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Total 49 results found since Jan 2013.

Improving sleep after stroke: A randomised controlled trial of digital cognitive behavioural therapy for insomnia
J Sleep Res. 2023 Jul 5:e13971. doi: 10.1111/jsr.13971. Online ahead of print.ABSTRACTStroke is frequently accompanied by long-term sleep disruption. We therefore aimed to assess the efficacy of digital cognitive behavioural therapy for insomnia to improve sleep after stroke. A parallel group randomised controlled trial was conducted remotely in participant's homes/online. Randomisation was online with minimisation of between-group differences in age and baseline Sleep Condition Indicator-8 score. In total, 86 community-dwelling stroke survivors consented, of whom 84 completed baseline assessments (39 female, mean 5.5 year...
Source: Journal of Sleep Research - July 5, 2023 Category: Sleep Medicine Authors: Melanie K Fleming Tom Smejka Ellie Macey Ramon Luengo-Fernandez Alasdair L Henry Barbara Robinson Simon D Kyle Colin A Espie Heidi Johansen-Berg Source Type: research

Cognitive-and-motor therapy after stroke is not superior to motor and cognitive therapy alone to improve cognitive and motor outcomes: new insights from a meta-analysis
CONCLUSIONS: CMT was not superior to mono-therapies to improve outcomes after stroke. CMT approaches were equally effective suggesting that training that enlists a cognitive load per se, may benefit outcomes. (PROSPERO CRD42020193655).PMID:37295704 | DOI:10.1016/j.apmr.2023.05.010
Source: Health Physics - June 9, 2023 Category: Physics Authors: Elissa Embrechts Dr Thomas B McGuckian Dr Jeffrey M Rogers Prof Chris H Dijkerman Prof Bert Steenbergen Prof Peter H Wilson Associate Prof Tanja C W Nijboer Source Type: research

Cognitive and Motor Therapy After Stroke Is Not Superior to Motor and Cognitive Therapy Alone to Improve Cognitive and Motor Outcomes: New Insights From a Meta-analysis
To evaluate whether cognitive and motor therapy (CMT) is more effective than no therapy, motor therapy, or cognitive therapy on motor and/or cognitive outcomes after stroke. Additionally, this study evaluates whether effects are lasting and which CMT approach is most effective.
Source: Archives of Physical Medicine and Rehabilitation - June 7, 2023 Category: Rehabilitation Authors: Elissa Embrechts, Thomas B. McGuckian, Jeffrey M. Rogers, Chris H. Dijkerman, Bert Steenbergen, Peter H. Wilson, Tanja C.W. Nijboer Tags: REVIEW ARTICLE Source Type: research

The use of mindfulness-based interventions in stroke rehabilitation: A scoping review.
Conclusions/Implications: The available evidence lends qualified support to the view that mindfulness has the potential to be a therapeutic intervention that offers health benefits to individuals poststroke. Yet, the diversity of results highlights the need for a more rigorous examination in further research. We also identified several knowledge gaps in mindfulness research in the stroke population, such as the limited amount of evidence for mindfulness-based cognitive therapy (MBCT), inadequate evaluations of physical outcomes, and the lack of methodologically robust trials. Further investigations are warranted to strengt...
Source: Rehabilitation Psychology - June 1, 2023 Category: Rehabilitation Source Type: research

Improving sleep and learning in rehabilitation after stroke, part 2 (INSPIRES2): study protocol for a home-based randomised control trial of digital cognitive behavioural therapy (dCBT) for insomnia
Introduction Consolidation of motor skill learning, a key component of rehabilitation post-stroke, is known to be sleep dependent. However, disrupted sleep is highly prevalent after stroke and is often associated with poor motor recovery and quality of life. Previous research has shown that digital cognitive behavioural therapy (dCBT) for insomnia can be effective at improving sleep quality after stroke. Therefore, the aim of this trial is to evaluate the potential for sleep improvement using a dCBT programme, to improve rehabilitation outcomes after stroke. Methods and analysis We will conduct a parallel-arm randomised c...
Source: BMJ Open - April 6, 2023 Category: General Medicine Authors: Weightman, M., Robinson, B., Fallows, R., Henry, A. L., Kyle, S. D., Garratt, E., Pick, A., Teal, R., Ajina, S., Demeyere, N., Espie, C. A., Seymour, B., Johansen-Berg, H., Fleming, M. K. Tags: Open access, Rehabilitation medicine Source Type: research

