Interventions targeting psychosocial adaptation in people with stroke : A scoping review

Objective
This scoping review aimed to describe and map interventions targeting psychosocial adaptation in people with stroke.

Methods:
A scoping review was conducted using the Joanna Briggs Institute methodology and reported according to Systematic Review and Meta-Analyses Extension for Scoping Reviews guidelines. We included original studies with interventions targeting psychosocial adaptation (concept) on people with stroke (population) in any setting (context). We searched six online electronic databases (PubMed, Embase, CINAHL, Web of Science, PsycINFO, and Cochrane Central Registry of Controlled Trials). We described interventions in terms of design characteristics, theoretical basis, details of interventions, and quantitative outcomes indicated in psychosocial adaptation.

Results
Forty-three studies were identified. Eight intervention categories were identified to describe the interventions targeting psychosocial adaptation. Quantitative outcomes indicated psychosocial adaptation in our review were grouped into four domains: global adaptation, psychological adaptation, social adaptation, and others.

Conclusions:
The mapping and description brought to light the large heterogeneity of interventions targeting psychosocial adaptation in people with stroke.

Practice implications: Deepening understanding of psychosocial adaptation can help health professionals further develop effective interventions aiming at promoting psychosocial adaptation and reducing negative health sequelae, such as risk of reduced psychosomatic recovery post stroke.