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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. and Kirkevold, M. (2020). The effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial. Clinical Rehabilitation, doi: 10.1177/0269215520929737

Abstract

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

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

Setting:
Community.

Subjects:
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).

Interventions:
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.

Results:
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.

Conclusion:
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: https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) 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 (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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 Sciences > Language & Communication Science
Date Deposited: 11 Jun 2020 13:50
URI: https://openaccess.city.ac.uk/id/eprint/24341
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