Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke
Objective Feasibility test a co-developed intervention based on Acceptance and Commitment Therapy to support psychological adjustment post-stroke, delivered by a workforce with community in-reach. Design Observational feasibility study utilising patient, carer, public involvement. Setting Online. UK...
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| Veröffentlicht in: | Clinical rehabilitation 2024-07, Vol.38 (7), p.979-989 |
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| creator | Patchwood, Emma Foote, Hannah Vail, Andy Cotterill, Sarah Hill, Geoff Bowen, Audrey |
| description | Objective
Feasibility test a co-developed intervention based on Acceptance and Commitment Therapy to support psychological adjustment post-stroke, delivered by a workforce with community in-reach.
Design
Observational feasibility study utilising patient, carer, public involvement.
Setting
Online. UK.
Participants
Stroke survivors with self-reported psychological distress 4 + months post-stroke.
Interventions
The co-developed Wellbeing After Stroke (WAterS) intervention includes: 9-weekly, structured, online, group sessions for stroke survivors, delivered via a training programme to upskill staff without Acceptance and Commitment Therapy experience, under Clinical Psychology supervision.
Main measures
Feasibility of recruitment and retention; data quality from candidate measures; safety. Clinical and demographic information at baseline; patient-reported outcome measures (PROMs) via online surveys (baseline, pre- and post-intervention, 3 and 6 months after intervention end) including Mood (hospital anxiety and depression scale (HADS)), Wellbeing (ONS4), Health-Related Quality of Life (EQ5D5L), Psychological Flexibility (AAQ-ABI) and Values-Based Living (VQ).
Results
We trained eight staff and recruited 17 stroke survivors with mild-to-moderate cognitive and communication difficulties. 12/17 (71%) joined three intervention groups with 98% attendance and no related adverse events. PROMS data were well-completed. The HADS is a possible future primary outcome (self-reported depression lower on average by 1.3 points: 8.5 pre-group to 7.1 at 3-month follow-up; 95% CI 0.4 to 3.2).
Conclusion
The WAterS intervention warrants further research evaluation. Staff can be trained and upskilled to deliver. It appears safe and feasible to deliver online to groups, and study recruitment and data collection are feasible. Funding has been secured to further develop the intervention, considering implementation and health equality. |
| doi_str_mv | 10.1177/02692155241239879 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2972703947</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_02692155241239879</sage_id><sourcerecordid>3059465970</sourcerecordid><originalsourceid>FETCH-LOGICAL-c363t-fb50eb4b0185b4ef26ae0ab915f5a002ffcfccf9640411542b6e0d93b850c0693</originalsourceid><addsrcrecordid>eNp1kcFu1DAQhi1ERZeFB-CCLHEphxTbsZOYW7RqoVKlIu2iHiPbGW-zJHGwnUr7QjwnXra0CMTJsuf7_xn_g9AbSs4pLcsPhBWSUSEYpyyXVSmfoQXlZZmRqsyfo8Whnh2AU_QyhB0hpEroC3SaV4IIyYsF-nELfa-hG7e4thE8XkfvvgE-u63Tbf3-I74EFTrd9V3c4w2EeECdxQqvXNbCPfRughbXxsAU1WgAq7FNtWHo4gBjxJs78Gra46sxGd6nl86NODq8nqfJ-Yi_hL25c73bdkb1uG53czgK_5znFTqxqg_w-uFcoq-XF5vV5-z65tPVqr7OTF7kMbNaENBcE1oJzcGyQgFRWlJhhSKEWWusMVYWnHBKBWe6ANLKXKc8DClkvkRnR9_Ju-9z-m0zdMGkiNQIbg4NkyUrSS55mdB3f6E7N_sxTdfkv8IVMpFLRI-U8S4ED7aZfDcov28oaQ5LbP5ZYtK8fXCe9QDto-L31hJwfgSC2sJT2_87_gQvb6Yy</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3059465970</pqid></control><display><type>article</type><title>Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke</title><source>MEDLINE</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>SAGE Complete A-Z List</source><creator>Patchwood, Emma ; Foote, Hannah ; Vail, Andy ; Cotterill, Sarah ; Hill, Geoff ; Bowen, Audrey</creator><creatorcontrib>Patchwood, Emma ; Foote, Hannah ; Vail, Andy ; Cotterill, Sarah ; Hill, Geoff ; Bowen, Audrey ; WAterS PCPI Group ; The WAterS PCPI Group</creatorcontrib><description>Objective
Feasibility test a co-developed intervention based on Acceptance and Commitment Therapy to support psychological adjustment post-stroke, delivered by a workforce with community in-reach.
