Lennon Olive, O'Neill Mary, Walsh Killian, Horgan Frances
University College Dublin, School of Public Health Physiotherapy, and Sports Science, Dublin, Leinster, Ireland.
School of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Leinster, Ireland.
HRB Open Res. 2025 Mar 25;8:10. doi: 10.12688/hrbopenres.14034.2. eCollection 2025.
Ever-growing numbers of individuals are surviving stroke and living with the consequences. Life after stroke is a key pillar in addressing the burden of stroke for the remaining lifespan for those with stroke. No consensus on how to best promote agency and fulfilment in life after stroke or the resources required to achieve this currently exists.
In this realist review protocol we outline the methods we will use to gain an understanding of supporting Life after Stroke through the development of programme theories. These will consist of context-mechanism-outcome configurations (CMOCs) and will acknowledge the resources required. The review will follow the RAMESES five-stage structured methodology to (1) define the scope of the review, and the development of initial programme theories for supporting life after stroke, (2) develop a comprehensive search strategy to identify relevant research, (3) review primary studies and extract data, (4) synthesise evidence (5) refine programme theories iteratively throughout the process using an Expert Panel and reference group, to including stroke researchers, health care professionals working in stroke care, people with lived experience of stroke and carers, and stroke support agencies.
This realist review aims to conceptualise supports for Life after Stroke. The CMOCs developed will help explain how generative causation within the life after stroke pathway works. The findings will help inform policy and practice and inform future realist evaluations of Life after Stroke support pathways.
越来越多的人在中风后存活下来并承受着后遗症。中风后的生活是应对中风幸存者余生中风负担的关键支柱。目前对于如何最好地促进中风后生活中的自主性和成就感，或者实现这一目标所需的资源，尚未达成共识。
在本现实主义综述方案中，我们概述了将用于通过制定项目理论来理解中风后生活支持的方法。这些理论将由背景 - 机制 - 结果构型（CMOCs）组成，并将考虑所需资源。该综述将遵循RAMESES五阶段结构化方法，以（1）确定综述范围，并制定支持中风后生活的初始项目理论；（2）制定全面的检索策略以识别相关研究；（3）审查原始研究并提取数据；（4）综合证据；（5）在整个过程中使用专家小组和参考小组反复完善项目理论，参考小组包括中风研究人员、从事中风护理的医疗保健专业人员、有中风亲身经历的人和护理人员以及中风支持机构。
本现实主义综述旨在对中风后生活的支持进行概念化。所制定的CMOCs将有助于解释中风后生活路径中的生成性因果关系是如何起作用的。研究结果将有助于为政策和实践提供信息，并为未来对中风后生活支持路径的现实主义评估提供信息。
