Psychosocial interventions for stroke survivors, carers and survivor-carer dyads : A systematic review and meta-analysis

Journal article


Minshall, Catherine, Pascoe, Michaela C., Thompson, David R., Castle, David J., McCabe, Marita, Chau, Janita P. C., Jenkins, Zoe, Cameron, Jan and Ski, Chantal F.. (2019). Psychosocial interventions for stroke survivors, carers and survivor-carer dyads : A systematic review and meta-analysis. Topics in Stroke Rehabilitation. 26(7), pp. 554-564. https://doi.org/10.1080/10749357.2019.1625173
AuthorsMinshall, Catherine, Pascoe, Michaela C., Thompson, David R., Castle, David J., McCabe, Marita, Chau, Janita P. C., Jenkins, Zoe, Cameron, Jan and Ski, Chantal F.
Abstract

Objective: To evaluate the effectiveness of psychosocial interventions on depressive symptoms, anxiety symptoms, quality of life, self-efficacy, coping, carer strain and carer satisfaction among stroke survivors, carers and survivor-carer dyads.

Data sources: MEDLINE, CINAHL, PsycINFO, SocINDEX, Cochrane Library, Web of Science and Scopus databases and the grey literature were searched up to September 2018.

Methods: A systematic review and meta-analysis of randomized controlled trials of psychosocial interventions for stroke survivors, carers and survivor-carer dyads, compared to usual care. Outcomes measured were depressive symptoms, anxiety symptoms, quality of life, coping, self-efficacy, carer strain, and carer satisfaction.

Results: Thirty-one randomized controlled trials (n = 5715) were included in the systematic review which found improvements in depressive symptoms, anxiety symptoms, quality of life and coping, though the number of trials assessing each outcome varied. A meta-analysis (11 trials; n = 1280) on depressive symptoms found that in seven trials psychosocial interventions reduced depressive symptoms in stroke survivors (SMD: −0.36, 95% CI −0.73 to 0.00; p = .05) and in six trials reduced depressive symptoms in carers (SMD: −0.20, 95% CI −.40 to 0.00; p = .05).

Conclusion: Psychosocial interventions reduced depressive symptoms in stroke survivors and their carers. There was limited evidence that such interventions reduced anxiety symptoms, or improved quality of life and coping for stroke survivors and carers and no evidence that they improved self-efficacy, carer strain or carer satisfaction.

Keywordspsychosocial; stroke; survivors; carers; systematic review; meta-analysis
Year2019
JournalTopics in Stroke Rehabilitation
Journal citation26 (7), pp. 554-564
PublisherTaylor & Francis
ISSN1074-9357
Digital Object Identifier (DOI)https://doi.org/10.1080/10749357.2019.1625173
PubMed ID31258017
Scopus EID2-s2.0-85072718655
Open accessPublished as green open access
Page range554-564
FunderCollaborative Research Networks (CRN), Australian Government
Author's accepted manuscript
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Open
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All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online30 Jun 2019
Publication process dates
Accepted19 May 2019
Deposited05 Oct 2023
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