Psychological interventions for managing cognitive impairment after stroke

Hickey, Anne; Merriman, Niamh A.; Bruen, Carlos; Mellon, Lisa; Bennett, Kathleen; Williams, David; Pender, Niall; Doyle, Frank

doi:10.1002/14651858.cd013406

Cited by 7 publications

(5 citation statements)

References 61 publications

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“…The thinking domain was also found to be at a moderate level. Persistent thinking problems may be caused by poststroke cognitive impairment, a common complication following a stroke, influencing survivors’ functional impairment and reducing HRQoL (Hickey et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Patterns of Health-Related Quality of Life among Stroke Survivors: A Longitudinal Study

et al. 2023

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Six months poststroke is critical for optimizing stroke survivors’ recovery and improving their health-related quality of life (HRQoL). Understanding HRQoL profiles in specific domains can provide a more typical plan for stroke survivors. This pilot study aimed to explore the HRQoL patterns among 39 stroke survivors within 6 months following diagnosis. The results revealed that there were four patterns based on HRQoL domains. Pattern 1: energy, family role, mobility, self-care, social role, and work/productivity domains likely to improve; Pattern 2: language and vision domains likely to improve and be stable; Pattern 3: thinking and upper extremity function domains likely to worsen and improve later; and Pattern 4: mood and personality domains likely to worsen and be constant. Health care providers can apply these results by continuing to assess and provide care to stroke survivors focusing on functional status, cognitive status, and depression over time. Further study should explore the factors predicting HRQoL.

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Section: Discussionmentioning

confidence: 99%

Patterns of Health-Related Quality of Life among Stroke Survivors: A Longitudinal Study

et al. 2023

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“…These interventions enhance cognitive abilities in deficit areas through repeated practice and challenging tasks that require problem-solving, pattern recognition, or memory exercises. The goal is to improve cognitive performance and transfer the gains to real-life situations [24]. Maier et al conducted a study to evaluate the effect of adaptive conjunctive cognitive training (ACCT) on four domains of cognition.…”

Section: Interventions and Future Directionsmentioning

confidence: 99%

“…They concluded that this method positively influenced spatial awareness and attention and improved depression in chronic post-stroke survivors [15]. Lastly, the behavioral intervention strategy concentrates on the survivors' ability to develop compensatory strategies by combining educational information and therapeutic techniques to achieve several goals that help individuals comprehend their cognitive strengths and weaknesses, ultimately enhancing their quality of life and psychological well-being [24]. Other non-pharmacological interventions for PSCI are music therapy, aerobic exercise, acupuncture, noninvasive brain stimulation, and caregiver education [25].…”

Section: Interventions and Future Directionsmentioning

confidence: 99%

Investigating the Long-Term Cognitive Impairments of Stroke: A Systematic Review

Okoye,

Klein,

Mohamoud

et al. 2023

JAMMR

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Stroke is a major cause of long-term morbidity, a cognitive impairment that affects instrumental activities of daily living and quality of life for survivors and caregivers. It is imperative that patients with the risk of Post-stroke cognitive impairment (PSCI) are identified early and interventions instituted as soon as possible. This study aims to demystify cognitive domains affected after a stroke, discover features on imaging that suggest the likelihood for the development of PSCI, assess survivors’ quality of life, and examine the impact of non-pharmacological and pharmacological interventions on Post-stroke Cognitive impairment (PSCI). Using the PRISMA 2020 guideline, three databases were used: PubMed, Cochrane, and Google Scholar. 1,773 articles were identified; however, after applying inclusion and exclusion criteria and other filters, 13 articles were used for this study: 4 being observational studies, three systematic reviews and meta-analyses, and two narrative literature. The characteristics of each article that passed the quality check were analyzed in tabular form, and the discussion followed afterward. This study found that at three months following a stroke, survivors’ Montreal Cognitive Assessment (MoCA) improves. It also sheds more light on the various cognitive assessment tools available and the many nonpharmacologic interventions available to post-stroke victims and caregivers as more investigations are still being carried out to ascertain the usefulness of pharmacological intervention.

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“…A previous qualitative enquiry gathered the perspectives of key stakeholders on the design of a cognitive rehabilitation intervention post-stroke, focusing solely on psychological interventions [ 27 ]. This previous qualitative study was underpinned by a systematic review of non-randomised controlled studies of psychological interventions [ 28 ] and highlighted the need for improving confidence and self-efficacy in the management of cognitive impairment post-stroke, in addition to the importance of effective information provision on stroke sequalae and psychoeducation regarding the consequences of stroke [ 27 ]. In contrast to the qualitative enquiry of Merriman et al [ 27 ], the current study elicits perspectives on all types of non-pharmacological rehabilitation interventions, not only psychological interventions, for cognitive impairment post-stroke, as evidenced from our previous systematic review [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Exploring the perspectives of key stakeholders on the design and delivery of a cognitive rehabilitation intervention for people post-stroke

et al. 2022

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Purpose Stroke is a leading cause of death and disability worldwide. Despite the prevalence and associated burden of post-stroke cognitive impairment, there is uncertainty regarding optimum interventions to improve cognitive function in people post-stroke. The aim of this study is to explore the perspectives of key stakeholders on the design and development of a multidisciplinary intervention to rehabilitate cognitive deficits in people post-stroke. Materials and methods Audio-recorded, semi-structured interviews were employed with people post-stroke, caregivers, healthcare professionals and academics. All transcribed interviews were exported to NVivo software and analysed using reflexive thematic analysis. Results Thirty interviews were conducted across stakeholder groups including people post-stroke (n = 10), caregivers (n = 5), healthcare professionals (n = 14) and academics (n = 1). Four themes relevant to the design and development of the intervention were identified (i) engagement in the intervention must be meaningful, (ii) the point of readiness to engage, (iii) a familiar but flexible setting is key (iv) pragmatics of intervention delivery. Conclusions These findings present new perspectives across stakeholder groups on the design and delivery of an intervention to rehabilitate cognitive deficits in people post-stroke. Taken together with existing quantitative evidence, these findings will inform the development of a feasibility trial, examining patient and process outcomes, to rehabilitate cognitive deficits post-stroke.

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Psychological interventions for managing cognitive impairment after stroke

Cited by 7 publications

References 61 publications

Patterns of Health-Related Quality of Life among Stroke Survivors: A Longitudinal Study

Patterns of Health-Related Quality of Life among Stroke Survivors: A Longitudinal Study

Investigating the Long-Term Cognitive Impairments of Stroke: A Systematic Review

Exploring the perspectives of key stakeholders on the design and delivery of a cognitive rehabilitation intervention for people post-stroke

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