1.The Effects of Intervention for Stroke Survivors' Families by Rehabilitation Specialists: A Systematic Review of Randomized Controlled Trials
Sho SUGITA ; Shuhei FUJIMOTO ; Kanako KOMUKAI ; Motohide KOBAYASHI
An Official Journal of the Japan Primary Care Association 2019;42(1):15-25
Purpose: The purpose of this study was to acquire integrated views from previous studies on what interventions by rehabilitation specialists have led to the reduction of the care burden for stroke survivors' families.Method: Reported randomized controlled trials concerning interventions for the care burden of stroke survivors' families by rehabilitation specialists were extracted from two electronic databases, and their content was assessed by a systematic review.Results: Among the 11 analyzed studies, no studies focused on the stroke survivors' families. Studies reporting a reduction in the care burden were those comparing the presence of botulinum therapy and those comparing occupational therapy and non-intervention.There were no significant differences in the care burden for stroke survivors' families between the interventions by rehabilitation specialists and standard rehabilitation.Conclusion: Interventions for stroke survivor's families by rehabilitation specialists do not reduce the care burden in comparison with standard care.
2.The Effects of Intervention for the Health Literacy of Patients: A Systematic Review of Randomized Controlled Trials
Shota HORI ; Shuhei FUJIMOTO ; Sho SUGITA ; Motohide KOBAYASHI ; Kanako KOMUKAI
An Official Journal of the Japan Primary Care Association 2018;41(3):100-109
Purpose: To clarify intervention methods used by medical professionals in clinical situations and their effects on the health literacy of patients.Method: Reports on randomized controlled trials for the health literacy of patients were collected from the electronic database. The reports were then evaluated using qualitative systematic reviews conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement.Result: On examination of the effects by intervention methods, we found that many reports concluded an improvement in health literacy by patients by "only the distribution of handouts". Moreover, many reports also noted improved "adherence for health behavior" by patients following the "distribution of handouts and explanation by medical professionals". Furthermore, improved "health literacy" by "one-way intervention from medical professionals to patients" and "two-way intervention by both medical professionals and patients" was reported.Conclusion: Based on this study, it may be possible to provide information considering individuality when the medical professional provides an explanation to the patient in addition to giving handouts. Improved disorder comprehension and self-management skills are expected when the medical professional appropriately confirms the patient's comprehension level.