Effects of home-based supportive care on improvements in physical function and depressive symptoms in stroke patients: a meta-analysis

Publication date: Available online 18 April 2017
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Hui-Chuan Huang, Yi-Chieh Huang, Mei-Feng Lin, Wen-Hsuan Hou, Meei-Ling Shyu, Hsiao-Yean Chiu, Hsiu-Ju Chang
ObjectiveTo examine the effects of home-based supportive care on improvements in physical function and depressive symptoms in home-dwelling patients after a stroke.Data sourcesSeven electronic databases (e.g., Medline, PubMed, CINAL, EMBASE, the Cochrane Central Register of Controlled Trials, ProQuest, and Google Scholar) and four Chinese database (e.g.,Wanfang med online, Chinese Electronic Periodical Services, China Integrated Knowledge Resources Database, and National Central Library) were fully searched for all relevant articles up to June 25, 2016.Study selectionRandomized controlled trials that examining the effects of home-based supportive care on physical function and depression in home-dwelling patients after a stroke were included. Finally, 16 articles in Chinese (n=4) and English (n=12) met inclusion criteria.Data extractionData related to patient characteristics, study characteristics, intervention details, and outcome were extracted. Two reviewers independently extracted data and assessed methodological quality using the Cochrane Risk of Bias tool.Data synthesisHome-based supportive care had a small size effect on physical function (g = 0.17, 95% confidence interval [CI] 0.09∼0.26) and a moderate size effect on depressive symptoms (g = -0.44, 95% CI -0.83 to -0.05) in home-dwelling patients after a stroke. The moderator analysis revealed that some components of study participants and intervention programs improved the effects on physical function and depressive symptoms; however, no significant moderators were further identified to have superiorly improved physical function and depressive symptoms.ConclusionsRegular performance of home-based supportive care should be considered for inclusion as routine care for managing and improving physical function and depressive symptoms in home-dwelling patients after a stroke. The current findings provide further evidence with which to design appropriate supportive interventions for home-dwelling stroke survivors.



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