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  • Title: The effect of transition care interventions incorporating health coaching strategies for stroke survivors: A systematic review and meta-analysis.
    Author: Lin S, Xiao LD, Chamberlain D, Newman P, Xie S, Tan JY.
    Journal: Patient Educ Couns; 2020 Oct; 103(10):2039-2060. PubMed ID: 32532632.
    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.
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