Young Adults Stroke Survivor’s Experiences with Psychological Support in High-Income Countries -Qualitative Systematic Review


  • Prince Nnamdi John MBBS, Msc Public Health and Health Promotion (MPHHP) Swansea University, Abertawe, Wales United Kingdom
  • Abdulrahman Kolawole Yaya Kwara State College of Health Technology, Offa
  • Francis Adeniyi Balogun JP Lead City University, Ibadan, Nigeria, Faculty of Basic Medical and Health Science, Community Health Department
  • Olasunkanmi Ridwan. A University of Ibadan, Faculty of Public Health
  • Ayinde Abayomi Oluwasegun University of Ibadan (Public Health Epidemiology)



Background. The widely held view that stroke is a condition suffered mainly by older people makes it difficult for people to believe the experiences of younger stroke survivors. Hence, young stroke survivors suffer several forms of emotional stress during a stroke and at the commencement of rehabilitation.

Study aims and Objectives. This study aimed to comprehensively review the experiences of young stroke survivors in high-income countries with post-stroke psychological support alongside the significant barriers to and enablers of these supports. It also compares these experiences between studies carried out in the UK and other selected high-income countries.

Methods. A qualitative evidence synthesis study design is carried out. A comprehensive literature search of the selected five databases and other sources was conducted for eligible studies. The extraction of data and quality appraisal of the papers were performed using the CASP checklist and the JBI framework, respectively. The data was extracted following a two-stage data extraction process. Lastly, a thematic three-staged approach was utilised to synthesise the findings with aimed insights into the research questions.

Results A total of 846 records were identified from all searched sources and screened, with 12 studies selected for synthesis that met the eligibility criteria. From the synthesis of findings, descriptive themes and later four analytical themes emerged, namely I) invalidation due to age; ii) difficulty accessing health services; iii) the effectiveness of rehabilitation and community support, and (iv) facilitators and barriers to recovery.

Conclusion, Recommendation, and Implication of key findings Results from this review revealed the diverse experiences of young adult stroke survivors with psychological support in high-income countries. It also recommends that interventions and all forms of support should be designed to accommodate young stroke patients. Using the social-ecological model (SEM) as adopted from McLeroy et al. (1988) stated that the role of interaction between influential factors such as individual, social, and environmental in health promotion initiatives drives the desired behavioral change to seek psychological support. This could also be leveraged by organisational, national, and international stakeholders in designing effective age-specific stroke care programs and policies to prioritise stroke care among young adults in high-income regions.


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How to Cite

John, P. N., Yaya , A. K. ., Balogun JP , F. A. ., Ridwan. A, O. ., & Oluwasegun , A. A. . (2023). Young Adults Stroke Survivor’s Experiences with Psychological Support in High-Income Countries -Qualitative Systematic Review. INTERNATIONAL JOURNAL OF HEALTH SYSTEMS AND MEDICAL SCIENCES, 2(11), 258–285.




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