Harrison, M.A., Ryan, A., Gardiner, C. et al. (1 more author) (2017) Psychological and emotional needs, assessment and support post-stroke: a multi-perspective qualitative study. Topics in Stroke Rehabilitation, 24 (2). pp. 119-125. ISSN 1074-9357
Abstract
Background: International stroke care guidelines recommend the routine assessment and management of psychological and emotional problems post-stroke. Understanding the experiences of those delivering and receiving these services is vital to improving the provision of psychological support post-stroke. Objectives: To explore patients’, carers’ and health professionals’ experiences of psychological need, assessment and support post-stroke whilst in hospital and immediately post-discharge. Methods: Participants were recruited from seven specialist stroke services in the North of England. Qualitative semi-structured interviews and focus groups were conducted with 31 stroke patients, 28 carers and 66 health professionals. The interviews were recorded and transcribed verbatim, and analysed using thematic analysis. Results: Two central themes emerged Minding the gap: psychological expertise, and Protective factors perceived to reduce the need for formal psychological support. The lack of psychological expertise amongst healthcare professionals working on stroke units was a source of frustration and resulted in other disciplines assuming the role of a psychologist without the required skills and training. Multiple stakeholders discussed the importance of protective factors, including downward social comparison, social support, peer support, communication and information provision, that were perceived to reduce the need for formal psychological support. Discussion: Stroke patients need better access to psychological support, including information, advice and peer or social support. More research is required to establish the effectiveness of alternative options to formal psychological support
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2016 Taylor & Francis. This is an author produced version of a paper subsequently published in Topics in Stroke Rehabilitation. Uploaded in accordance with the publisher's self-archiving policy |
Keywords: | Stroke; Psychology; Clinical psychology; Depression; Guidelines; Qualitative; Thematic analysis |
Dates: |
|
Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Funding Information: | Funder Grant number SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST CLAHRC |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 03 Jun 2016 11:19 |
Last Modified: | 01 Jul 2017 15:20 |
Published Version: | https://dx.doi.org/10.1080/10749357.2016.1196908 |
Status: | Published |
Publisher: | Taylor & Francis |
Refereed: | Yes |
Identification Number: | 10.1080/10749357.2016.1196908 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:100464 |