The effect of transition care interventions incorporating health coaching strategies for stroke survivors: A systematic review and meta-analysis

Shuanglan Lin, Lily Dongxia Xiao, Diane Chamberlain, Peter Newman, Shiqi Xie, Jing Yu Tan

Research output: Contribution to journalReview article

1 Citation (Scopus)

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.

Original languageEnglish
Number of pages22
JournalPatient Education and Counseling
DOIs
Publication statusE-pub ahead of print - 31 May 2020

Keywords

  • Activity of daily living
  • Health coaching
  • Quality oflife
  • Stroke survivors
  • Transition care

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