Abstract
BackgroundThe incidence of cerebrovascular accidents with its devastating effects on individuals is increasing. Post-stroke, restrictions in participation are common and social support could have an influence on this. Social support provided to individuals post-stroke is vital, but the relationship between social support and participation is not well understood.ObjectivesThis review aimed to systematically determine the relationship between social support and participation post-stroke, based on the literature available.MethodEbscohost, Science Direct, Biomed Central, Cochrane Library, Google Scholar, Pedro Central and Wiley Online were the electronic databases searched between 2001 and 2016. Articles were deemed to be eligible if they met the inclusion criteria and successfully underwent scrutiny to determine their relevance and methodological quality, using tools from the Critical Appraisal Skills Programme and Milton Keynes Primary Trust. A narrative synthesis method was used to analyse the included studies.ResultsA total of 54 articles were identified after screening, and six articles were deemed eligible for inclusion. The articles consisted of cross-sectional, qualitative and cohort studies. Articles showed distinct, significant relationships between social support and participation where the quality and quantity of social support were important. High levels of social support had a positive influence on participation, social and leisure activities, as well as returning to work post-stroke.ConclusionA positive relationship exists between social support and participation post-stroke. Health professionals need to include social support interventions when attempting to manage the individual with stroke holistically, as this will have positive effects on participation.
Highlights
Cerebrovascular accidents or stroke remain a leading cause of death and disability in South Africa (Bryer et al 2011) and the incidence is increasing
This review aims to systematically identify the relationship between social support and participation in individuals living with stroke
Important aspects to consider with regard to social support are the quality, quantity and timing of support
Summary
Cerebrovascular accidents or stroke remain a leading cause of death and disability in South Africa (Bryer et al 2011) and the incidence is increasing. According to a recent study, two fundamental principles of participation include social engagement (with family and friends) and aspects of self-care (activities to maintain health) (Resnik et al 2012) These factors have been identified as principles of participation, they have been found to influence participation (Geyh et al 2004; Wolf & Koster 2013). These facets are further classified within the International Classification of Functioning, Disability and Health (ICF) as environmental factors and activity limitations, respectively (WHO 2001). Social support provided to individuals post-stroke is vital, but the relationship between social support and participation is not well understood
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