Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke

Participation is a central concept in health and well-being and healthcare, yet operationalizing this concept has been difficult. Its definition, uses in healthcare, and impacts on recovery require ongoing research. Our review question goes like this: from the longitudinal evidence investigating par...

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Main Authors: Batya Engel-Yeger, Tamara Tse, Naomi Josman, Carolyn Baum, Leeanne M. Carey
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2018/5472018
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author Batya Engel-Yeger
Tamara Tse
Naomi Josman
Carolyn Baum
Leeanne M. Carey
author_facet Batya Engel-Yeger
Tamara Tse
Naomi Josman
Carolyn Baum
Leeanne M. Carey
author_sort Batya Engel-Yeger
collection DOAJ
description Participation is a central concept in health and well-being and healthcare, yet operationalizing this concept has been difficult. Its definition, uses in healthcare, and impacts on recovery require ongoing research. Our review question goes like this: from the longitudinal evidence investigating participation among stroke survivors, what are the patterns of participation recovery in stroke survivors over time, and what interventions are used to improve participation? To fully understand these questions, we also ask, how is participation defined in the stroke literature, and what are the measures of participation used in the stroke literature? A systematic scoping review was undertaken using the search terms “stroke,” “longitudinal,” “participation,” and “outcome” in seven databases. Articles included were published until April 2017, written in English, and had at least two longitudinal assessments of participation. Fifty-nine articles met the inclusion criteria. The International Classification of Functioning, Disability and Health was the most frequent definition of participation used (34%). There were 22 different measures of participation. Eight of ten studies demonstrated significant improvements in participation up to 12 months poststroke. Efficacy of interventions and their impact on participation varied. The various definitions, measures, and intervention efficacies of participation highlight the need for further research worldwide into achieving meaningful participation and quality of life among stroke survivors. Future practice should include participation as a main outcome measure.
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spelling doaj-art-5726e97bbd30450cabe98344ee129be22025-02-03T01:28:24ZengWileyBehavioural Neurology0953-41801875-85842018-01-01201810.1155/2018/54720185472018Scoping Review: The Trajectory of Recovery of Participation Outcomes following StrokeBatya Engel-Yeger0Tamara Tse1Naomi Josman2Carolyn Baum3Leeanne M. Carey4Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, IsraelOccupational Therapy, Department of Community and Clinical Allied Health, School of Allied Health, La Trobe University, Melbourne, VIC, AustraliaDepartment of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, IsraelProgram in Occupational Therapy, Washington University School of Medicine, St Louis, MO, USAOccupational Therapy, Department of Community and Clinical Allied Health, School of Allied Health, La Trobe University, Melbourne, VIC, AustraliaParticipation is a central concept in health and well-being and healthcare, yet operationalizing this concept has been difficult. Its definition, uses in healthcare, and impacts on recovery require ongoing research. Our review question goes like this: from the longitudinal evidence investigating participation among stroke survivors, what are the patterns of participation recovery in stroke survivors over time, and what interventions are used to improve participation? To fully understand these questions, we also ask, how is participation defined in the stroke literature, and what are the measures of participation used in the stroke literature? A systematic scoping review was undertaken using the search terms “stroke,” “longitudinal,” “participation,” and “outcome” in seven databases. Articles included were published until April 2017, written in English, and had at least two longitudinal assessments of participation. Fifty-nine articles met the inclusion criteria. The International Classification of Functioning, Disability and Health was the most frequent definition of participation used (34%). There were 22 different measures of participation. Eight of ten studies demonstrated significant improvements in participation up to 12 months poststroke. Efficacy of interventions and their impact on participation varied. The various definitions, measures, and intervention efficacies of participation highlight the need for further research worldwide into achieving meaningful participation and quality of life among stroke survivors. Future practice should include participation as a main outcome measure.http://dx.doi.org/10.1155/2018/5472018
spellingShingle Batya Engel-Yeger
Tamara Tse
Naomi Josman
Carolyn Baum
Leeanne M. Carey
Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke
Behavioural Neurology
title Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke
title_full Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke
title_fullStr Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke
title_full_unstemmed Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke
title_short Scoping Review: The Trajectory of Recovery of Participation Outcomes following Stroke
title_sort scoping review the trajectory of recovery of participation outcomes following stroke
url http://dx.doi.org/10.1155/2018/5472018
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