Bibliotherapy to reduce distress and improve wellbeing after stroke
Research type
Research Study
Full title
Bibliotherapy to reduce distress and improve wellbeing after stroke: A quasi-experimental study
IRAS ID
232266
Contact name
Misbah Gladwyn-Khan
Contact email
Sponsor organisation
Cardiff University
Clinicaltrials.gov Identifier
17/WA/0412, Previouse Unfavourable Opinion ; ,
Duration of Study in the UK
0 years, 9 months, 3 days
Research summary
Stroke is one of the main causes of acquired adult disability in the UK (Scarborough, et al., 2009). Many psychological problems can occur including: depression (Hacket et al., 2005), anxiety (Campbell Burton et al., 2013), fatigue (Glader et al., 2002), apathy (Angelelli et al., 2004) and post-traumatic stress disorder (Edmondson et al., 2013). This has a marked impact on health service usage (Naylor et al., 2012). Psychological intervention for post-stroke care has been incorporated into national guidelines (Royal College of Physicians [RCP], 2016; Welsh Government, 2012). A review previously highlighted the insufficient level of resources to tackle psychological causes of disability post-stroke (National Audit Office, 2010).
We propose to study the efficacy of 'Rebuilding your Life after Stroke,' a not-for-profit self-management book developed by clinicians,alongside carers and stroke- survivors. This book aims to help stroke-survivors and carers tackle mental health difficulties arising post-stroke. The book incorporates Acceptance and Commitment Therapy, ACT, which has a well-established evidence base for reducing psychological distress in individuals with mental illness (Ruiz, 2010, 2012) and physical health conditions including: diabetes (Hadlandsmyth et al., 2013), chronic pain (Alonso et al., 2013), epilepsy (Lundgren et al., 2008), cancer (Feros et al., 2013), irritable bowel syndrome (Ferreira et al., 2013) obesity (Weineland et al., 2012) and HIV (Silver, 2012). The book also incorporates CBT which has been shown to be efficacious for tackling mental health difficulties arising post-stroke (Kneebone et al., 2014).
The study utilises a multiple baseline design (Cook & Campbell,1979, 2012) in which the intervention is staggered. A multiple baseline design establishes a baseline for each participant. Measurement administration will take place weekly,over an extended timeline, with a minimum of a four-week follow-up. The intervention will entail provision of the book, weekly setting of goals and targets for use of book and recorded monitoring by researchers.REC name
Wales REC 4
REC reference
18/WA/0045
Date of REC Opinion
13 Feb 2018
REC opinion
Favourable Opinion