Lawrence Maggie, Pringle Jan, Kerr Susan, Booth Joanne
a Institute for Applied Health Research, School of Health & Life Sciences, Glasgow Caledonian University , Glasgow , UK and.
b Scottish Collaboration for Public Health Research & Policy (SCPHRP), University of Edinburgh , Edinburgh , UK.
Disabil Rehabil. 2016;38(1):11-21. doi: 10.3109/09638288.2015.1031831. Epub 2015 Apr 10.
The incidence of stroke is of global concern, and the rates of recurrence are high. Many risk factors are related to lifestyle behaviours and, as such, are amenable to change. Implementation of effective secondary prevention interventions is essential; however, little is known about influences on participation and adherence. This review and meta-aggregation aimed to improve understanding of stroke survivor and family member perspectives of secondary prevention interventions.
We searched 11 databases, e.g. Medline and PsycINFO. We included qualitative studies that focused on adult stroke survivors and family members who had participated in a multimodal stroke secondary prevention intervention. Critical appraisal and data extraction were performed independently by two reviewers. A meta-aggregation of qualitative findings was conducted.
Five papers were included. One hundred and three findings were extracted and grouped into 14 categories from which three synthesised findings emerged: feeling supported, acquiring knowledge and gaining confidence.
The findings highlight the perceived benefits of participation in secondary prevention group interventions from the perspective of stroke survivors and family members, i.e. feeling supported, by others with shared understanding and by knowledgeable health professionals, acquiring new knowledge and gaining confidence. These findings may be used to inform development of patient-centred interventions and thereby assist in improving health outcomes.
Health professionals should consider implementing group-based secondary prevention interventions. The content of group-based secondary prevention interventions should be person-centred, i.e. meaningful and relevant to the individual. Stroke survivors and family members are more likely to comply with advice and information provided by expert and experienced health professionals.
中风的发病率受到全球关注，且复发率很高。许多风险因素与生活方式行为有关，因此是可以改变的。实施有效的二级预防干预措施至关重要；然而，对于参与度和依从性的影响知之甚少。本综述和元聚合旨在增进对中风幸存者及家庭成员对二级预防干预措施看法的理解。
我们检索了11个数据库，如医学期刊数据库和心理学文摘数据库。我们纳入了聚焦于参与多模式中风二级预防干预的成年中风幸存者及家庭成员的定性研究。两名评审员独立进行批判性评价和数据提取。对定性研究结果进行了元聚合。
纳入了五篇论文。提取了103项研究结果并归纳为14类，从中得出了三项综合研究结果：感到得到支持、获取知识和增强信心。
研究结果突出了从中风幸存者及家庭成员角度来看参与二级预防小组干预的感知益处，即得到有共同理解的他人及知识渊博的健康专业人员的支持、获取新知识和增强信心。这些研究结果可用于为以患者为中心的干预措施的制定提供信息，从而有助于改善健康结果。
健康专业人员应考虑实施基于小组的二级预防干预措施。基于小组的二级预防干预措施的内容应以个人为中心，即对个人有意义且相关。中风幸存者及家庭成员更有可能遵守由专业且经验丰富的健康专业人员提供的建议和信息。
