The effectiveness of problem solving therapy for stroke patients: study protocol for a pragmatic randomized controlled trial
Coping style is one of the determinants of health-related quality of life after stroke. Stroke patients make less use of active problem-oriented coping styles than other brain damaged patients. Coping styles can be influenced by means of intervention. The primary aim of this study is to investigate...
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| Veröffentlicht in: | BMC neurology 2013-06, Vol.13 (1), p.67-67, Article 67 |
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| creator | Visser, Marieke M Heijenbrok-Kal, Majanka H van 't Spijker, Adriaan Ribbers, Gerard M Busschbach, Jan J V |
| description | Coping style is one of the determinants of health-related quality of life after stroke. Stroke patients make less use of active problem-oriented coping styles than other brain damaged patients. Coping styles can be influenced by means of intervention. The primary aim of this study is to investigate if Problem Solving Therapy is an effective group intervention for improving coping style and health-related quality of life in stroke patients. The secondary aim is to determine the effect of Problem Solving Therapy on depression, social participation, health care consumption, and to determine the cost-effectiveness of the intervention.
We strive to include 200 stroke patients in the outpatient phase of rehabilitation treatment, using a multicenter pragmatic randomized controlled trial with one year follow-up. Patients in the intervention group will receive Problem Solving Therapy in addition to the standard rehabilitation program. The intervention will be provided in an open group design, with a continuous flow of patients. Primary outcome measures are coping style and health-related quality of life. Secondary outcome measures are depression, social participation, health care consumption, and the cost-effectiveness of the intervention.
We designed our study as close to the implementation in practice as possible, using a pragmatic randomized trial and open group design, to represent a realistic estimate of the effectiveness of the intervention. If effective, Problem Solving Therapy is an inexpensive, deliverable and sustainable group intervention for stroke rehabilitation programs.
Nederlands Trial Register, NTR2509. |
| doi_str_mv | 10.1186/1471-2377-13-67 |
| format | Article |
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We strive to include 200 stroke patients in the outpatient phase of rehabilitation treatment, using a multicenter pragmatic randomized controlled trial with one year follow-up. Patients in the intervention group will receive Problem Solving Therapy in addition to the standard rehabilitation program. The intervention will be provided in an open group design, with a continuous flow of patients. Primary outcome measures are coping style and health-related quality of life. Secondary outcome measures are depression, social participation, health care consumption, and the cost-effectiveness of the intervention.
We designed our study as close to the implementation in practice as possible, using a pragmatic randomized trial and open group design, to represent a realistic estimate of the effectiveness of the intervention. If effective, Problem Solving Therapy is an inexpensive, deliverable and sustainable group intervention for stroke rehabilitation programs.
Nederlands Trial Register, NTR2509.</description><identifier>ISSN: 1471-2377</identifier><identifier>EISSN: 1471-2377</identifier><identifier>DOI: 10.1186/1471-2377-13-67</identifier><identifier>PMID: 23802989</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adaptation, Psychological ; Adolescent ; Adult ; Aged ; Brain damage ; Care and treatment ; Cognitive Therapy - economics ; Cognitive Therapy - methods ; Cost-Benefit Analysis ; Double-Blind Method ; Female ; Follow-Up Studies ; Health aspects ; Humans ; Male ; Middle Aged ; Problem Solving ; Problem-solving therapy ; Quality of Life ; Stroke - economics ; Stroke - psychology ; Stroke patients ; Stroke Rehabilitation ; Study Protocol ; Treatment Outcome ; Young Adult</subject><ispartof>BMC neurology, 2013-06, Vol.13 (1), p.67-67, Article 67</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Visser et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Visser et al.; licensee BioMed Central Ltd. 2013 Visser et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b580t-d72500bfea50e7d11f622d5507b372da1b7c5015a75e5d332db5da2f859c733a3</citedby><cites>FETCH-LOGICAL-b580t-d72500bfea50e7d11f622d5507b372da1b7c5015a75e5d332db5da2f859c733a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3700834/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3700834/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23802989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Visser, Marieke M</creatorcontrib><creatorcontrib>Heijenbrok-Kal, Majanka H</creatorcontrib><creatorcontrib>van 't Spijker, Adriaan</creatorcontrib><creatorcontrib>Ribbers, Gerard M</creatorcontrib><creatorcontrib>Busschbach, Jan J V</creatorcontrib><title>The effectiveness of problem solving therapy for stroke patients: study protocol for a pragmatic randomized controlled trial</title><title>BMC neurology</title><addtitle>BMC Neurol</addtitle><description>Coping style is one of the determinants of health-related quality of life after stroke. Stroke patients make less use of active problem-oriented coping styles than other brain damaged patients. Coping styles can be influenced by means of intervention. The primary aim of this study is to investigate if Problem Solving Therapy is an effective group intervention for improving coping style and health-related quality of life in stroke patients. The secondary aim is to determine the effect of Problem Solving Therapy on depression, social participation, health care consumption, and to determine the cost-effectiveness of the intervention.
