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Supporting wellbeing through peer-befriending (SUPERB) for people with aphasia: A feasibility randomised controlled trial

Hilari, K. ORCID: 0000-0003-2091-4849, Behn, N. ORCID: 0000-0001-9356-9957, James, K., Northcott, S. ORCID: 0000-0001-8229-5452, Marshall, J. ORCID: 0000-0002-6589-221X, Thomas, S., Simpson, A., Moss, B., Flood, C., McVicker, S. and Goldsmith, K. (2021). Supporting wellbeing through peer-befriending (SUPERB) for people with aphasia: A feasibility randomised controlled trial. Clinical Rehabilitation, doi: 10.1177/0269215521995671

Abstract

OBJECTIVE: To determine the feasibility and acceptability of peer-befriending, for people with aphasia.

DESIGN: Single-blind, parallel-group feasibility randomised controlled trial comparing usual care to usual care + peer-befriending.

PARTICIPANTS AND SETTING: People with aphasia post-stroke and low levels of distress, recruited from 5 NHS Hospitals and linked community services; their significant others; and 10 befrienders recruited from community.

INTERVENTION: Six 1-hour peer-befriending visits over three months.

MAIN MEASURES: Feasibility parameters included proportion eligible of those screened; proportion consented; missing data; consent and attrition rates. Acceptability was explored through qualitative interviews. Outcomes for participants and significant others were measured at baseline, 4- and 10-months; for peer-befrienders before training and after one/two cycles of befriending. RESULTS: Of 738 patients identified, 75 were eligible of 89 fully screened (84%), 62 consented (83% of eligible) and 56 randomised. Attrition was 16%. Adherence was high (93% attended ⩾2 sessions, 81% all six). The difference at 10 months on the GHQ-12 was 1.23 points on average lower/better in the intervention arm (95% CI 0.17, -2.63). There was an 88% decrease in the odds of GHQ-12 caseness (95% CI 0.01, 1.01). Fourty-eight significant others and 10 peer-befrienders took part. Procedures and outcome measures were acceptable. Serious adverse events were few (n = 10, none for significant others and peer-befrienders) and unrelated.

CONCLUSIONS: SUPERB peer-befriending for people with aphasia post-stroke experiencing low levels of distress was feasible. There was preliminary evidence of benefit in terms of depression. Peer-befriending is a suitable intervention to explore further in a definitive trial.Clinical trial registration-URL: http://www.clinicaltrials.gov Unique identifier: NCT02947776Subject terms: Translational research, mental health, rehabilitation, quality and outcomes, stroke.

Publication Type: Article
Publisher Keywords: Feasibility study, peer-befriending, aphasia, mood
Subjects: H Social Sciences > HM Sociology
H Social Sciences > HN Social history and conditions. Social problems. Social reform
P Language and Literature > P Philology. Linguistics
R Medicine > RT Nursing
Departments: School of Health Sciences > Language & Communication Science
Date available in CRO: 10 Mar 2021 11:01
Date deposited: 10 March 2021
Date of acceptance: 28 January 2021
Date of first online publication: 24 February 2021
URI: https://openaccess.city.ac.uk/id/eprint/25770
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