A scoping review of psychoeducational interventions for people after transient ischemic attack and minor stroke. Issue 5 (4th July 2021)

• Record Type: Journal Article
• Authors: Kontou, Eirini; Kettlewell, Jade; Condon, Laura; Thomas, Shirley; Lee, Abigail R.; Sprigg, Nikola; Watkins, Dame Caroline; Walker, Marion F.; Shokraneh, Farhad
• Is Part Of: Topics in stroke rehabilitation. Volume 28:Issue 5(2021)
• Page Start: 390
• Page End: 400
• Publication Date: 2021-07-04
• Subjects: Scoping review -- TIA -- minor stroke -- psychoeducation -- complex intervention; Cerebrovascular disease -- Patients -- Rehabilitation -- Periodicals; Cerebrovascular disease -- Periodicals; 616.810305
• DOI: 10.1080/10749357.2020.1818473
• Languages: English
• ISSNs: 1074-9357

Abstract

ABSTRACT: Background: Psychoeducation can provide information and support to cope with the physical and emotional effects of a health condition. This scoping review aimed to identify the evidence regarding psychoeducational interventions for people after a Transient Ischemic Attack (TIA) and minor stroke. Methods: This review was conducted in accordance with the PRISMA Extension for Scoping Reviews. Three electronic databases (MEDLINE, Embase, PsycINFO) were searched for articles on interventions related to psychoeducational support post-TIA and minor/mild stroke. Search retrieved 3722 articles. Three reviewers independently screened titles, abstracts, full-texts, and extracted data for included studies. Study quality was assessed using the JADAD scale. TIDieR checklist was used to describe interventions. Results: Fifteen RCTs were included. Twelve studies were of high quality (JADAD score ≥2), two were of low quality. A total of 1500 participants were recruited across studies. Definition of TIA and minor stroke was unclear, leading to the exclusion of several studies. Various interventions were included, including education/psychoeducation (n = 4); exercise and lifestyle advice (n = 3); telephone-based education/counseling (n = 3); secondary prevention education (n = 1); motivational interviewing (n = 2); self-management (n = 2). Interventions were inconsistently described, with information missing about who delivered it and tailoring. Conclusions: Definitions of stroke severity are not adequately reported. There are a variety of interventions including education about a range of stroke-specific topics. Many interventions are not adequately described, thus making it difficult to determine if the aim was to provide information or support post-TIA/minor stroke. There is a need for an in-depth systematic review to develop a clear definition of psychoeducation.