Self-Monitoring Strategies in Intervention Studies for Stroke Patients: A Scoping Review

Abstract

Objective: To clarify self-monitoring strategies and their outcomes in intervention studies targeting stroke patients, and to identify research gaps.

Methods: A scoping review was conducted based on the Joanna Briggs Institute (JBI) guidelines.

Results: Self-monitoring strategies were implemented as a component of comprehensive self-management interventions. These strategies involved multidimensional assessment, observation, and documentation of physical, activity-related, behavioral, and psychological indicators. Data were shared with healthcare professionals and feedback was provided. Reported outcomes included improvements in knowledge and skill acquisition, physical and psychological functioning, behavioral and social indicators, enhanced quality of life, and reduced hospitalization duration.

However, monitoring items were not standardized, and stroke-specific physiological indicators or symptoms were not included. In addition, outcome heterogeneity was observed across studies, and the evidence remains inconclusive.

Conclusion: As part of self-management interventions, the usefulness of self-monitoring strategies involving multidimensional monitoring and feedback was suggested. However, research gaps were identified, including the unclear effects of self-monitoring strategies alone, the lack of standardization of monitoring items, and insufficient evidence for self-monitoring strategies.