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Evaluation of cognitive assessment in stroke rehabilitation
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McKinney, M., Blake, H., Treece, K. A., Lincoln, N. B., Playford, E. Diane and Gladman, J. R. (2002) Evaluation of cognitive assessment in stroke rehabilitation. Clinical Rehabilitation, 16 (2). pp. 129-136. doi:10.1191/0269215502cr479oa ISSN 0269-2155.
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Official URL: http://dx.doi.org/10.1191/0269215502cr479oa
Abstract
Objective: To assess the effect of cognitive assessment on the functional outcome of stroke patients and quality of life for both patients and their carers.
Design: A multicentre, single-blind, randomized controlled trial.
Setting and participants: Two hundred and twenty-eight stroke patients were recruited from hospital wards in three UK centres.
Interventions: Patients were screened for cognitive impairment and randomly allocated to either routine care (116 patients) or routine care plus a detailed cognitive assessment (112 patients).
Main outcome measures: Outcome was assessed three and six months after recruitment by an independent assessor blind to the intervention on Extended ADL, Cognitive Failures Questionnaire, General Health Questionnaire-28 for patients and carers and Carer Strain Index.
Results: There was no signi”cant difference between the two groups in patients’ functional outcome, perceived cognitive ability, level of psychological distress or satisfaction with care. There was a trend for the assessment group to have lower levels of carer strain (p = 0.06).
Conclusions: The provision of information about cognitive assessment in stroke rehabilitation may decrease carer strain.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Clinical Rehabilitation | ||||
| Publisher: | Sage Publications Ltd. | ||||
| ISSN: | 0269-2155 | ||||
| Official Date: | February 2002 | ||||
| Dates: |
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| Volume: | 16 | ||||
| Number: | 2 | ||||
| Page Range: | pp. 129-136 | ||||
| DOI: | 10.1191/0269215502cr479oa | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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