Related Experiment Videos
Evaluation of cognitive assessment in stroke rehabilitation
M McKinney1, H Blake, K A Treece
1School of Psychology, University of Nottingham, University Park, UK.
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 significant 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.