The effect of transition care interventions incorporating health coaching strategies for stroke survivors: A systematic review and meta-analysis |
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| Institution: | 2. Department of Pharmaceutical outcomes and Policy, College of Pharmacy, University of Florida, USA;3. Public Health Sciences, Cancer Population Health Core, UVA Cancer Center, Population Health and Prevention Research, University of Virginia School of Medicine, University of Virginia School of Nursing, P.O. Box 800717, Charlottesville, VA 22908, USA;4. Department of Pharmaceutical Outcomes and Policy, College of Pharmacy, HPNP 3317, University of Florida, 1225 Center Drive, Gainesville, FL 32610, USA;2. Outpatient Office, the Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China;3. Tzu Chi elderly care service center, Changzhou, Jiangsu, China;4. School of nursing, Taihu University of Wuxi, Wuxi, Jiangsu, China;2. Michigan State University, Department of Epidemiology and Biostatistics, East Lansing, MI;3. Michigan State University, University Outreach and Engagement, East Lansing, MI |
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| Abstract: | ObjectiveTo systematically analyse health coaching strategies in transition care and synthesise the effect of these strategies on health care outcomes for stroke survivors.MethodsA systematic search of nine databases in two languages was conducted. Meta-analysis was conducted when data were available.ResultsTwenty-five randomised controlled trials met the inclusion criteria. The meta-analysis revealed that health coaching strategies in transition care interventions significantly improve quality of life (QoL) (p < 0.001), activities of daily living (ADL) (p = 0.002) and reduce depression (p = 0.001) for stroke survivors at 3 months. Further subgroup analysis demonstrated that transition care interventions with a greater number of health coaching strategies are associated with a larger effect size on QoL (SMD=1.15) and ADL (SMD=1.177) at 3 months, and a medium effect size (SMD=0.674) on depression reduction. However, the effects of health coaching strategies on readmission, mortality and falls in stroke survivors remain inconclusive.ConclusionsThis review provides evidence that incorporating health coaching strategies in transitional care improves health outcomes of stroke survivors.Practice implicationMore trials of health coaching interventions to improve transition care with a rigorous study design are much needed to address the lack of support for stroke survivors and their caregivers in this crucial care period. |
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| Keywords: | Transition care Health coaching Stroke survivors Quality oflife Activity of daily living |
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