From rehabilitation to recovery: protocol for a randomised controlled trial evaluating a goal-based intervention to reduce depression and facilitate participation post-stroke |
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Authors: | Christine Graven Kim Brock Keith Hill David Ames Susan Cotton and Lynette Joubert |
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Institution: | (1) School of Health Sciences, The University of Melbourne, Parkville, Victoria, 3052, Australia;(2) Physiotherapy Department, St.Vincent’s Hospital Melbourne, PO Box 2900, Fitzroy, Victoria, 3065, Australia;(3) Faculty of Health Sciences, La Trobe University and Northern Health, Bundoora, Victoria, 3086, Australia;(4) National Ageing Research Institute, Royal Melbourne Hospital, PO Box 2127, Melbourne, Victoria, 3050, Australia;(5) Orygen Youth Health Research Centre, Locked Bag 10, Parkville, Victoria, 3052, Australia |
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Abstract: | Background There is much discourse in healthcare about the importance of client-centred rehabilitation, however in the realm of community-based
therapy post-stroke there has been little investigation into the efficacy of goal-directed practice that reflects patients'
valued activities. In addition, the effect of active involvement of carers in such a rehabilitation process and their subsequent
contribution to functional and emotional recovery post-stroke is unclear. In community based rehabilitation, interventions
based on patients' perceived needs may be more likely to alter such outcomes. In this paper, we describe the methodology of
a randomised controlled trial of an integrated approach to facilitating patient goal achievement in the first year post-stroke.
The effectiveness of this intervention in reducing the severity of post-stroke depression, improving participation status
and health-related quality of life is examined. The impact on carers is also examined. |
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