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Developing a novel peer support intervention to promote resilience after stroke

Stroke can lead to physical, mental and social long‐term consequences, with the incidence of stroke increasing with age. However, there is a lack of evidence of how to improve long‐term outcomes for people with stroke. Resilience, the ability to ‘bounce back’, flourish or thrive in the face of adver...

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Autores principales: Sadler, Euan, Sarre, Sophie, Tinker, Anthea, Bhalla, Ajay, McKevitt, Christopher
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573937/
https://www.ncbi.nlm.nih.gov/pubmed/26939997
http://dx.doi.org/10.1111/hsc.12336
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author Sadler, Euan
Sarre, Sophie
Tinker, Anthea
Bhalla, Ajay
McKevitt, Christopher
author_facet Sadler, Euan
Sarre, Sophie
Tinker, Anthea
Bhalla, Ajay
McKevitt, Christopher
author_sort Sadler, Euan
collection PubMed
description Stroke can lead to physical, mental and social long‐term consequences, with the incidence of stroke increasing with age. However, there is a lack of evidence of how to improve long‐term outcomes for people with stroke. Resilience, the ability to ‘bounce back’, flourish or thrive in the face of adversity improves mental health and quality of life in older adults. However, the role of resilience in adjustment after stroke has been little investigated. The purpose of this study is to report on the development and preliminary evaluation of a novel intervention to promote resilience after stroke. We applied the first two phases of the revised UK Medical Research Council (UKMRC) framework for the development and evaluation of complex interventions: intervention development (phase 1) and feasibility testing (phase 2). Methods involved reviewing existing evidence and theory, interviews with 22 older stroke survivors and 5 carers, and focus groups and interviews with 38 professionals to investigate their understandings of resilience and its role in adjustment after stroke. We used stakeholder consultation to co‐design the intervention and returned to the literature to develop its theoretical foundations. We developed a 6‐week group‐based peer support intervention to promote resilience after stroke. Theoretical mechanisms of peer support targeted were social learning, meaning‐making, helping others and social comparison. Preliminary evaluation with 11 older stroke survivors in a local community setting found that it was feasible to deliver the intervention, and acceptable to stroke survivors, peer facilitators, and professionals in stroke care and research. This study demonstrates the application of the revised UKMRC framework to systematically develop an empirically and theoretically robust intervention to promote resilience after stroke. A future randomised feasibility study is needed to determine whether a full trial is feasible with a larger sample and wider age range of people with stroke.
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spelling pubmed-55739372017-09-15 Developing a novel peer support intervention to promote resilience after stroke Sadler, Euan Sarre, Sophie Tinker, Anthea Bhalla, Ajay McKevitt, Christopher Health Soc Care Community Original Articles Stroke can lead to physical, mental and social long‐term consequences, with the incidence of stroke increasing with age. However, there is a lack of evidence of how to improve long‐term outcomes for people with stroke. Resilience, the ability to ‘bounce back’, flourish or thrive in the face of adversity improves mental health and quality of life in older adults. However, the role of resilience in adjustment after stroke has been little investigated. The purpose of this study is to report on the development and preliminary evaluation of a novel intervention to promote resilience after stroke. We applied the first two phases of the revised UK Medical Research Council (UKMRC) framework for the development and evaluation of complex interventions: intervention development (phase 1) and feasibility testing (phase 2). Methods involved reviewing existing evidence and theory, interviews with 22 older stroke survivors and 5 carers, and focus groups and interviews with 38 professionals to investigate their understandings of resilience and its role in adjustment after stroke. We used stakeholder consultation to co‐design the intervention and returned to the literature to develop its theoretical foundations. We developed a 6‐week group‐based peer support intervention to promote resilience after stroke. Theoretical mechanisms of peer support targeted were social learning, meaning‐making, helping others and social comparison. Preliminary evaluation with 11 older stroke survivors in a local community setting found that it was feasible to deliver the intervention, and acceptable to stroke survivors, peer facilitators, and professionals in stroke care and research. This study demonstrates the application of the revised UKMRC framework to systematically develop an empirically and theoretically robust intervention to promote resilience after stroke. A future randomised feasibility study is needed to determine whether a full trial is feasible with a larger sample and wider age range of people with stroke. John Wiley and Sons Inc. 2016-03-04 2017-09 /pmc/articles/PMC5573937/ /pubmed/26939997 http://dx.doi.org/10.1111/hsc.12336 Text en © 2016 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Sadler, Euan
Sarre, Sophie
Tinker, Anthea
Bhalla, Ajay
McKevitt, Christopher
Developing a novel peer support intervention to promote resilience after stroke
title Developing a novel peer support intervention to promote resilience after stroke
title_full Developing a novel peer support intervention to promote resilience after stroke
title_fullStr Developing a novel peer support intervention to promote resilience after stroke
title_full_unstemmed Developing a novel peer support intervention to promote resilience after stroke
title_short Developing a novel peer support intervention to promote resilience after stroke
title_sort developing a novel peer support intervention to promote resilience after stroke
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5573937/
https://www.ncbi.nlm.nih.gov/pubmed/26939997
http://dx.doi.org/10.1111/hsc.12336
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