Screening for Depression After Stroke: Occupational Therapists' Performance to Protocols

Kneebone, Ian; Stone, Nicola; Robertson, Sarah; Walker-Samuel, Natalie

doi:10.1080/0164212x.2013.788971

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…smoking cessation), others target behaviour change in the health practitioner to improve clinical care and, subsequently, client outcomes. Two examples of upskilling allied health professionals in the detection of mental wellbeing needs are the “Post-Stroke Mood Assessment Pathways” intervention, targeting screening for depression and anxiety in the stroke population by social workers [ 46 ] and work by Kneebone et al [ 47 ] promoting screening for depression after stroke by occupational therapists within the hospital setting. The target population in these two studies, hospital-based social workers and occupational therapists, was deemed to be the preferred staff member to complete mood screening as their roles within the hospital environment were to improve psychosocial outcomes for in-patients.…”

Section: Discussionmentioning

confidence: 99%

Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting

Bennett

Bucks

Saulsman

et al. 2023

Implement Sci Commun

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Objective This study describes the development of an intervention to increase the frequency of audiologists’ asking about and providing information regarding mental wellbeing within adult audiology services. Design The Behaviour Change Wheel (BCW), an eight-step systematic process, was followed to develop the intervention. Reports describing the first four steps are published elsewhere. This report describes the final four steps and details the intervention developed. Results A multifaceted intervention was developed to change audiologists’ behaviours relating to providing mental wellbeing support to adults with hearing loss. Specifically, three behaviours were targeted: (1) asking clients about their mental wellbeing, (2) providing general information on the mental wellbeing impacts of hearing loss, and (3) providing personalised information on managing the mental wellbeing impacts of hearing loss. A variety of intervention functions and behaviour change techniques were incorporated into the intervention, including instruction and demonstration, information about others approval, adding objects to the environment, use of prompts/cues, and endorsement from credible sources. Conclusion This study is the first to use the Behaviour Change Wheel to develop an intervention targeting mental wellbeing support behaviours in audiologists and confirms the usability and usefulness of the approach in a complex area of clinical care. The systematic development of the Ask, Inform, Manage, Encourage, Refer (AIMER) intervention will facilitate a thorough evaluation of its effectiveness in the next phase of this work.

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Section: Discussionmentioning

confidence: 99%

Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting

Bennett

Bucks

Saulsman

et al. 2023

Implement Sci Commun

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“…The MAPS training was based on one developed in the UK (Kneebone et al, 2010) and demonstrated as effective via audit (Kneebone, Stone, Robertson & Walker-Samuel, 2013). This pre-existing training developed by Kneebone et al (2010) was modified by the authors specifically for the fast-paced inpatient ward environment.…”

Section: Methodsmentioning

confidence: 99%

Evaluating the feasibility and acceptability of the Mood Assessment Post-Stroke (MAPS) mood screening training

et al. 2022

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Mood problems are common after stroke, and screening is recommended. Training may support staff knowledge and implementation of screening, but the feasibility of training programmes in the Australian healthcare system has not been formally established. This study aimed to assess the feasibility of a mood screening training for a multidisciplinary team (MDT) of stroke clinicians working in a post-acute inpatient rehabilitation service. Twelve staff from a rehabilitation service at a major hospital in Sydney, Australia participated in a 3-h interactive training session. The feasibility of running the course, assessment of knowledge gained via a consolidation exercise and quiz and acceptability of the training were assessed via focus groups. The in-person modality of the training hindered recruitment and assessment of participants’ knowledge, though the actual measures themselves appeared appropriate. Nine participants provided feedback in two focus groups. Thematic analysis identified positive reactions to the training. However, low self-efficacy persisted and organisational/socio-cultural barriers to implementation emerged. Following training, the medical officers of the MDT had successfully implemented routine screening. Overall, the training appeared acceptable and to foster knowledge in staff. However, limitations to recruitment and administering evaluations were identified. The development of flexible online training may improve future evaluations of screening training programmes/pathways.

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“…OT practitioners play an important role in addressing mental health and supporting collaborative care, however, there are currently no studies examining OT evaluation and treatment practices for P-SADS in U.S.-based care facilities, including the IRF setting. U.K.-based research found varying adherence (40-83%) for P-SADS screening protocols among OT practitioners (Kneebone et al, 2012(Kneebone et al, , 2013Morris et al, 2012). Without examination of OT evaluation practices, it remains unknown if or how P-SADS are being evaluated in physical IRF settings and the associated functional implications for OT practitioners.…”

Section: Introductionmentioning

confidence: 99%

Occupational Therapy for Poststroke Anxiety and Depressive Symptoms in Inpatient Rehabilitation

Pisegna

Knebel

Juckett

et al. 2023

OTJR: Occupational Therapy Journal of Research

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Poststroke anxiety and depressive symptoms (P-SADS) affect one in three people and are associated with decreased participation in activities of daily living. This study sought to characterize occupational therapy (OT) P-SADS care practices and identify factors influencing P-SADS care provision in one U.S. inpatient rehabilitation (IRF) facility. An explanatory sequential mixed-methods study design was used by gathering data from electronic health records (from January 1, 2019 to December 31, 2019) as well as semi-structured interviews with OT practitioners in the IRF. No objective P-SADS screens were documented nor were any P-SADS-focused goals written. Minimal evidence-based P-SADS interventions were identified. Practitioners reported multi-level barriers to OT P-SADS care including limited time, pressure to prioritize physical recovery, and inadequate resources to guide practice. OT practitioner P-SADS care was inconsistent with established evidence-based practice. This research identifies gaps in comprehensive stroke recovery and informs implementation efforts to support evidence-based P-SADS care in IRFs.

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Screening for Depression After Stroke: Occupational Therapists' Performance to Protocols

Cited by 7 publications

References 18 publications

Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting

Use of the Behaviour Change Wheel to design an intervention to improve the provision of mental wellbeing support within the audiology setting

Evaluating the feasibility and acceptability of the Mood Assessment Post-Stroke (MAPS) mood screening training

Occupational Therapy for Poststroke Anxiety and Depressive Symptoms in Inpatient Rehabilitation

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