AI Article Synopsis

  • The review focuses on identifying characteristics in randomized controlled trials concerning non-drug treatments for anxiety and depression after a stroke, and looks at how these characteristics relate to participant outcomes.
  • A thorough search of multiple databases was conducted, utilizing the PROGRESS-Plus framework to evaluate the reporting of participant characteristics that may affect health equity, like age and gender.
  • Findings revealed poor reporting on various important characteristics, with only basic details like gender and age being commonly provided, and highlighted the need for future research to improve the reporting and consideration of these characteristics to enhance treatment relevance for stroke patients.

Article Abstract

Purpose: The review aims to identify what characteristics are reported in randomised controlled trials for the non-pharmacological management of post-stroke anxiety and/or depression and whether research has explored the correlation between participant characteristics and their outcomes.

Methods: A comprehensive systematic search was completed of five databases: CINAHL, Medline, PsychInfo, Web of Science, and The World Health Organisation. Google Scholar was also accessed. The reporting of participant characteristics was assessed by adapting the PROGRESS-Plus framework, a research framework of protected characteristics known to impact health equity (such as, age).

Results: 19 papers ( = 2187) were included. There was generally poor reporting of characteristics associated with an increased likelihood of post-stroke anxiety and/or depression. All studies reported the gender/sex of participants, 18 studies reported the age of participants, and 11 studies reported lesion location. None of the studies reported the sexual orientation or pre-existing disabilities of participants.

Conclusion: There was variation in the reporting and analyses of protected characteristics. Future research should follow a health equity framework to ensure reporting of protected characteristics to support clinicians in identifying whether the proposed interventions are relevant to their stroke population and consider undergoing subgroup analyses to compare outcomes across protected characteristics.

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Source
http://dx.doi.org/10.1080/09638288.2024.2407506DOI Listing

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