Internet Cognitive Behavioural Therapy for Persons with Stroke: Developmental Phase
To identify gaps in the content of an existing ICBT program to meet the needs of those with stroke; to identify features of the online program and how it can be integrated into patient care; and to identify needs, potential facilitators and barriers that can influence implementation and use of the program.
Source: Archives of Physical Medicine and Rehabilitation - December 1, 2022 Category: Rehabilitation Authors: Daymon Blackport, Randy Upper, Dominik Polasek, Ricardo Viana, Robert Teasell, Swati Mehta Tags: Research Poster 2194704 Source Type: research

A blended eHealth intervention for insomnia following acquired brain injury: a randomised controlled trial
In conclusion, our randomised clinical trial shows that blended CBT is an effective treatment for insomnia, and feasible for people with acquired brain injury, regardless of cognitive and psychiatric complaints. Online treatment has major advantages in terms of availability and cost and may contribute to the successful implementation of insomnia treatment for people with acquired brain injuries.PMID:35641443 | DOI:10.1111/jsr.13629
Source: Journal of Sleep Research - May 31, 2022 Category: Sleep Medicine Authors: Marthe E Ford Gert J Geurtsen Erny Groet Radha D Rambaran Mishre Coen A M Van Bennekom Eus J W Van Someren Source Type: research

A Systematic Review of the Impact of Select Mindfulness Interventions on Psychological Outcomes among Older Adults with Chronic Health Conditions
CONCLUSIONS: Early evidence for MIs impact on psychological outcomes is promising, though more work involving randomized control trials is needed. Current studies generally lack methodological rigor and have a high risk of bias. Given the high rates of chronic pain in older adults and the emerging evidence for MIs, future work in this area is of particular value.CLINICAL IMPLICATIONS: Practitioners should be guardedly optimistic about the value of MIs and ACT for older adults with chronic health conditions.PMID:35585039 | DOI:10.1080/07317115.2022.2076636
Source: Cancer Control - May 18, 2022 Category: Cancer & Oncology Authors: Jay Kayser Rita Xiaochen Hu Danielle Rosenscruggs Lydia Li Xiaoling Xiang Source Type: research

Cognitive Behavioural Therapy for Managing Depressive and Anxiety Symptoms After Stroke: A Systematic Review and Meta-Analysis
To evaluate the efficacy of cognitive behavioural therapy on anxiety and depression among the stroke population.
Source: Archives of Physical Medicine and Rehabilitation - September 28, 2021 Category: Rehabilitation Authors: Jessica Ahrens, Swati Mehta, Daymon Blackport, Steven Macaluso, Ricardo Viana, Robert Teasell, Richard Shao Tags: SYSTEMATIC/META-ANALYTIC REVIEW POSTER 1710145 Source Type: research

E-115 Identifying cognitive dysfunction after aneurysmal subarachnoid hemorrhage
ConclusionA brief, peer-led education session on cognitive dysfunction after aSAH improves knowledge of the problem and current recommendations in the literature for cognitive dysfunction after aSAH. Ongoing research is necessary to understand whether the education session and observed positive knowledge change translate to a change in practice and compliance with evidence-based recommendations for cognitive dysfunction screening after aSAH.Disclosures N. Hall: None. R. Chitale: None. M. Fusco: None. M. Froehler: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Hall, N., Chitale, R., Fusco, M., Froehler, M. Tags: Electronic poster abstracts Source Type: research