Review Article

The Patient’s Experience of the Psychosocial Process That Influences Identity following Stroke Rehabilitation: A Metaethnography

Table 2

Characteristics of the synthesised papers.

Source paper/location of studySample population (age and gender)Data collection and scheduleLocation of data collectionSpecific topic covered in studyMethod of analysis

(1) Sabari et al. (2000) [48]
(USA)
Aged 45–75 years
6 stroke survivors; 5 male
4 female carers of stroke survivors
2 Focus groups (in place of regular support group meetings) Home environment of one of the participantsEncouraged as normal as possible discussions as per support group meetings were found to be discussions about experiences of rehabGrounded theory approach
(2) Proot et al. (2000) [49]
(Netherlands)
17 stroke patients; aged 50–85 years; 7 femaleInterview 6–11 weeks after admission to rehabilitation wardHospital settingOpen ended interview questions based on autonomy which patients were assisted to define for themselves initially
How they defined autonomy
Changes in time on persons autonomy
Constraints and improvements to their autonomy
Approach of health professionals and family to their autonomy
Grounded theory approach
(3) Burton (2000) [50]
(U.K)
6 stroke patients; aged 52–81;
4 female
Monthly interviews for 12 months maximum post-strokeInitially hospital then home environmentInformal and unstructured patient asked to tell their storyGrounded theory approach
(4) Bendz (2003) [37]
(Sweden)
15 stroke patients All <65 years old;
9 male
Interviews 3, 6 and 12 months after admission from strokeHome environmentSemi-structured questions re: patient’s perception of their stroke and ensuing rehabilitationInterpretative approach to create categories on analysis (grounded theory approach)
(5) Röding et al. (2003) [38]
(Sweden)
5 stroke patients; aged 37–54;
3 male
Interview Stipulated by participants: 4 in home environmentHospital stay
Rehabilitation period
Current situation
Grounded theory approach
(6) Cowdell and Garrett, (2003) [39]
(U.K)
8 stroke patients; age unknown Interview Hospital wardParticipant current levels of activity. Views on recreational activity prior to stroke and after-strokeGrounded theory approach
(7) Gibbon, (2004) [51]
(U.K)
15 stroke patients aged 47–84;
8 male
One interview Home environmentImpact of stroke
Meaning of rehabilitation
Key contributors
Goal setting
Discharge home
Latent content analysis/grounded theory approach
(8) Olofsson et al. (2005) [52]
(Sweden)
9 stroke patients; aged 64–83;
5 females
Interviews  
1: 4 months after-stroke
2: following care at stroke centre
Home environmentPatient’s stay in hospital
Experiences of coming home
Experiences of rehabilitation
Experiences of follow-up appointments
Grounded theory approach
(9) Morris et al. (2007) [53]
(U.K)
10 stroke patients; aged 45–81; 8 male
5 carers; aged 45–83; 3 female
A focus group (1.5 hours)Hospital settingChronological questions sequenced from the stroke event to dischargeGrounded theory approach
(10) Mangset et al. (2008) [54]
(Norway)
12 stroke patients;
aged 60–87 yrs;
7 female
Interviews  
(1–6 weeks after admission; 3 months later)
Initially hospital setting followed by home environmentShare experiences in connection with the stroke incident
Experiences of being a stroke patient
Experience of the health service
Experience of the rehabilitation process
Grounded theory approach
(11) Ellis-Hill et al. (2009) [55]
(U.K)
20 stroke patients
13 carers
Interview within a month of dischargeHome environmentTalk about the effects of their stroke
Their priorities for recovery
Their views about therapy and services
Framework analysis with the grounded theory approach
(12) Erikson et al. (2010) [26]
(Sweden)
9 stroke survivors; Aged 42–61 years;
6 male
Interviews (1, 3, 6 and 12 months) At 1 month: hospital setting
At 3, 6, and 12 months: outpatient clinic
Experiences performing daily activities relative to those experiences prior to acquiring a stroke
Experiences of daily life with stroke
Grounded theory approach
(13) Wottrich et al. (2012) [56]
(Sweden)
5 stroke patients; aged 44–70 years;
3 female
Interviews  
1: 1–7 days prior to discharge
2: 13–30 days after discharge
3: 3–4 months after discharge
Interview 1: hospital setting
Interviews 2 and 3: home environment
Experience of ending contact with staff on the ward
Experience of being discharged and coming home and of being at home
Experience of everyday life today
Strategies for handling a changed everyday situation/life situation
Conceptions about one’s future everyday situation/life situation
Experience of important aspects that help or hinder progress in adapting to a changed everyday situation/life situation
Grounded theory approach