Perceived control and recovery from functional limitations: Preliminary evaluation of a workbook based intervention for discharged stroke patients

G Frank, Marie Johnston, V Morrison, Beth Sarah Pollard, R MacWalter

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background. Previous research has demonstrated that control cognitions predict functional limitations following stroke. This paper reports a preliminary evaluation of the effects of a workbook intervention, designed to enhance perceptions of control, in reducing disability in patients discharged from hospital following stroke. Methods. Thirty-nine patients living at home who had had a stroke within the 2 previous years completed baseline assessments of functional limitations, mood and perceived control. They were then randomly allocated to either a Workbook Intervention or a Wait control group and functional limitation and mood outcomes were assessed 1 month later. Results. Results showed no benefit of the intervention, but both groups showed reduced functional limitations. Reductions in functional limitations were correlated with increases in perceptions of control. Conclusions. Clearly, the workbook intervention needs to be strengthened before a full evaluation would be worthwhile for this clinical group. It is possible that both groups demonstrated spontaneous recovery or may have benefited from the additional attention given by the researcher. These benefits were associated with enhanced perceptions of control, contributing to previous findings suggesting that control cognitions may be both a consequence and a determinant of functional limitations.
Original languageEnglish
Pages (from-to)413-420
Number of pages8
JournalBritish Journal of Health Psychology
Volume5
Issue number4
Publication statusPublished - Nov 2000

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