脑卒中康复适应性方法:以理论为中心的范围综述。

IF 1.9 4区 医学 Q2 REHABILITATION
Mary Egan, Dorothy Kessler, Nalia Gurgel-Juarez, Anchal Chopra, Elizabeth Linkewich, Lindsey Sikora, Phyllis Montgomery, Patrick Duong
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引用次数: 0

摘要

背景:脑卒中康复包括恢复性和适应性两种方法。存在多种自适应方法。目的/目的:本研究的目的是建立一个基于基础理论的适应性脑卒中康复干预分类框架。材料和方法:我们检索了截至2020年4月的多个数据库,以确定旨在提高参与有价值活动的干预措施的研究。我们提取了干预的名称、潜在的显性或隐性理论、干预要素和预期结果。利用这些信息,我们根据理论驱动因素提出了不同的干预措施组。结果:在77项研究中至少有一项检查了29项适应性干预措施。基础理论包括认知学习理论、自我决定理论、社会认知理论、成人学习理论和心理压力与应对理论。确定了三个主要的理论驱动因素:学习、动机和应对。结论:至少存在29种适应性方法,但每种方法似乎都基于三个潜在的理论驱动因素之一。从理论角度考虑这些方法的有效性有助于揭示有效适应性方法的潜在机制和基本要素。意义:我们的框架在理解和评估卒中康复的适应性方法方面取得了重要进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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: 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.

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来源期刊
CiteScore
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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