City Research Online

The effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial

Bragstad, L. K., Hjelle, E. G., Zucknick, M. , Sveen, U., Thommessen, B., Bronken, B. A., Martinsen, R., Kitzmüller, G., Mangset, M., Kvigne, K. J., Hilari, K. ORCID: 0000-0003-2091-4849, Lightbody, C. E. & Kirkevold, M. (2020). The effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial. Clinical Rehabilitation, 34(8), pp. 1056-1071. doi: 10.1177/0269215520929737


To evaluate the effect of a dialogue-based intervention targeting psychosocial well-being at 12 months post-stroke.

Multicenter, prospective, randomized, assessor-blinded, controlled trial with two parallel groups.


Three-hundred and twenty-two adults (⩾18 years) with stroke within the last four weeks were randomly allocated into intervention group (n = 166) or control group (n = 156).

The intervention group received a dialogue-based intervention to promote psychosocial well-being, comprising eight individual 1–1½ hour sessions delivered during the first six months post-stroke.

Main measures:
The primary outcome measure was the General Health Questionnaire-28 (GHQ-28). Secondary outcome measures included the Stroke and Aphasia Quality of Life Scale-39g, the Sense of Coherence scale, and the Yale Brown single-item questionnaire.

The mean (SD) age of the participants was 66.8 (12.1) years in the intervention group and 65.7 (13.3) years in the control group. At 12 months post-stroke, the mean (SE) GHQ-28 score was 20.6 (0.84) in the intervention group and 19.9 (0.85) in the control group. There were no between-group differences in psychosocial well-being at 12 months post-stroke (mean difference: −0.74, 95% confidence interval (CI): −3.08, 1.60). The secondary outcomes showed no statistically significant between-group difference in health-related quality of life, sense of coherence, or depression at 12 months.

The results of this trial did not demonstrate lower levels of emotional distress and anxiety or higher levels of health-related quality of life in the intervention group (dialogue-based intervention) as compared to the control group (usual care) at 12 months post-stroke.

Publication Type: Article
Additional Information: article is distributed under the terms of the Creative Commons Attribution 4.0 License ( which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (
Publisher Keywords: Stroke, rehabilitation, randomized controlled trial, sense of coherence, psychosocial support systems
Subjects: B Philosophy. Psychology. Religion > BF Psychology
P Language and Literature > P Philology. Linguistics
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Departments: School of Health & Psychological Sciences > Language & Communication Science
Text - Published Version
Available under License Creative Commons: Attribution International Public License 4.0.

Download (239kB) | Preview



Downloads per month over past year

View more statistics

Actions (login required)

Admin Login Admin Login