Perspectives of people with aphasia post-stroke towards personal recovery and living successfully: A systematic review and thematic synthesis.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
11
05
2018
accepted:
08
03
2019
entrez:
23
3
2019
pubmed:
23
3
2019
medline:
18
12
2019
Statut:
epublish
Résumé
There is increased focus on supporting people with chronic conditions to live well via person-centred, integrated care. There is a growing body of qualitative literature examining the insider perspectives of people with post-stroke aphasia (PWA) on topics relating to personal recovery and living successfully (PR-LS). To date no synthesis has been conducted examining both internal and external, structural influences on living well. In this study, we aimed to advance theoretical understanding of how best to promote and support PR-LS by integrating the perspectives of PWA on a wide range of topics relating to PR-LS. This is essential for planning and delivering quality care. We conducted a systematic review, following PRISMA guidelines, and thematic synthesis. Following a search of 7 electronic databases, 31 articles were included and critically appraised using predetermined criteria. Inductive and iterative analysis generated 5 analytical themes about promoting PR-LS. Aphasia occurs in the context of a wider social network that provides valued support and social companionship and has its own need for formal support. PWA want to make a positive contribution to society. The participation of PWA is facilitated by enabling environments and opportunities. PWA benefit from access to a flexible, responsive, life-relevant range of services in the long-term post-stroke. Accessible information and collaborative interactions with aphasia-aware healthcare professionals empower PWA to take charge of their condition and to navigate the health system. The findings highlight the need to consider wider attitudinal and structural influences on living well. PR-LS are promoted via responsive, long-term support for PWA, friends and family, and opportunities to participate autonomously and contribute to the community. Shortcomings in the quality of the existing evidence base must be addressed in future studies to ensure that PWA are meaningfully included in research and service development initiatives. International Prospective Register of Systematic Reviews PROSPERO 2017: CRD42017056110.
Sections du résumé
BACKGROUND
There is increased focus on supporting people with chronic conditions to live well via person-centred, integrated care. There is a growing body of qualitative literature examining the insider perspectives of people with post-stroke aphasia (PWA) on topics relating to personal recovery and living successfully (PR-LS). To date no synthesis has been conducted examining both internal and external, structural influences on living well. In this study, we aimed to advance theoretical understanding of how best to promote and support PR-LS by integrating the perspectives of PWA on a wide range of topics relating to PR-LS. This is essential for planning and delivering quality care.
METHODS AND FINDINGS
We conducted a systematic review, following PRISMA guidelines, and thematic synthesis. Following a search of 7 electronic databases, 31 articles were included and critically appraised using predetermined criteria. Inductive and iterative analysis generated 5 analytical themes about promoting PR-LS. Aphasia occurs in the context of a wider social network that provides valued support and social companionship and has its own need for formal support. PWA want to make a positive contribution to society. The participation of PWA is facilitated by enabling environments and opportunities. PWA benefit from access to a flexible, responsive, life-relevant range of services in the long-term post-stroke. Accessible information and collaborative interactions with aphasia-aware healthcare professionals empower PWA to take charge of their condition and to navigate the health system.
CONCLUSION
The findings highlight the need to consider wider attitudinal and structural influences on living well. PR-LS are promoted via responsive, long-term support for PWA, friends and family, and opportunities to participate autonomously and contribute to the community. Shortcomings in the quality of the existing evidence base must be addressed in future studies to ensure that PWA are meaningfully included in research and service development initiatives.
SYSTEMATIC REVIEW REGISTRATION
International Prospective Register of Systematic Reviews PROSPERO 2017: CRD42017056110.
