The effect of interventions to support mental health post-stroke in Africa: A systematic review

Autor:	Plastow NA; Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa, Niekerk Lv; Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa, Cloete L; Division of Occupational Therapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa, Leibbrandt D; Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Jazyk:	angličtina
Zdroj:	2020.
Abstrakt:	Background: At least one in three stroke survivors in Africa can be expected to have post-stroke depression (PSD). Mental health problems, post-stroke, are associated with poorer rehabilitation outcomes and reduced QoL. However, mental health interventions are seldom available to stroke survivors. The aim of this systematic review was to describe the effectiveness of non-pharmacological interventions for mental health post-stroke in Africa. Methods: We conducted a systematic review following the preferred reporting items for scoping review and meta-analyses (PRISMA) guidelines in Academic Search Complete, Africa Online, Africa Wide, CINAHL PLUS, MEDLINE, netd.ac.za (online theses platform), PsycINFO, SABINET, SciELO and Scopus. Data were extracted and evaluated using National Health and Medical Research Council (NHMRC) Levels of Evidence, place, race, occupation, gender or sex, religion, education, socioeconomic status and social capital plus (PROGRESS-Plus), the Template for Intervention Description and Replication (TiDIER) Checklist, McMaster Quantitative Review Form and effect size calculation. Findings: The literature search yielded 429 studies, of which only five met the inclusion criteria. Interventions included cognitive rehabilitation therapy (CRT) and psychoeducation (Level II), a nursing care strategy (Level III-2), brisk walking, standardised PT and social networks (Level III-3). Reporting was poor, with a median of 9 of 18 participant characteristics (PROGRESS-Plus), and only 3 of 11 TiDIER items adequately reported. The effects of the CRT and nursing care strategy were very large and huge, respectively. Brisk walking had no effect on depression ( p = 0.058). Reporting was inadequate to determine the effect of standardised PT or social networks. Conclusion: There is insufficient evidence of interventions to address mental health needs of stroke survivors in Africa. The evidence that is available is poorly reported. (Copyright © Quinette Louw.)
Databáze:	MEDLINE
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