Design
Observational feasibility study utilising patient, carer, public involvement.
Setting
Online. UK.
Participants
Stroke survivors with self-reported psychological distress 4 + months post-stroke.
Interventions
The co-developed Wellbeing After Stroke (WAterS) intervention includes: 9-weekly, structured, online, group sessions for stroke survivors, delivered via a training programme to upskill staff without Acceptance and Commitment Therapy experience, under Clinical Psychology supervision.
Main measures
Feasibility of recruitment and retention; data quality from candidate measures; safety. Clinical and demographic information at baseline; patient-reported outcome measures (PROMs) via online surveys (baseline, pre- and post-intervention, 3 and 6 months after intervention end) including Mood (hospital anxiety and depression scale (HADS)), Wellbeing (ONS4), Health-Related Quality of Life (EQ5D5L), Psychological Flexibility (AAQ-ABI) and Values-Based Living (VQ).
Results
We trained eight staff and recruited 17 stroke survivors with mild-to-moderate cognitive and communication difficulties. 12/17 (71%) joined three intervention groups with 98% attendance and no related adverse events. PROMS data were well-completed. The HADS is a possible future primary outcome (self-reported depression lower on average by 1.3 points: 8.5 pre-group to 7.1 at 3-month follow-up; 95% CI 0.4 to 3.2).
Conclusion
The WAterS intervention warrants further research evaluation. Staff can be trained and upskilled to deliver. It appears safe and feasible to deliver online to groups, and study recruitment and data collection are feasible. Funding has been secured to further develop the intervention, considering implementation and health equality.</description><identifier>ISSN: 0269-2155</identifier><identifier>ISSN: 1477-0873</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/02692155241239879</identifier><identifier>PMID: 38505946</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acceptance ; Acceptance and Commitment Therapy ; Adaptation, Psychological ; Adjustment ; Adult ; Aged ; Candidates ; Citizen participation ; Clinical psychology ; Commitment ; Critical incidents ; Data quality ; Emotional Adjustment ; Equality ; Feasibility ; Feasibility Studies ; Female ; Health status ; Humans ; Intervention ; Male ; Mental depression ; Middle Aged ; Psychological distress ; Psychological flexibility ; Quality of Life ; Recruitment ; Rehabilitation ; Stroke ; Stroke - complications ; Stroke Rehabilitation - methods ; Survivor ; United Kingdom ; Well being ; Workforce</subject><ispartof>Clinical rehabilitation, 2024-07, Vol.38 (7), p.979-989</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c363t-fb50eb4b0185b4ef26ae0ab915f5a002ffcfccf9640411542b6e0d93b850c0693</cites><orcidid>0000-0002-1929-4139 ; 0000-0003-4075-1215 ; 0000-0002-4198-5761</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/02692155241239879$$EPDF$$P50$$Gsage$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/02692155241239879$$EHTML$$P50$$Gsage$$Hfree_for_read</linktohtml><link.rule.ids>314,778,782,21806,27911,27912,30986,43608,43609</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38505946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patchwood, Emma</creatorcontrib><creatorcontrib>Foote, Hannah</creatorcontrib><creatorcontrib>Vail, Andy</creatorcontrib><creatorcontrib>Cotterill, Sarah</creatorcontrib><creatorcontrib>Hill, Geoff</creatorcontrib><creatorcontrib>Bowen, Audrey</creatorcontrib><creatorcontrib>WAterS PCPI Group</creatorcontrib><creatorcontrib>The WAterS PCPI Group</creatorcontrib><title>Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>Objective
Feasibility test a co-developed intervention based on Acceptance and Commitment Therapy to support psychological adjustment post-stroke, delivered by a workforce with community in-reach.
Design
Observational feasibility study utilising patient, carer, public involvement.
Setting
Online. UK.
Participants
Stroke survivors with self-reported psychological distress 4 + months post-stroke.
Interventions
The co-developed Wellbeing After Stroke (WAterS) intervention includes: 9-weekly, structured, online, group sessions for stroke survivors, delivered via a training programme to upskill staff without Acceptance and Commitment Therapy experience, under Clinical Psychology supervision.
