A scoping review of factors associated with self-management in young adults with stroke

Purpose: To synthesize the available evidence on factors associated with self -management behavior in young stroke patients. Methods: The methodological guidelines for scoping reviews developed by the Joanna Briggs Institute and the PRISMA-scR-checklist for scoping reviews were used. A total of 5586 studies were identified through bibliographic searches of the scientific databases Medline (OVID), Embase (OVID), CINAHL (EBSCO), and PsycINFO, limited to the period 2000-2023. Studies were independently assessed for inclusion and exclusion criteria by two reviewers. Quantitative observational data and qualitative studies were extracted, mapped, and summarized to provide a descriptive summary of trends and considerations for future research. Results: Nine papers were finally selected to answer the research question. Young patients' self -management was mainly influenced by demographic factors (age, gender, income, education, and stroke knowledge), diseaserelated factors (functionality and independence, duration of stroke diagnosis, cognitive function, and poststroke fatigue), and psychosocial factors (hardiness, spiritual self -care, self -efficacy, and social support). Conclusion: Further research is needed to determine the trajectory of poststroke self -management over time and its potential predictors, which should lead to the development of specific stroke rehabilitation and stroke selfmanagement support programs for young people (considering factors that influence return to work in young stroke patients' self -management). Practice implications: Healthcare providers can design more efficient interventions to improve the quality of life of young stroke patients after discharge. Gaining an in-depth understanding of the factors that influence selfmanagement can help achieve this.