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    Are rehabilitation and/or care co-ordination interventions delivered in the community effective in reducing depression, facilitating participation and improving quality of life after stroke?

    Access Status
    Fulltext not available
    Authors
    Graven, C.
    Brock, K.
    Hill, Keith
    Joubert, L.
    Date
    2011
    Type
    Journal Article
    
    Metadata
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    Citation
    Graven, Christine and Brock, Kim and Hill, Keith and Joubert, Lynette. 2011. Are rehabilitation and/or care co-ordination interventions delivered in the community effective in reducing depression, facilitating participation and improving quality of life after stroke? Disability and Rehabilitation. 33 (17-18): pp. 1501-1520.
    Source Title
    Disability and Rehabilitation
    DOI
    10.3109/09638288.2010.542874
    ISSN
    0963-8288
    School
    School of Physiotherapy
    URI
    http://hdl.handle.net/20.500.11937/15598
    Collection
    • Curtin Research Publications
    Abstract

    Purpose. To conduct a systematic review to explore the effectiveness of community-based rehabilitation interventions delivered by allied health professionals and/or nursing staff in reducing depression, facilitating participation and improving health-related quality of life (HRQoL) post-inpatient stroke rehabilitation. Method. A search was conducted in the databases of MEDLINE, PEDro, CINAHL and the Cochrane Library. Publications were classified into categories based on the type of the interventions. Best evidence synthesis and meta-analysis were utilised to determine the level of evidence. Results. Fifty-four studies were included in the review, and divided into nine broad intervention categories. Meta-analysis demonstrated significant reduction in depression with exercise interventions (n  =  137; effect estimate SMD: −2.03, 95%CI: −3.22, −0.85). Community-based interventions targeting participation and leisure domains showed moderate evidence for improvement in global participation measures and HRQoL. Comprehensive rehabilitation demonstrated limited evidence for depression and participation, and strong evidence for HRQoL. Conclusions. There is limited to moderate evidence supporting some rehabilitation interventions in affecting the outcomes of depression, participation and HRQoL post-stroke. Heterogeneity of the studies made evidence synthesis difficult. Further consideration needs to be given to the type and timing of outcome measures selected to represent the domains of participation and HRQoL.

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