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


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.

SUBMITTER: Bragstad LK 

PROVIDER: S-EPMC7372590 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature

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<h4>Objective</h4>To evaluate the effect of a dialogue-based intervention targeting psychosocial well-being at 12 months post-stroke.<h4>Design</h4>Multicenter, prospective, randomized, assessor-blinded, controlled trial with two parallel groups.<h4>Setting</h4>Community.<h4>Subjects</h4>Three-hundred and twenty-two adults (⩾18 years) with stroke within the last four weeks were randomly allocated into intervention group (<i>n</i> = 166) or control group (<i>n</i> = 156).<h4>Interventions</h4>The  ...[more]

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