Main measures
Feasibility of recruitment and retention; data quality from candidate measures; safety. Clinical and demographic information at baseline; patient-reported outcome measures (PROMs) via online surveys (baseline, pre- and post-intervention, 3 and 6 months after intervention end) including Mood (hospital anxiety and depression scale (HADS)), Wellbeing (ONS4), Health-Related Quality of Life (EQ5D5L), Psychological Flexibility (AAQ-ABI) and Values-Based Living (VQ).
Results
We trained eight staff and recruited 17 stroke survivors with mild-to-moderate cognitive and communication difficulties. 12/17 (71%) joined three intervention groups with 98% attendance and no related adverse events. PROMS data were well-completed. The HADS is a possible future primary outcome (self-reported depression lower on average by 1.3 points: 8.5 pre-group to 7.1 at 3-month follow-up; 95% CI 0.4 to 3.2).
Conclusion
The WAterS intervention warrants further research evaluation. Staff can be trained and upskilled to deliver. It appears safe and feasible to deliver online to groups, and study recruitment and data collection are feasible. Funding has been secured to further develop the intervention, considering implementation and health equality.</description><subject>Acceptance</subject><subject>Acceptance and Commitment Therapy</subject><subject>Adaptation, Psychological</subject><subject>Adjustment</subject><subject>Adult</subject><subject>Aged</subject><subject>Candidates</subject><subject>Citizen participation</subject><subject>Clinical psychology</subject><subject>Commitment</subject><subject>Critical incidents</subject><subject>Data quality</subject><subject>Emotional Adjustment</subject><subject>Equality</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Health status</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Psychological distress</subject><subject>Psychological flexibility</subject><subject>Quality of Life</subject><subject>Recruitment</subject><subject>Rehabilitation</subject><subject>Stroke</subject><subject>Stroke - complications</subject><subject>Stroke Rehabilitation - methods</subject><subject>Survivor</subject><subject>United Kingdom</subject><subject>Well being</subject><subject>Workforce</subject><issn>0269-2155</issn><issn>1477-0873</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kcFu1DAQhi1ERZeFB-CCLHEphxTbsZOYW7RqoVKlIu2iHiPbGW-zJHGwnUr7QjwnXra0CMTJsuf7_xn_g9AbSs4pLcsPhBWSUSEYpyyXVSmfoQXlZZmRqsyfo8Whnh2AU_QyhB0hpEroC3SaV4IIyYsF-nELfa-hG7e4thE8XkfvvgE-u63Tbf3-I74EFTrd9V3c4w2EeECdxQqvXNbCPfRughbXxsAU1WgAq7FNtWHo4gBjxJs78Gra46sxGd6nl86NODq8nqfJ-Yi_hL25c73bdkb1uG53czgK_5znFTqxqg_w-uFcoq-XF5vV5-z65tPVqr7OTF7kMbNaENBcE1oJzcGyQgFRWlJhhSKEWWusMVYWnHBKBWe6ANLKXKc8DClkvkRnR9_Ju-9z-m0zdMGkiNQIbg4NkyUrSS55mdB3f6E7N_sxTdfkv8IVMpFLRI-U8S4ED7aZfDcov28oaQ5LbP5ZYtK8fXCe9QDto-L31hJwfgSC2sJT2_87_gQvb6Yy</recordid><startdate>20240701</startdate><enddate>20240701</enddate><creator>Patchwood, Emma</creator><creator>Foote, Hannah</creator><creator>Vail, Andy</creator><creator>Cotterill, Sarah</creator><creator>Hill, Geoff</creator><creator>Bowen, Audrey</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1929-4139</orcidid><orcidid>https://orcid.org/0000-0003-4075-1215</orcidid><orcidid>https://orcid.org/0000-0002-4198-5761</orcidid></search><sort><creationdate>20240701</creationdate><title>Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke</title><author>Patchwood, Emma ; Foote, Hannah ; Vail, Andy ; Cotterill, Sarah ; Hill, Geoff ; Bowen, Audrey</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c363t-fb50eb4b0185b4ef26ae0ab915f5a002ffcfccf9640411542b6e0d93b850c0693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acceptance</topic><topic>Acceptance and Commitment Therapy</topic><topic>Adaptation, Psychological</topic><topic>Adjustment</topic><topic>Adult</topic><topic>Aged</topic><topic>Candidates</topic><topic>Citizen participation</topic><topic>Clinical psychology</topic><topic>Commitment</topic><topic>Critical incidents</topic><topic>Data quality</topic><topic>Emotional Adjustment</topic><topic>Equality</topic><topic>Feasibility</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Health status</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Psychological distress</topic><topic>Psychological flexibility</topic><topic>Quality of Life</topic><topic>Recruitment</topic><topic>Rehabilitation</topic><topic>Stroke</topic><topic>Stroke - complications</topic><topic>Stroke Rehabilitation - methods</topic><topic>Survivor</topic><topic>United Kingdom</topic><topic>Well being</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Patchwood, Emma</creatorcontrib><creatorcontrib>Foote, Hannah</creatorcontrib><creatorcontrib>Vail, Andy</creatorcontrib><creatorcontrib>Cotterill, Sarah</creatorcontrib><creatorcontrib>Hill, Geoff</creatorcontrib><creatorcontrib>Bowen, Audrey</creatorcontrib><creatorcontrib>WAterS PCPI Group</creatorcontrib><creatorcontrib>The WAterS PCPI Group</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Patchwood, Emma</au><au>Foote, Hannah</au><au>Vail, Andy</au><au>Cotterill, Sarah</au><au>Hill, Geoff</au><au>Bowen, Audrey</au><aucorp>WAterS PCPI Group</aucorp><aucorp>The WAterS PCPI Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2024-07-01</date><risdate>2024</risdate><volume>38</volume><issue>7</issue><spage>979</spage><epage>989</epage><pages>979-989</pages><issn>0269-2155</issn><issn>1477-0873</issn><eissn>1477-0873</eissn><abstract>Objective
Feasibility test a co-developed intervention based on Acceptance and Commitment Therapy to support psychological adjustment post-stroke, delivered by a workforce with community in-reach.
Design
Observational feasibility study utilising patient, carer, public involvement.
Setting
Online. UK.
Participants
Stroke survivors with self-reported psychological distress 4 + months post-stroke.
Interventions
The co-developed Wellbeing After Stroke (WAterS) intervention includes: 9-weekly, structured, online, group sessions for stroke survivors, delivered via a training programme to upskill staff without Acceptance and Commitment Therapy experience, under Clinical Psychology supervision.
Main measures
Feasibility of recruitment and retention; data quality from candidate measures; safety. Clinical and demographic information at baseline; patient-reported outcome measures (PROMs) via online surveys (baseline, pre- and post-intervention, 3 and 6 months after intervention end) including Mood (hospital anxiety and depression scale (HADS)), Wellbeing (ONS4), Health-Related Quality of Life (EQ5D5L), Psychological Flexibility (AAQ-ABI) and Values-Based Living (VQ).
Results
We trained eight staff and recruited 17 stroke survivors with mild-to-moderate cognitive and communication difficulties. 12/17 (71%) joined three intervention groups with 98% attendance and no related adverse events. PROMS data were well-completed. The HADS is a possible future primary outcome (self-reported depression lower on average by 1.3 points: 8.5 pre-group to 7.1 at 3-month follow-up; 95% CI 0.4 to 3.2).
Conclusion
The WAterS intervention warrants further research evaluation. Staff can be trained and upskilled to deliver. It appears safe and feasible to deliver online to groups, and study recruitment and data collection are feasible. Funding has been secured to further develop the intervention, considering implementation and health equality.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>38505946</pmid><doi>10.1177/02692155241239879</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-1929-4139</orcidid><orcidid>https://orcid.org/0000-0003-4075-1215</orcidid><orcidid>https://orcid.org/0000-0002-4198-5761</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-2155 |
| ispartof | Clinical rehabilitation, 2024-07, Vol.38 (7), p.979-989 |
| issn | 0269-2155 1477-0873 1477-0873 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2972703947 |
| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List |
| subjects | Acceptance Acceptance and Commitment Therapy Adaptation, Psychological Adjustment Adult Aged Candidates Citizen participation Clinical psychology Commitment Critical incidents Data quality Emotional Adjustment Equality Feasibility Feasibility Studies Female Health status Humans Intervention Male Mental depression Middle Aged Psychological distress Psychological flexibility Quality of Life Recruitment Rehabilitation Stroke Stroke - complications Stroke Rehabilitation - methods Survivor United Kingdom Well being Workforce |
| title | Wellbeing After Stroke (WAterS): Feasibility Testing of a Co-developed Acceptance and Commitment Therapy Intervention to Support Psychological Adjustment After Stroke |
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