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dc.contributor.authorBragstad, Line Kildal
dc.contributor.authorHjelle, Ellen Gabrielsen
dc.contributor.authorZucknick, Manuela
dc.contributor.authorSveen, Unni
dc.contributor.authorThommessen, Bente
dc.contributor.authorBronken, Berit Arnesveen
dc.contributor.authorMartinsen, Randi
dc.contributor.authorKitzmüller, Gabriele
dc.contributor.authorMangset, Margrete
dc.contributor.authorKvigne, Kari Johanne
dc.contributor.authorHilari, Katerina
dc.contributor.authorLightbody, C. Elizabeth
dc.contributor.authorKirkevold, Marit
dc.date.accessioned2020-09-25T10:57:07Z
dc.date.available2020-09-25T10:57:07Z
dc.date.created2020-06-11T13:46:24Z
dc.date.issued2020
dc.identifier.citationClinical Rehabilitation. 2020, 34 (8), 1056-1071.
dc.identifier.issn0269-2155
dc.identifier.urihttps://hdl.handle.net/11250/2679683
dc.description.abstractObjective: 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.
dc.language.isoeng
dc.titleThe effects of a dialogue-based intervention to promote psychosocial well-being after stroke: a randomized controlled trial
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersion
dc.source.pagenumber1056-1071
dc.source.volume34
dc.source.journalClinical Rehabilitation
dc.source.issue8
dc.identifier.doi10.1177/0269215520929737
dc.identifier.cristin1815066
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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