The effectiveness of community-based rehabilitation for providing services to people with stroke with functional limitations and participation restriction : a systematic review and implications

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dc.contributor.advisorEngel, Mark Een_ZA
dc.contributor.advisorMaart, Sorayaen_ZA
dc.contributor.authorNaidoo, Lionel Edmunden_ZA
dc.date.accessioned2014-11-08T18:08:35Z
dc.date.available2014-11-08T18:08:35Z
dc.date.issued2010en_ZA
dc.descriptionIncludes bibliographical references (leaves 59-63).en_ZA
dc.description.abstractWe conducted a systematic review and meta-analysis of randomised and quasi-randomised trials to determine the effectiveness of community-based rehabilitation versus hospital/institution based rehabilitation in providing rehabilitative services to people with stroke with functional limitations and participation restriction. Data sources: Using a highly sensitive search strategy, duplicate searches were conducted for the following databases from January 1976 to May 2010: MEDLINE via PubMed, African Wide Information via EBSCO, Academic Search Premier via EBSCO, Cochrane CENTRAL, CINAHL, PsycInfo, PEDro. Review methods: Abstracts were scanned in duplicate for all randomised and quasi-randomised trials comparing the effectiveness of community-based rehabilitation with hospital/institution based rehabilitation in providing rehabiliative service to people with stroke with functional limitations and participation restriction. For this review, the primary outcome was functional independence while secondary outcomes included quality of life, physical, psychological and social functioning and, community participation of people with stroke and their caregivers. Results: Twelve randomised controlled trials with 2707 people with stroke were included. Percentage of males included in studies ranged from 42% to 75% and the participants ranged in age from a mean or median of 52 years to 78 years for those receiving the intervention and 55 years to 80 years for control participants. The treatment duration of community-based rehabilitation programmes ranged from three weeks to six months. Overall the meta-analysis found no evidence for the effectiveness of community-based rehabilitation as compared with hospital/institution based rehabilitation with respect to functional outcome (Standardised Mean Difference (SMD) 0.09; 95% Confidence Interval (CI) -0.08 to 0.26) or quality of life (Mean Difference (MD) 1.32; 95% CI -4.30 to 6.93) or carer strain (MD 0.76; 95% CI -0.19 to 1.77). Subgroup analyses at three months showed a significant effect for community-based rehabilitation over hospital/institution based rehabilitation on quality of life (MD 5.00; 95% CI 0.82 to 9.18); however, this effect was not maintained at six months. Cost-effectiveness tended towards a cost reduction associated with community-based rehabilitation.Conclusion: Use of community-based rehabilitation may be associated with positive and negative effects. However, there is currently insufficient supporting evidence to justify the implementation of community-based rehabilitation for stroke rehabilitation. A stronger evidence base is required to adequately inform health policy decisions and guide methods of service delivery to effectively improve stroke patient outcomes.en_ZA
dc.identifier.apacitationNaidoo, L. E. (2010). <i>The effectiveness of community-based rehabilitation for providing services to people with stroke with functional limitations and participation restriction : a systematic review and implications</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/9424en_ZA
dc.identifier.chicagocitationNaidoo, Lionel Edmund. <i>"The effectiveness of community-based rehabilitation for providing services to people with stroke with functional limitations and participation restriction : a systematic review and implications."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2010. http://hdl.handle.net/11427/9424en_ZA
dc.identifier.citationNaidoo, L. 2010. The effectiveness of community-based rehabilitation for providing services to people with stroke with functional limitations and participation restriction : a systematic review and implications. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Naidoo, Lionel Edmund AB - We conducted a systematic review and meta-analysis of randomised and quasi-randomised trials to determine the effectiveness of community-based rehabilitation versus hospital/institution based rehabilitation in providing rehabilitative services to people with stroke with functional limitations and participation restriction. Data sources: Using a highly sensitive search strategy, duplicate searches were conducted for the following databases from January 1976 to May 2010: MEDLINE via PubMed, African Wide Information via EBSCO, Academic Search Premier via EBSCO, Cochrane CENTRAL, CINAHL, PsycInfo, PEDro. Review methods: Abstracts were scanned in duplicate for all randomised and quasi-randomised trials comparing the effectiveness of community-based rehabilitation with hospital/institution based rehabilitation in providing rehabiliative service to people with stroke with functional limitations and participation restriction. For this review, the primary outcome was functional independence while secondary outcomes included quality of life, physical, psychological and social functioning and, community participation of people with stroke and their caregivers. Results: Twelve randomised controlled trials with 2707 people with stroke were included. Percentage of males included in studies ranged from 42% to 75% and the participants ranged in age from a mean or median of 52 years to 78 years for those receiving the intervention and 55 years to 80 years for control participants. The treatment duration of community-based rehabilitation programmes ranged from three weeks to six months. Overall the meta-analysis found no evidence for the effectiveness of community-based rehabilitation as compared with hospital/institution based rehabilitation with respect to functional outcome (Standardised Mean Difference (SMD) 0.09; 95% Confidence Interval (CI) -0.08 to 0.26) or quality of life (Mean Difference (MD) 1.32; 95% CI -4.30 to 6.93) or carer strain (MD 0.76; 95% CI -0.19 to 1.77). Subgroup analyses at three months showed a significant effect for community-based rehabilitation over hospital/institution based rehabilitation on quality of life (MD 5.00; 95% CI 0.82 to 9.18); however, this effect was not maintained at six months. Cost-effectiveness tended towards a cost reduction associated with community-based rehabilitation.Conclusion: Use of community-based rehabilitation may be associated with positive and negative effects. However, there is currently insufficient supporting evidence to justify the implementation of community-based rehabilitation for stroke rehabilitation. A stronger evidence base is required to adequately inform health policy decisions and guide methods of service delivery to effectively improve stroke patient outcomes. DA - 2010 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - The effectiveness of community-based rehabilitation for providing services to people with stroke with functional limitations and participation restriction : a systematic review and implications TI - The effectiveness of community-based rehabilitation for providing services to people with stroke with functional limitations and participation restriction : a systematic review and implications UR - http://hdl.handle.net/11427/9424 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/9424
dc.identifier.vancouvercitationNaidoo LE. The effectiveness of community-based rehabilitation for providing services to people with stroke with functional limitations and participation restriction : a systematic review and implications. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2010 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/9424en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPublic Healthen_ZA
dc.titleThe effectiveness of community-based rehabilitation for providing services to people with stroke with functional limitations and participation restriction : a systematic review and implicationsen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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