Stroke rehabilitation adaptive approaches: A theory-focused scoping review
Background Stroke rehabilitation consists of restorative and adaptive approaches. Multiple adaptive approaches exist.Aims/Objectives The objective of this study was to develop a framework for categorising adaptive stroke rehabilitation interventions, based on underlying theory.Material and Methods W...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2024-12-01
|
| Series: | Scandinavian Journal of Occupational Therapy |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/11038128.2023.2257228 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587184148840448 |
|---|---|
| author | Mary Egan Dorothy Kessler Nalia Gurgel-Juarez Anchal Chopra Elizabeth Linkewich Lindsey Sikora Phyllis Montgomery Patrick Duong |
| author_facet | Mary Egan Dorothy Kessler Nalia Gurgel-Juarez Anchal Chopra Elizabeth Linkewich Lindsey Sikora Phyllis Montgomery Patrick Duong |
| author_sort | Mary Egan |
| collection | DOAJ |
| description | Background Stroke rehabilitation consists of restorative and adaptive approaches. Multiple adaptive approaches exist.Aims/Objectives The objective of this study was to develop a framework for categorising adaptive stroke rehabilitation interventions, based on underlying theory.Material and Methods We searched multiple databases to April 2020 to identify studies of interventions designed to improve participation in valued activities. We extracted the name of the intervention, underlying explicit or implicit theory, intervention elements, and anticipated outcomes. Using this information, we proposed distinct groups of interventions based on theoretical drivers.Results Twenty-nine adaptive interventions were examined in at least one of 77 studies. Underlying theories included Cognitive Learning Theory, Self-determination Theory, Social Cognitive Theory, adult learning theories, and Psychological Stress and Coping Theory. Three overarching theoretical drivers were identified: learning, motivation, and coping.Conclusions At least 29 adaptive approaches exist, but each appear to be based on one of three underlying theoretical drivers. Consideration of effectiveness of these approaches by theoretical driver could help indicate underlying mechanisms and essential elements of effective adaptive approaches.Significance Our framework is an important advance in understanding and evaluating adaptive approaches to stroke rehabilitation. |
| format | Article |
| id | doaj-art-ef4171628d6644689bf461ad577ddae3 |
| institution | Kabale University |
| issn | 1103-8128 1651-2014 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Scandinavian Journal of Occupational Therapy |
| spelling | doaj-art-ef4171628d6644689bf461ad577ddae32025-01-24T17:53:19ZengTaylor & Francis GroupScandinavian Journal of Occupational Therapy1103-81281651-20142024-12-0131111310.1080/11038128.2023.2257228Stroke rehabilitation adaptive approaches: A theory-focused scoping reviewMary Egan0Dorothy Kessler1Nalia Gurgel-Juarez2Anchal Chopra3Elizabeth Linkewich4Lindsey Sikora5Phyllis Montgomery6Patrick Duong7School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, CanadaSchool of Rehabilitation Therapy, Queens University, Kingston, ON, CanadaSchool of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, CanadaSchool of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, CanadaHealth Sciences, Sunnybrook Health Sciences Centre, Toronto, ON, CanadaHealth Sciences Library, University of Ottawa, Ottawa, ON, CanadaHealth Sciences, Laurentian University, Sudbury, ON, CanadaSchool of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, CanadaBackground Stroke rehabilitation consists of restorative and adaptive approaches. Multiple adaptive approaches exist.Aims/Objectives The objective of this study was to develop a framework for categorising adaptive stroke rehabilitation interventions, based on underlying theory.Material and Methods We searched multiple databases to April 2020 to identify studies of interventions designed to improve participation in valued activities. We extracted the name of the intervention, underlying explicit or implicit theory, intervention elements, and anticipated outcomes. Using this information, we proposed distinct groups of interventions based on theoretical drivers.Results Twenty-nine adaptive interventions were examined in at least one of 77 studies. Underlying theories included Cognitive Learning Theory, Self-determination Theory, Social Cognitive Theory, adult learning theories, and Psychological Stress and Coping Theory. Three overarching theoretical drivers were identified: learning, motivation, and coping.Conclusions At least 29 adaptive approaches exist, but each appear to be based on one of three underlying theoretical drivers. Consideration of effectiveness of these approaches by theoretical driver could help indicate underlying mechanisms and essential elements of effective adaptive approaches.Significance Our framework is an important advance in understanding and evaluating adaptive approaches to stroke rehabilitation.https://www.tandfonline.com/doi/10.1080/11038128.2023.2257228Interventionparticipationtheoretical framework |
| spellingShingle | Mary Egan Dorothy Kessler Nalia Gurgel-Juarez Anchal Chopra Elizabeth Linkewich Lindsey Sikora Phyllis Montgomery Patrick Duong Stroke rehabilitation adaptive approaches: A theory-focused scoping review Scandinavian Journal of Occupational Therapy Intervention participation theoretical framework |
| title | Stroke rehabilitation adaptive approaches: A theory-focused scoping review |
| title_full | Stroke rehabilitation adaptive approaches: A theory-focused scoping review |
| title_fullStr | Stroke rehabilitation adaptive approaches: A theory-focused scoping review |
| title_full_unstemmed | Stroke rehabilitation adaptive approaches: A theory-focused scoping review |
| title_short | Stroke rehabilitation adaptive approaches: A theory-focused scoping review |
| title_sort | stroke rehabilitation adaptive approaches a theory focused scoping review |
| topic | Intervention participation theoretical framework |
| url | https://www.tandfonline.com/doi/10.1080/11038128.2023.2257228 |
| work_keys_str_mv | AT maryegan strokerehabilitationadaptiveapproachesatheoryfocusedscopingreview AT dorothykessler strokerehabilitationadaptiveapproachesatheoryfocusedscopingreview AT naliagurgeljuarez strokerehabilitationadaptiveapproachesatheoryfocusedscopingreview AT anchalchopra strokerehabilitationadaptiveapproachesatheoryfocusedscopingreview AT elizabethlinkewich strokerehabilitationadaptiveapproachesatheoryfocusedscopingreview AT lindseysikora strokerehabilitationadaptiveapproachesatheoryfocusedscopingreview AT phyllismontgomery strokerehabilitationadaptiveapproachesatheoryfocusedscopingreview AT patrickduong strokerehabilitationadaptiveapproachesatheoryfocusedscopingreview |