industry, Dongseo University, 47 Jurye-ro, Sasang-gu, Busan 47011, KoreaDepartment of Occupational Therapy, Inje University, 197 Inje-ro, Gimhae 50834, KoreaTelehealth (TH) intervention is a method to optimize self-management (SM) support in stroke survivors. Objectives of this study included identifying the TH-SM intervention’s focus and SM support components, the TH delivery type, and the TH-SM support effects on stroke survivors. Five databases were searched for the years 2005–2020 to identify TH-SM support interventions for stroke survivors. Randomized controlled trials and quasi-experimental, one-group re-post study designs were included. Ten studies were reviewed. TH-SM support focused on post-stroke depression, obesity management, participation, functional mobility, and activities of daily living. The TH delivery type most used in selected studies was messaging. Regarding the SM support components, the education component was used in all studies, and psychological support and lifestyle advice and support were used in 8 out of 10 studies. TH-SM intervention had positive effects in terms of goal achievement for SM behavior, emotional state, and mobility of clinical outcomes, and TH acceptance in stroke survivors. Although the TH-SM-supported intervention effects were not found consistently in all outcomes, this review discovered a positive effect on various SM-related outcomes. In addition, TH delivery types and SM support components showed the possibility of various options to be considered for intervention. Therefore, we suggest that TH-SM supported intervention is a positive alternative for SM support in stroke survivors.https://www.mdpi.com/2227-9032/9/4/472telehealthself-managementstroke survivorsystematic review
spellingShingle Na-Kyoung Hwang
Ji-Su Park
Moon-Young Chang
Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review
Healthcare
telehealth
self-management
stroke survivor
systematic review
title Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review
title_full Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review
title_fullStr Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review
title_full_unstemmed Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review
title_short Telehealth Interventions to Support Self-Management in Stroke Survivors: A Systematic Review
title_sort telehealth interventions to support self management in stroke survivors a systematic review
topic telehealth
self-management
stroke survivor
systematic review
url https://www.mdpi.com/2227-9032/9/4/472
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AT moonyoungchang telehealthinterventionstosupportselfmanagementinstrokesurvivorsasystematicreview