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- Title
EFFECT OF A DIALOGUE-BASED INTERVENTION ON PSYCHOSOCIAL WELLBEING 6 MONTHS AFTER STROKE IN NORWAY: A RANDOMIZED CONTROLLED TRIAL.
- Authors
HJELLE, Ellen G.; BRAGSTAD, Line K.; KIRKEVOLD, Marit; ZUCKNICK, Manuela; BRONKEN, Berit A.; MARTINSEN, Randi; KVIGNE, Kari J.; KITZMÜLLER, Gabriele; MANGSET, Margrete; THOMMESSEN, Bente; SVEEN, Unni
- Abstract
Objective: To evaluate the effect of a dialogue-based intervention on psychosocial well-being 6 months after stroke. Design: Multicentre, prospective, randomized controlled trial. Subjects: Adults (aged ≥ 18 years) who had their first or recurrent stroke within the last month, were medically stable, had sufficient cognitive functioning to participate and understood and spoke Norwegian. Methods: A total of 322 participants were randomly assigned to the intervention (n = 166) or control (n = 156) group. Participants in the intervention group received up to 8 individual sessions aimed at supporting the coping and life skills of stroke survivors in addition to usual care. The primary outcome was the proportion of participants with normal mood measured by the General Health Questionnaire-28 (GHQ-28). The secondary outcomes included health-related quality of life (Stroke and Aphasia Quality of Life Scale; SAQOL- 39g), depression (Yale-Brown single-item questionnaire; Yale) and sense of coherence (SOC-13). Results: After controlling for the baseline values, no significant benefit was found in the intervention group over the control group (odds ratio (OR): 0.898: 95% confidence interval (95% CI): 0.54-1.50, p = 0.680) 6 months post-stroke. Conclusion: Psychosocial well-being improved during the first 6 months after stroke in both arms of the trial, but no statistically significant benefit of the dialogue- based intervention was found compared with usual care.
- Subjects
NORWAY; STROKE; PSYCHOLOGICAL adaptation; AFFECT (Psychology); CONFIDENCE intervals; MENTAL depression; LONGITUDINAL method; MEDICAL cooperation; REHABILITATION of people with mental illness; QUESTIONNAIRES; RESEARCH; RESEARCH funding; STATISTICAL sampling; T-test (Statistics); LOGISTIC regression analysis; PSYCHOSOCIAL factors; SOCIAL support; WELL-being; RANDOMIZED controlled trials; EVALUATION of human services programs; DATA analysis software; STROKE rehabilitation; STROKE patients; DESCRIPTIVE statistics; ODDS ratio; PSYCHOLOGY
- Publication
Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation), 2019, Vol 51, Issue 8, p557
- ISSN
1650-1977
- Publication type
Article
- DOI
10.2340/16501977-2585