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

Boger, Emma, Demain, Sara and Latter, Sue (2012) Self-management: a systematic review of outcome measures adopted in self-management interventions for stroke Disability and Rehabilitation, 35, (17), pp. 1415-1428. (doi:10.3109/09638288.2012.737080). (PMID:23167558).


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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)
Keywords: stroke, self-management, outcome measures, COSMIN, reliability, validity
Organisations: Faculty of Health Sciences
ePrint ID: 345510
Date :
Date Event
21 November 2012e-pub ahead of print
Date Deposited: 23 Nov 2012 10:04
Last Modified: 17 Apr 2017 16:21
Further Information:Google Scholar

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