The StrokeCog study: development and description of a cognition-focused psychological intervention to address cognitive impairment following stroke

Niamh A Merriman* (Corresponding Author), Diane Gillan, Niall Pender, David J Williams, Frances Horgan, Eithne Sexton, Marie Johnston, Kathleen E Bennett, Nora-Ann Donnelly, Maev-Ann Wren, Anne Hickey

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To describe the process of developing a cognitive rehabilitation intervention for patients with post-stroke cognitive impairment (PSCI) and to describe the intervention prior to evaluation in a pilot randomised controlled trial (RCT). Method: The Medical Research Council framework, 'Developing and evaluating complex interventions', was used to develop the cognitive rehabilitation intervention. We conducted a combined analysis of the existing evidence base for PSCI rehabilitation alongside qualitative exploration of the perspectives of stroke survivors, their families, and healthcare professionals providing stroke care, on the necessary components for a cognitive rehabilitation intervention for PSCI. The Template for Intervention Description and Replication checklist was used as a structural framework for the description of the intervention. Results: The intervention comprises a five-week intervention integrating group-based activities, supported by a clinical neuropsychologist, with home-based activities to encourage self-efficacy through the practice of adjustment and compensatory strategies learned in the group format to achieve the patients' identified goals in managing their PSCI. Conclusion: A cognitive rehabilitation intervention for patients with PSCI has been developed and described. We are in the process of developing a structured intervention manual to standardise the content and delivery of the intervention for further testing in a pilot RCT.

Original languageEnglish
Pages (from-to)1-18
Number of pages18
JournalPsychology & Health
Early online date14 Sep 2020
DOIs
Publication statusE-pub ahead of print - 14 Sep 2020

Keywords

  • Cognition
  • TIDieR framework
  • complex intervention
  • rehabilitation
  • stroke

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