What are the Mechanisms and Contexts for a Supported Life After Stroke Pathway: Protocol for a Rapid Realist Review.

HRB open research Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI:10.12688/hrbopenres.14034.3
Olive Lennon, Mary O'Neill, Killian Walsh, Frances Horgan
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Abstract

Background: Ever-growing numbers of individuals are surviving stroke and living with the consequences. Life after stroke is a key pillar in addressing the burden of stroke for the remaining lifespan for those with stroke. No consensus on how to best promote agency and fulfilment in life after stroke or the resources required to achieve this currently exists.

Methods: In this realist review protocol we outline the methods we will use to gain an understanding of supporting Life after Stroke through the development of programme theories. These will consist of context-mechanism-outcome configurations (CMOCs) and will acknowledge the resources required. The review will follow the RAMESES five-stage structured methodology to (1) define the scope of the review, and the development of initial programme theories for supporting life after stroke, (2) develop a comprehensive search strategy to identify relevant research, (3) review primary studies and extract data, (4) synthesise evidence (5) refine programme theories iteratively throughout the process using an Expert Panel and reference group, to including stroke researchers, health care professionals working in stroke care, people with lived experience of stroke and carers, and stroke support agencies.

Conclusion: This realist review will examine the mechanisms and contexts for a supported life after stroke care pathway. The CMOCs developed will help explain how generative causation within the life after stroke pathway works. The findings will help inform policy and practice and inform future realist evaluations of Life after Stroke support pathways.

Abstract Image

脑卒中后的生活和支持脑卒中途径:快速现实主义回顾的方案。
背景:越来越多的人从中风中幸存下来,并承受其后果。脑卒中后的生活是解决脑卒中患者剩余生命中脑卒中负担的关键支柱。对于如何最好地促进中风后生活中的能动性和成就感,以及实现这一目标所需的资源,目前还没有达成共识。方法:在这个现实主义的回顾方案中,我们概述了我们将通过程序理论的发展来了解中风后支持生活的方法。这些将由上下文-机制-结果配置(cmoc)组成,并确认所需的资源。该综述将遵循RAMESES五阶段结构化方法(1)确定综述的范围,并制定支持中风后生活的初始方案理论;(2)制定全面的搜索策略以确定相关研究;(3)回顾初步研究并提取数据;(4)综合证据;(5)在整个过程中使用专家小组和参考小组(包括中风研究人员)迭代地完善方案理论。从事中风护理的卫生保健专业人员,有中风生活经验的人和护理人员,以及中风支持机构。结论:这篇现实主义的综述旨在概念化卒中后生活的支持。开发的cmoc将有助于解释中风后生命途径中的生成因果关系如何起作用。研究结果将有助于为政策和实践提供信息,并为未来中风后生活支持途径的现实评估提供信息。
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来源期刊
CiteScore
2.40
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0.00%
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6 weeks
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