Self-management: a systematic review of outcome measures adopted in self-management interventions for stroke

Boger, Emma , Demain, Sara and Latter, Sue (2013) Self-management: a systematic review of outcome measures adopted in self-management interventions for stroke. Disability and Rehabilitation, 35, (17), 1415-1428. (doi:10.3109/09638288.2012.737080). (PMID:23167558).


[img] PDF - Version of Record
Restricted to internal admin

Download (805Kb) | Request a copy


Purpose: To systematically review the psychometric properties of outcome measures used in stroke self-management interventions (SMIs) to (1) inform researchers, clinicians and commissioners about the properties of the measures in use and (2) make recommendations for the future development of self-management measurement in stroke.

Methods: Electronic databases, government websites, generic internet search engines and hand searches of reference lists. Abstracts were selected against inclusion criteria and retrieved for appraisal and systematically scored, using the COSMIN checklist.

Results: Thirteen studies of stroke self-management originating from six countries were identified. Forty-three different measures (mean 5.08/study, SD 2.19) were adopted to evaluate self-SMIs. No studies measured self-management as a discreet concept. Six (46%) studies included untested measures. Eleven (85%) studies included at least one measure without reported reliability and validity in stroke populations.

Conclusions: The use of outcome measures which are related, indirect or proxy indicators of self-management and that have questionable reliability and validity, contributes to an inability to sensitively evaluate the effectiveness of stroke self-SMIs. Further enquiry into how the concept of self-management in stroke operates, would help to clarify the nature and range of specific self-management activities to be targeted and aid the selection of existing appropriate measures or the development of new measures.

Item Type: Article
Digital Object Identifier (DOI): doi:10.3109/09638288.2012.737080
ISSNs: 0963-8288 (print)
1464-5165 (electronic)
Keywords: stroke, self-management, outcome measures, COSMIN, reliability, validity
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions : Faculty of Health Sciences
ePrint ID: 345510
Accepted Date and Publication Date:
21 November 2012Made publicly available
Date Deposited: 23 Nov 2012 10:04
Last Modified: 31 Mar 2016 14:37

Actions (login required)

View Item View Item

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics