Shuanglan Lin1, Lily Dongxia Xiao2, Diane Chamberlain1, Peter Newman1, Shiqi Xie3, Jing-Yu Tan4. 1. College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia. 2. College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia. Electronic address: lily.xiao@flinders.edu.au. 3. Nursing College of Chongqing Medical University, Chongqing, China. 4. College of Nursing and Midwifery, Charles Darwin University, Darwin, NT, Australia.
Abstract
OBJECTIVE: To systematically analyse health coaching strategies in transition care and synthesise the effect of these strategies on health care outcomes for stroke survivors. METHODS: A systematic search of nine databases in two languages was conducted. Meta-analysis was conducted when data were available. RESULTS: Twenty-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. CONCLUSIONS: This review provides evidence that incorporating health coaching strategies in transitional care improves health outcomes of stroke survivors. PRACTICE IMPLICATION: More 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.
OBJECTIVE: To systematically analyse health coaching strategies in transition care and synthesise the effect of these strategies on health care outcomes for stroke survivors. METHODS: A systematic search of nine databases in two languages was conducted. Meta-analysis was conducted when data were available. RESULTS: Twenty-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. CONCLUSIONS: This review provides evidence that incorporating health coaching strategies in transitional care improves health outcomes of stroke survivors. PRACTICE IMPLICATION: More 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.
Authors: Silvia Reverté-Villarroya; Antoni Dávalos; Sílvia Font-Mayolas; Marta Berenguer-Poblet; Esther Sauras-Colón; Carlos López-Pablo; Estela Sanjuan-Menéndez; Lucía Muñoz-Narbona; Rosa Suñer-Soler Journal: Int J Environ Res Public Health Date: 2020-08-19 Impact factor: 3.390