Information Provision for Stroke Survivors and Their Carers

Cochrane Database of Systematic Reviews

Crocker, T. F., Brown, L., et al. (2021).

Cochrane Database of Systematic Reviews, 11(11), Cd001919.

This updated systematic review and meta-analysis investigates the effects of active (e.g. meetings, conversation, or demonstrations) and passive (e.g. pamphlets, DVD, or personalized booklets) information strategy provision for individuals status-post stroke or transient ischemic attack (TIA) and/or their carepartners. For more information about the previous versions of this systematic review, please see the Notes on this Article section.

The Cochrane Collaboration; NHS Executive Northern and Yorkshire R&D (United Kingdom); National Institute for Health Research (United Kingdom)

This systematic review is an update of:<br /> <ul> <li><span style="color: #333333;">Forster, A., Brown, L., Smith, J., House, A., Knapp, P., Wright, J. J., &amp; Young, J. (2012). Information provision for stroke patients and their caregivers. The Cochrane database of systematic reviews, 11(11), CD001919. https://doi.org/10.1002/14651858.CD001919.pub3</span></li> </ul>

From database inception to 2019

Randomized controlled trials

33

Findings demonstrated that the provision of stroke information in an active format may:<br /> <ul> <li>Slightly or moderately increase stroke survivor knowledge of stroke and stroke-related services (Low certainty of evidence), but may or may not increase caregiver knowledge of stroke and stroke-related services (Very low certainty of evidence)</li> <li>Slightly reduce the number of cases of stroke survivor anxiety and/or depression (Low certainty of evidence)</li> <li>Slightly reduce the reported symptoms of anxiety in stroke survivors and their carepartners (Low certainty of evidence)</li> <li>Slightly reduce the reported symptoms of depression in stroke survivors (Moderate certainty of evidence) and their carepartners (Low certainty of evidence)</li> <li>Improve physical, psychological, social, and environmental domains of stroke survivor quality of life (Low certainty of evidence), but have little to no effect on quality of life or mental well-being of carepartners (Low certainty of evidence)&nbsp;</li> </ul> <p>No studies investigated the impact of active information provision on mental well-being in individuals status post stroke, and there was no certainty regarding the effect of this intervention on the number of cases of anxiety and depression for carepartners.<br /><br />Findings demonstrated that the addition of passive information provision to usual care for individuals status post stroke may:</p> <ul> <li>Increase or have little to no effect on stroke survivor or carepartner knowledge regarding stroke and/or stroke-related services (Very low quality of evidence)&nbsp;</li> <li>Increase or have little to no effect on number of cases of stroke survivor anxiety and/or depression (Very low certainty of evidence)</li> <li>Slightly increase symptoms of anxiety and/or depression for stroke survivors (Low certainty of evidence)</li> </ul> <span style="color: #6e6259;">No studies investigated the impact of passive information provision on mental well-being in individuals status post stroke, or the impact of this intervention on mental well-being, quality of life, and number of cases of depression and/or anxiety for carepartners.&nbsp; T</span><span style="color: #6e6259;">here was no certainty regarding the effect of this intervention on stroke survivor quality of life and carepartner symptoms of anxiety and/or depression</span>