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

Niamh A Merriman; Diane Gillan; Niall Pender; David J Williams; Frances Horgan; Eithne Sexton; Marie Johnston; Kathleen E Bennett; Nora-Ann Donnelly; Maev-Ann Wren; Anne Hickey

doi:10.1080/08870446.2020.1820009

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 journal › Article › peer-review

5 Citations (Scopus)

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 language	English
Pages (from-to)	782-809
Number of pages	18
Journal	Psychology & Health
Volume	36
Issue number	7
Early online date	14 Sept 2020
DOIs	https://doi.org/10.1080/08870446.2020.1820009
Publication status	Published - 2021

Bibliographical note

Funding
This study is funded by the Health Research Board (HRB) of Ireland under Grant No. ICE-2015-1048, and is being completed as part of the StrokeCog Study, a project that aims to model and modify the consequences of stroke-related cognitive impairment through intervention. KB funded by HRB (RL-15-1579).

Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

Keywords

Cognition
TIDieR framework
complex intervention
rehabilitation
stroke

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

Merriman, N. A., Gillan, D., Pender, N., Williams, D. J., Horgan, F., Sexton, E., Johnston, M., Bennett, K. E., Donnelly, N.-A., Wren, M.-A., & Hickey, A. (2021). The StrokeCog study: development and description of a cognition-focused psychological intervention to address cognitive impairment following stroke. Psychology & Health, 36(7), 782-809. https://doi.org/10.1080/08870446.2020.1820009

Merriman, NA, Gillan, D, Pender, N, Williams, DJ, Horgan, F, Sexton, E, Johnston, M, Bennett, KE, Donnelly, N-A, Wren, M-A & Hickey, A 2021, 'The StrokeCog study: development and description of a cognition-focused psychological intervention to address cognitive impairment following stroke', Psychology & Health, vol. 36, no. 7, pp. 782-809. https://doi.org/10.1080/08870446.2020.1820009

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N2 - 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.

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

Abstract

Bibliographical note

Data Availability Statement

Keywords

UN SDGs

Access to Document

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