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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), pp. 1415-1428. (doi:10.3109/09638288.2012.737080). (PMID:23167558).

Record type: Article


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.

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e-pub ahead of print date: 21 November 2012
Published date: 2013
Keywords: stroke, self-management, outcome measures, COSMIN, reliability, validity
Organisations: Faculty of Health Sciences


Local EPrints ID: 345510
ISSN: 0963-8288
PURE UUID: c2d34f3f-7f2c-420f-8fdf-36b9df0ed938
ORCID for Sue Latter: ORCID iD

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Date deposited: 23 Nov 2012 10:04
Last modified: 18 Jul 2017 05:09

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Author: Emma Boger
Author: Sara Demain
Author: Sue Latter ORCID iD

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