Kringle Emily A, Kersey Jessica, Kim Grace J, Bhattacharjya Sutanuka, Dionne Timothy P, Farag Mathew, Alimi Elnaz, Griffin Tina, DelVecchio Mia, Kam Alice, Burns Suzanne, Donoso Brown Elena
School of Kinesiology, University of Minnesota, Minneapolis, MN, USA.
Program in Occupational Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Disabil Rehabil. 2025 Aug;47(16):4091-4105. doi: 10.1080/09638288.2024.2445687. Epub 2024 Dec 30.
To characterize the effects of dyad interventions on stroke survivor and caregiver health-related quality of life (HRQOL), participation, and activity outcomes.
Five databases were searched using: stroke AND social support/dyad relationships AND intervention. No date or language restrictions were applied. Title/abstract/full-text review and data extraction were conducted by two independent raters. Studies that tested between-group or within-group effects of an intervention that engaged both dyad members together in at least one intervention session and measured at least one outcome of interest (HRQOL, participation, or activity) in both dyad members were included.
Among 64,988 records, 401 full-text articles were reviewed, and 17 studies were included. Three dyad intervention types were identified: stroke education and caregiver training, joint psychosocial interventions, and caregiver-mediated exercise. Effects on HRQOL were mixed. Among five studies that favored the intervention group on HRQOL, effects ranged from moderate to large among stroke survivors (Cohen's = 0.51 to 7.03) and caregivers (Cohen's = 0.66 to 7.90). Measures of caregiver activity and participation were rarely included.
There is emerging evidence for certain types of dyad intervention after stroke. Future research should examine the effectiveness and mechanisms of these dyad interventions and include measures of caregiver activity and participation.
描述二元干预对中风幸存者及其照顾者健康相关生活质量（HRQOL）、参与度和活动结果的影响。
使用“中风”、“社会支持/二元关系”和“干预”检索了五个数据库。未设置日期或语言限制。由两名独立评估人员进行标题/摘要/全文审查和数据提取。纳入的研究需测试一种干预措施在组间或组内的效果，该干预措施使二元组的两名成员至少共同参与一次干预环节，并测量二元组两名成员至少一项感兴趣的结果（HRQOL、参与度或活动）。
在64988条记录中，审查了401篇全文文章，纳入了17项研究。确定了三种二元干预类型：中风教育和照顾者培训、联合心理社会干预以及照顾者介导的运动。对HRQOL的影响不一。在五项显示干预组在HRQOL方面占优的研究中，中风幸存者（科恩d值=0.51至7.03）和照顾者（科恩d值=0.66至7.90）的影响从中度到较大。很少纳入照顾者活动和参与度的测量指标。
中风后某些类型的二元干预有新的证据支持。未来的研究应检验这些二元干预的有效性和机制，并纳入照顾者活动和参与度的测量指标。
