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TL;DR
This is a protocol for a systematic review of qualitative studies examining patient perspectives on benefits, barriers, and facilitating factors of cardiac rehabilitation after stroke.
BMJ Open · 7 authors, 2 centres
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This is a protocol for a systematic review of qualitative studies examining patient perspectives on benefits, barriers, and facilitating factors of cardiac rehabilitation after stroke.
This paper presents a protocol for a qualitative evidence synthesis on perspectives of cardiac rehabilitation (CR) in patients who had a stroke. The authors note that stroke has high incidence and disability rates and is the second-leading cause of mortality globally, and that prior quantitative research has shown positive results and high practicability of CR for stroke patients, though CR is not yet a routine component of stroke rehabilitation worldwide. The planned review will search PubMed, Web of Science, Embase, Scopus, CINAHL, and PsycINFO, plus grey literature sources. Two independent reviewers will screen studies and extract data, with quality appraisal using the Joanna Briggs Institute criteria for qualitative research. Synthesis will use the pooling meta-integration approach and Noblit and Hare's seven steps of meta-ethnography. The review is exempt from ethical approval as no primary data will be collected. The authors anticipate the findings may raise awareness of CR for stroke patients, help remove barriers, and potentially reduce recurrence risk while improving quality of life.