An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disorders

BackgroundClinical practice guidelines (CPGs) have an indispensable role in guiding the selection of various non-pharmaceutical interventions (NPIs) for post-stroke emotional disorders (PSED). However, little is known about their quality and recommendations. This study aims to critically appraise th...

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Main Authors: Ye Li, Jing Zhang, Jia-ji Li, Dan Zhao, Ling Tang, Ying-Hui Jin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2025.1580799/full
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author Ye Li
Jing Zhang
Jia-ji Li
Dan Zhao
Ling Tang
Ying-Hui Jin
author_facet Ye Li
Jing Zhang
Jia-ji Li
Dan Zhao
Ling Tang
Ying-Hui Jin
author_sort Ye Li
collection DOAJ
description BackgroundClinical practice guidelines (CPGs) have an indispensable role in guiding the selection of various non-pharmaceutical interventions (NPIs) for post-stroke emotional disorders (PSED). However, little is known about their quality and recommendations. This study aims to critically appraise the quality of existing NPIs for PSED CPGs and extract relevant recommendations, present the research distribution of various NPIs in an evidence map, and assist clinicians in making decisions.MethodsA systematic search was undertaken in PubMed, Embase, CINAHL, Web of Science, China National Knowledge Infrastructure, Wanfang, VIP, SinoMed, and international guideline developing institutions from origin to November 20, 2024, to identify the CPGs on NPIs for PSED. The CPGs finally selected were blindly evaluated by two reviewers using the Appraisal of Guidelines Research & Evaluation (AGREE) II instrument and the reporting quality was evaluated using the RIGHT statement. The overall agreement among reviewers was analyzed using intraclass correlation coefficient (ICC).ResultsNine guidelines were included and evaluated. Two CPGs were grade A (recommended) and seven CPGs were grade B (recommended with modification). The reporting rate of RIGHT ranged from 40.00 to 80.00%. Nine NPIs were extracted, and there were similarities and differences between the recommendations.ConclusionThis study provides specific direction for improving the quality of CPGs for NPIs for PSED, and provides useful information for clinicians and stakeholders, and provides a basis for clinical decision-making.
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spelling doaj-art-3a0dc9f7df524630bff8159d4a2f308e2025-08-20T02:05:19ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-06-011610.3389/fneur.2025.15807991580799An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disordersYe Li0Jing Zhang1Jia-ji Li2Dan Zhao3Ling Tang4Ying-Hui Jin5Nursing Department of Dong fang Hospital, Beijing University of Chinese Medicine, Beijing, ChinaDepartment of Neurosurgery, Handan Central Hospital, Handan, ChinaNursing Department of Dong fang Hospital, Beijing University of Chinese Medicine, Beijing, ChinaNursing Department of Dong fang Hospital, Beijing University of Chinese Medicine, Beijing, ChinaNursing Department of Dong fang Hospital, Beijing University of Chinese Medicine, Beijing, ChinaCenter for Evidence-Based and Translational Medicine, Zhong nan Hospital of Wuhan University, Wuhan, Hubei, ChinaBackgroundClinical practice guidelines (CPGs) have an indispensable role in guiding the selection of various non-pharmaceutical interventions (NPIs) for post-stroke emotional disorders (PSED). However, little is known about their quality and recommendations. This study aims to critically appraise the quality of existing NPIs for PSED CPGs and extract relevant recommendations, present the research distribution of various NPIs in an evidence map, and assist clinicians in making decisions.MethodsA systematic search was undertaken in PubMed, Embase, CINAHL, Web of Science, China National Knowledge Infrastructure, Wanfang, VIP, SinoMed, and international guideline developing institutions from origin to November 20, 2024, to identify the CPGs on NPIs for PSED. The CPGs finally selected were blindly evaluated by two reviewers using the Appraisal of Guidelines Research & Evaluation (AGREE) II instrument and the reporting quality was evaluated using the RIGHT statement. The overall agreement among reviewers was analyzed using intraclass correlation coefficient (ICC).ResultsNine guidelines were included and evaluated. Two CPGs were grade A (recommended) and seven CPGs were grade B (recommended with modification). The reporting rate of RIGHT ranged from 40.00 to 80.00%. Nine NPIs were extracted, and there were similarities and differences between the recommendations.ConclusionThis study provides specific direction for improving the quality of CPGs for NPIs for PSED, and provides useful information for clinicians and stakeholders, and provides a basis for clinical decision-making.https://www.frontiersin.org/articles/10.3389/fneur.2025.1580799/fullcerebral strokeemotional disordernon-pharmacological interventionclinical practice guidelinesevidence-based medicine
spellingShingle Ye Li
Jing Zhang
Jia-ji Li
Dan Zhao
Ling Tang
Ying-Hui Jin
An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disorders
Frontiers in Neurology
cerebral stroke
emotional disorder
non-pharmacological intervention
clinical practice guidelines
evidence-based medicine
title An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disorders
title_full An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disorders
title_fullStr An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disorders
title_full_unstemmed An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disorders
title_short An evidence map of clinical practice guideline recommendations and quality of non-pharmaceutical interventions for post-stroke emotional disorders
title_sort evidence map of clinical practice guideline recommendations and quality of non pharmaceutical interventions for post stroke emotional disorders
topic cerebral stroke
emotional disorder
non-pharmacological intervention
clinical practice guidelines
evidence-based medicine
url https://www.frontiersin.org/articles/10.3389/fneur.2025.1580799/full
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