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Title: Recovery from disability after stroke as a target for a behavioural intervention: Results of a randomised controlled trial
Authors: Johnston, Marie
Bonetti, Debbie
Joice, Sara
Pollard, Beth
Morrison, Val
Francis, Jillian Joy
MacWalter, Ron
Keywords: Behaviour Control
Patient Participation
Self Care
Issue Date: 2007
Publisher: Taylor & Francis
Citation: Johnston, M., Bonetti, D., Joice, S., Pollard, B., Morrison, V., Francis, J. and MacWalter, R. (2007) Recovery from disability after stroke as a target for a behavioural intervention: results of a randomised controlled trial. Disability & Rehabilitation, 29(14), pp. 1117-27.
Abstract: Purpose: Disability following stroke is highly prevalent and is predicted by psychological variables such as control cognitions and emotions, in addition to clinical variables. This study evaluated the effectiveness of a workbook-based intervention, designed to change cognitions about control, in improving outcomes for patients and their carers. Method: At discharge, stroke patients were randomly allocated (with their carers) to a 5-week intervention (n = 103) or control (normal care: n = 100). The main outcome (at 6 months) was recovery from disability using a performance measure, with distress and satisfaction as additional outcomes. Results: The intervention group showed significantly better disability recovery, allowing for initial levels of disability, than those in the control group, F(1,201) = 5.61, p = 0.019. Groups did not differ in distress or satisfaction with care for patients or carers. The only psychological process variable improved by the intervention was Confidence in Recovery but this did not mediate the effects on recovery. Conclusions: A large proportion of intervention participants did not complete the workbook tasks. This was perhaps associated with the fairly low level of personal contact with workbook providers. The modest success of this intervention suggests that it may be possible to develop effective behavioural interventions to enhance recovery from disability in stroke patients.
ISSN: 0963-8288
Appears in Collections:Applied Health Sciences research
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