The use of coaching in stroke rehabilitation: a scoping review.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2025-01-23 DOI:10.1080/09638288.2025.2455528

Dorothy Kessler, Martina Franz

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引用次数: 0

Abstract

Purpose: Stroke results in long-term impacts on a person's life requiring ongoing management after formal rehabilitation ends. Coaching can support people to build competencies and skills for managing health-related challenges and has the potential to support stroke survivors to continue achieving goals on their own following rehabilitation. This review sought to describe the research on coaching interventions for adults living with stroke.

Materials and methods: A scoping review to explore how coaching is defined and used in stroke rehabilitation intervention research. PubMed, CINAHL, Medline, and PsycINFO databases were searched using terms to represent coaching, rehabilitation practitioners, and stroke, the results were extracted into COVIDENCE. Data were described and synthesized to identify similarities and differences among coaching interventions.

Results: Twenty-eight articles describing 15 interventions were included and categorized based on their focus as Health Coaching, Coaching for Exercise and Physical Activity, Coaching for Engagement in Activity or Participation, and Transition Coaching. Common elements of coaching interventions were goal setting, problem solving and education with emotional support being infrequent. Notably, coaching definitions and techniques were frequently not described.

Conclusions: Coaching in stroke rehabilitation is diverse but has common foci and elements. More research using clear descriptions of coaching is required.

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训练在中风康复中的应用：范围综述。

目的：卒中对患者的生活产生长期影响，需要在正式康复结束后进行持续管理。教练可以帮助人们建立能力和技能，以应对与健康相关的挑战，并有可能支持中风幸存者在康复后继续实现自己的目标。这篇综述试图描述对成人中风患者进行教练干预的研究。材料和方法：对训练的定义和在脑卒中康复干预研究中的应用进行综述。检索PubMed、CINAHL、Medline和PsycINFO数据库，使用代表教练、康复从业人员和中风的术语，将结果提取到COVIDENCE中。对数据进行描述和综合，以确定教练干预措施之间的异同。结果：28篇文章描述了15种干预措施，并根据其重点分类为健康指导、运动和体育活动指导、参与活动或参与指导和过渡指导。教练干预的常见元素是目标设定、问题解决和情感支持较少的教育。值得注意的是，指导的定义和技术经常没有被描述。结论：脑卒中康复训练是多种多样的，但有共同的重点和要素。需要更多的研究，对教练进行清晰的描述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.