Identifiants
pubmed: 30901359
doi: 10.1371/journal.pone.0214200
pii: PONE-D-18-14003
pmc: PMC6430359
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0214200Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Cochrane Database Syst Rev. 2017 Aug 04;8:CD011682
pubmed: 28777450
Disabil Rehabil. 2014;36(21):1774-82
pubmed: 24369768
Disabil Rehabil. 2011;33(19-20):1805-21
pubmed: 21859420
Cochrane Database Syst Rev. 2018 Feb 07;2:CD012528
pubmed: 29411860
Disabil Rehabil. 2011;33(3):187-94
pubmed: 21174632
Top Stroke Rehabil. 2006 Winter;13(1):14-24
pubmed: 16581626
J Eval Clin Pract. 2013 Dec;19(6):994-1003
pubmed: 23448162
Disabil Rehabil. 2013 Oct;35(21):1828-34
pubmed: 23350760
Folia Phoniatr Logop. 2001 Sep-Oct;53(5):266-88
pubmed: 11464068
Int J Lang Commun Disord. 2012 Sep-Oct;47(5):511-21
pubmed: 22938062
BMC Med Res Methodol. 2012 Nov 27;12:181
pubmed: 23185978
Bull World Health Organ. 2018 Feb 1;96(2):79-79A
pubmed: 29403107
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Disabil Rehabil. 2011;33(3):211-8
pubmed: 20712416
Disabil Rehabil. 2015;37(18):1599-608
pubmed: 25382215
Top Stroke Rehabil. 2006 Winter;13(1):44-51
pubmed: 16581629
Int J Lang Commun Disord. 2010 Sep-Oct;45(5):537-50
pubmed: 19839875
Clin Rehabil. 2010 Nov;24(11):1045-56
pubmed: 20713436
Cochrane Database Syst Rev. 2016 Aug 22;(8):CD010442
pubmed: 27545611
Disabil Rehabil. 2008;30(19):1445-60
pubmed: 18923977
Health Technol Assess. 2011 Dec;15(43):1-164
pubmed: 22176717
Sociol Health Illn. 2018 Jan;40(1):130-145
pubmed: 29023822
Cochrane Database Syst Rev. 2015 May 27;(5):CD007988
pubmed: 26014500
BMJ. 2017 Jan 16;356:j80
pubmed: 28093384
Int J Stroke. 2017 Jan;12(1):13-32
pubmed: 27794138
Int J Speech Lang Pathol. 2012 Jun;14(3):271-80
pubmed: 22472033
Chronic Illn. 2011 Mar;7(1):60-86
pubmed: 20921033
Disabil Rehabil. 2018 Aug;40(16):1870-1892
pubmed: 28420284
BMC Med Res Methodol. 2013 Jan 28;13:10
pubmed: 23356353
J Intern Med. 2001 May;249(5):413-22
pubmed: 11350565
Qual Health Res. 2012 Oct;22(10):1435-43
pubmed: 22829486
Stroke. 2015 Jun;46(6):1740-7
pubmed: 25882050
BMJ Open. 2017 Oct 6;7(10):e017944
pubmed: 28988185
J R Coll Physicians Edinb. 2015;45(2):114-7
pubmed: 26181525
Disabil Rehabil. 1998 Nov;20(11):411-23
pubmed: 9846241
Arch Phys Med Rehabil. 1990 Apr;71(5):285-90
pubmed: 2327878
BMC Med Res Methodol. 2008 Jul 10;8:45
pubmed: 18616818
Int J Lang Commun Disord. 2011 Sep-Oct;46(5):524-34
pubmed: 21899670
Implement Sci. 2018 Jan 25;13(Suppl 1):2
pubmed: 29384079
Disabil Rehabil. 2008;30(7):507-16
pubmed: 17852260
Soc Sci Med. 2000 Oct;51(7):1087-110
pubmed: 11005395
Qual Health Res. 1999 Jan;9(1):26-44
pubmed: 10558357
J Clin Nurs. 2017 Mar;26(5-6):873-881
pubmed: 27324875
Cochrane Database Syst Rev. 2009 Jan 21;(1):CD005268
pubmed: 19160249
Disabil Rehabil. 2017 Feb;39(3):211-222
pubmed: 27097520
Stroke. 2006 Jun;37(6):1379-84
pubmed: 16690899
Top Stroke Rehabil. 2008 Jul-Aug;15(4):325-40
pubmed: 18782736
PLoS Med. 2015 Oct 27;12(10):e1001895
pubmed: 26506244
PLoS Med. 2013;10(6):e1001473
pubmed: 23824703
Disabil Rehabil. 2015;37(16):1462-9
pubmed: 25365701
Cochrane Database Syst Rev. 2013 Mar 28;(3):CD008776
pubmed: 23543567
Top Stroke Rehabil. 2001 Winter;7(4):46-51
pubmed: 14523759
Br J Psychiatry. 2013 Jan;202(1):14-21
pubmed: 23284148
Disabil Rehabil. 2017 Jun;39(11):1122-1130
pubmed: 27293106
Eff Clin Pract. 2001 Nov-Dec;4(6):256-62
pubmed: 11769298
J Speech Lang Hear Res. 2016 Aug 1;59(4):772-83
pubmed: 27401538
Lancet. 2014 Jan 18;383(9913):245-54
pubmed: 24449944
Gerontologist. 2015 Feb;55(1):14-25
pubmed: 24840916
PLoS One. 2019 Mar 22;14(3):e0214200
pubmed: 30901359
World Psychiatry. 2010 Jun;9(2):78-84
pubmed: 20671889
Int J Stroke. 2013 Apr;8(3):193-6
pubmed: 23130972
Int J Speech Lang Pathol. 2012 Aug;14(4):390-400
pubmed: 22762206
Top Stroke Rehabil. 2006 Winter;13(1):37-43
pubmed: 16581628
Int J Speech Lang Pathol. 2014 Dec;16(6):541-51
pubmed: 24228890
Int J Speech Lang Pathol. 2012 Apr;14(2):141-55
pubmed: 22149648
Int J Speech Lang Pathol. 2013 Apr;15(2):165-75
pubmed: 22713174
Arch Phys Med Rehabil. 2016 Dec;97(12):2188-2201.e8
pubmed: 27063364
Gerontologist. 2015 Feb;55(1):34-42
pubmed: 25161262
Disabil Rehabil. 2018 Jun;40(11):1237-1251
pubmed: 28271913
Top Stroke Rehabil. 2006 Winter;13(1):25-36
pubmed: 16581627