Talking about recovery after stroke: A qualitative study

  • Research type

    Research Study

  • Full title

    Talking about recovery after stroke: A qualitative study of current practice and exploration of the views of stroke survivors, caregivers and staff

  • IRAS ID

    255197

  • Contact name

    Louisa-Jane Burton

  • Contact email

    louisa.burton@bthft.nhs.uk

  • Sponsor organisation

    The University of Leeds

  • Duration of Study in the UK

    0 years, 10 months, 31 days

  • Research summary

    This study aims to develop an understanding of provision of information about recovery in stroke units, and the views, perceptions and experiences of stroke survivors, their caregivers and staff. A qualitative approach to data collection will be employed, including non-participant observations and semi-structured interviews with stroke survivors, their caregivers and multidisciplinary staff.
    We will undertake ethnographic non-participant observations in two in-patient stroke units for up to six weeks in each unit, focusing on situations where provision and discussion of information about recovery is likely to take place, including routinely occurring activities (e.g. therapy sessions and formal family meetings). Participants will include up to ten purposively sampled stroke survivors, their caregivers and up to 15 multidisciplinary staff (therapists, nurses, doctors) per site. Four-to-six weeks after hospital discharge, the recruited stroke survivor and caregiver participants will be invited to take part in semi-structured interviews, to explore their expectations of recovery, and how these have been shaped by interactions with stroke unit staff. Their recollections of information received, their views about it, and unmet information needs will also be explored. Post-observation interviews with participating staff will explore their views around their perceived ability to make predictions about recovery and experiences of communicating this information with stroke survivors and their caregivers. The availability of training for staff in discussing recovery and breaking bad news will be considered.
    Data analysis will employ the Framework approach for interview data, to facilitate comparison within and between groups of participants. Thematic content analysis will be used to analyse field-note data. Summaries of the results will be created, to facilitate development of an intervention to help stroke unit staff talk more effectively about recovery in the next stage of the project (a separate follow-on study).

  • REC name

    Yorkshire & The Humber - Bradford Leeds Research Ethics Committee

  • REC reference

    19/YH/0009

  • Date of REC Opinion

    29 Jan 2019

  • REC opinion

    Favourable Opinion