Dyadic Capability in Stroke Survivors and Their Caregivers: A Systematic Review and Integrated Concept Analysis.

Federico Cortese, Eleonora Lombardi, Rosaria Alvaro, Ercole Vellone, Gianluca Pucciarelli, Davide Bartoli

Abstract readSystematic Review

In one paragraph

Synthesis in The Journal of cardiovascular nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Federico CorteseFederico Cortese, RN, MSN, PhD Student, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy. Eleonora Lombardi, RN, MSN, PhD Student, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy. Rosaria Alvaro, RN, MSN, FESC, FAAN, Professor, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy. Ercole Vellone, RN, PhD, FESC, FAAN, Professor, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy; Division of Research Methodology, Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Poland. Gianluca Pucciarelli, RN, PhD, FAHA, Associate Professor, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Italy; Division of Research Methodology, Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Poland. Davide Bartoli, RN, MSN, PhD, Assistant Professor, Department of Wellbeing, Health and Environmental Sustainability, University of Rome Sapienza, Italy.ORCID 0009-0003-7970-3154

Eleonora LombardiORCID 0009-0006-9681-0615

Rosaria AlvaroORCID 0000-0002-4659-1569

Ercole VelloneORCID 0000-0003-4673-7473

Gianluca PucciarelliORCID 0000-0001-6915-6802

Davide BartoliORCID 0000-0001-6494-1190

Funding

This project was supported by the Center of Excellence for Nursing Scholarship, Rome, Italy.

6 · The paper itself

Abstract

backgroundAlthough educational and transitional interventions improve preparedness after stroke, it remains unclear whether this translates into real-world capability within stroke survivor-caregiver dyads. The concept of capability may better capture the ability to convert knowledge and resources into meaningful action, yet it remains poorly defined and operationalized in stroke research. PURPOSE: To systematically review the literature on capability and related constructs in stroke survivors and caregivers and to clarify the concept of dyadic capability through integrated concept analysis.

methodsA systematic review was conducted according to PRISMA 2020 guidelines, with protocol registration in PROSPERO. Seven databases were searched from inception to May 2025. A total of 2318 records were screened and 373 full-text articles assessed, with 22 studies included. Methodological quality was appraised using the Joanna Briggs Institute tools. Findings were synthesized narratively and integrated with a Walker and Avant concept analysis.

resultsDyadic capability emerged as a multidimensional construct characterized by 3 defining attributes: self-efficacy, resilience, and motivation. Antecedents included poststroke disability and contextual factors, while consequences encompassed improved autonomy, enhanced dyadic quality of life, reduced caregiver burden, and more effective care management. Notably, no validated instruments specifically measuring dyadic capability were identified.

conclusionsDyadic capability represents a critical yet underdeveloped construct in stroke care. Its clarification provides a theoretical foundation for future measurement development and for designing nursing interventions that enhance the translation of knowledge into real-world action in stroke survivor-caregiver dyads.

Indexed as

CaregiversStrokeStroke RehabilitationSurvivorsHumansQuality of LifeResilience, PsychologicalSelf Efficacycapabilitycaregiversstrokestroke rehabilitationtransitional care

Identifiers

PMID42486146

DOI10.1097/JCN.0000000000001360

PMCPMC13649268

What Socratic holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.