We strive to include 200 stroke patients in the outpatient phase of rehabilitation treatment, using a multicenter pragmatic randomized controlled trial with one year follow-up. Patients in the intervention group will receive Problem Solving Therapy in addition to the standard rehabilitation program. The intervention will be provided in an open group design, with a continuous flow of patients. Primary outcome measures are coping style and health-related quality of life. Secondary outcome measures are depression, social participation, health care consumption, and the cost-effectiveness of the intervention.
We designed our study as close to the implementation in practice as possible, using a pragmatic randomized trial and open group design, to represent a realistic estimate of the effectiveness of the intervention. If effective, Problem Solving Therapy is an inexpensive, deliverable and sustainable group intervention for stroke rehabilitation programs.
Nederlands Trial Register, NTR2509.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Brain damage</subject><subject>Care and treatment</subject><subject>Cognitive Therapy - economics</subject><subject>Cognitive Therapy - methods</subject><subject>Cost-Benefit Analysis</subject><subject>Double-Blind Method</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Problem Solving</subject><subject>Problem-solving therapy</subject><subject>Quality of Life</subject><subject>Stroke - economics</subject><subject>Stroke - psychology</subject><subject>Stroke patients</subject><subject>Stroke Rehabilitation</subject><subject>Study Protocol</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1471-2377</issn><issn>1471-2377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNkk1v1DAQhiMEoqVw5oYsceGS1h9xnHBAaiu-pEpcytly7PGuixMHO1lpET8ep1uWLioS8sHjmWdejV5PUbwk-JSQpj4jlSAlZUKUhJW1eFQc7zOP78VHxbOUbjAmoqnI0-KIsgbTtmmPi5_Xa0BgLejJbWCAlFCwaIyh89CjFPzGDSs0rSGqcYtsiChNMXwDNKrJwTCltzkxm-3SMgUd_C2j8lOt-oxoFNVgQu9-gEE6DLnZ-xxO0Sn_vHhilU_w4u4-Kb5-eH99-am8-vLx8-X5VdnxBk-lEZRj3FlQHIMwhNiaUsM5Fh0T1CjSCc0x4Upw4IYxajpuFLUNb7VgTLGT4t1Od5y7HozOc0fl5Rhdr-JWBuXkYWVwa7kKG8kExg2rssDFTqBz4R8ChxUderm4Lxf3JWGyFlnkzd0UMXyfIU2yd0mD92qAMKfME8pJQ8R_oKxtKspIxTL6-i_0JsxxyHbeUpzQtsZ_qJXyIN1gQx5TL6LynLOqJpSyNlOnD1D5GOhd_jywLucPGs52DTqGlCLYvSUEy2VBHzDh1f2v2PO_N5L9Amy14hQ</recordid><startdate>20130627</startdate><enddate>20130627</enddate><creator>Visser, Marieke M</creator><creator>Heijenbrok-Kal, Majanka H</creator><creator>van 't Spijker, Adriaan</creator><creator>Ribbers, Gerard M</creator><creator>Busschbach, Jan J V</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><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>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130627</creationdate><title>The effectiveness of problem solving therapy for stroke patients: study protocol for a pragmatic randomized controlled trial</title><author>Visser, Marieke M ; Heijenbrok-Kal, Majanka H ; van 't Spijker, Adriaan ; Ribbers, Gerard M ; Busschbach, Jan J V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b580t-d72500bfea50e7d11f622d5507b372da1b7c5015a75e5d332db5da2f859c733a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Brain damage</topic><topic>Care and treatment</topic><topic>Cognitive Therapy - economics</topic><topic>Cognitive Therapy - methods</topic><topic>Cost-Benefit Analysis</topic><topic>Double-Blind Method</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Problem Solving</topic><topic>Problem-solving therapy</topic><topic>Quality of Life</topic><topic>Stroke - economics</topic><topic>Stroke - psychology</topic><topic>Stroke patients</topic><topic>Stroke Rehabilitation</topic><topic>Study Protocol</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Visser, Marieke M</creatorcontrib><creatorcontrib>Heijenbrok-Kal, Majanka H</creatorcontrib><creatorcontrib>van 't Spijker, Adriaan</creatorcontrib><creatorcontrib>Ribbers, Gerard M</creatorcontrib><creatorcontrib>Busschbach, Jan J V</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Visser, Marieke M</au><au>Heijenbrok-Kal, Majanka H</au><au>van 't Spijker, Adriaan</au><au>Ribbers, Gerard M</au><au>Busschbach, Jan J V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effectiveness of problem solving therapy for stroke patients: study protocol for a pragmatic randomized controlled trial</atitle><jtitle>BMC neurology</jtitle><addtitle>BMC Neurol</addtitle><date>2013-06-27</date><risdate>2013</risdate><volume>13</volume><issue>1</issue><spage>67</spage><epage>67</epage><pages>67-67</pages><artnum>67</artnum><issn>1471-2377</issn><eissn>1471-2377</eissn><abstract>Coping style is one of the determinants of health-related quality of life after stroke. Stroke patients make less use of active problem-oriented coping styles than other brain damaged patients. Coping styles can be influenced by means of intervention. The primary aim of this study is to investigate if Problem Solving Therapy is an effective group intervention for improving coping style and health-related quality of life in stroke patients. The secondary aim is to determine the effect of Problem Solving Therapy on depression, social participation, health care consumption, and to determine the cost-effectiveness of the intervention.
We strive to include 200 stroke patients in the outpatient phase of rehabilitation treatment, using a multicenter pragmatic randomized controlled trial with one year follow-up. Patients in the intervention group will receive Problem Solving Therapy in addition to the standard rehabilitation program. The intervention will be provided in an open group design, with a continuous flow of patients. Primary outcome measures are coping style and health-related quality of life. Secondary outcome measures are depression, social participation, health care consumption, and the cost-effectiveness of the intervention.
We designed our study as close to the implementation in practice as possible, using a pragmatic randomized trial and open group design, to represent a realistic estimate of the effectiveness of the intervention. If effective, Problem Solving Therapy is an inexpensive, deliverable and sustainable group intervention for stroke rehabilitation programs.
Nederlands Trial Register, NTR2509.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23802989</pmid><doi>10.1186/1471-2377-13-67</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; SpringerNature Journals; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Springer Nature OA/Free Journals |
| subjects | Adaptation, Psychological Adolescent Adult Aged Brain damage Care and treatment Cognitive Therapy - economics Cognitive Therapy - methods Cost-Benefit Analysis Double-Blind Method Female Follow-Up Studies Health aspects Humans Male Middle Aged Problem Solving Problem-solving therapy Quality of Life Stroke - economics Stroke - psychology Stroke patients Stroke Rehabilitation Study Protocol Treatment Outcome Young Adult |
| title | The effectiveness of problem solving therapy for stroke patients: study protocol for a pragmatic randomized controlled trial |
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