Managing post-stroke fatigue: A qualitative study to explore multifaceted clinical perspectives.

Area of Science:

• Neurology
• Rehabilitation Medicine
• Clinical Psychology

Background:

• Post-stroke fatigue (PSF) is a prevalent and disabling condition affecting stroke survivors.
• Effective management of PSF is crucial, yet current clinical practice lacks substantial evidence-based guidance.

Purpose of the Study:

• To explore the experiences and perspectives of clinicians who routinely manage patients experiencing fatigue after a stroke.
• To identify common themes and strategies employed in the management of PSF.

Main Methods:

• A qualitative interview study was conducted with a purposeful sample of approximately 20 participants.
• Maximum variation sampling ensured representation across different clinical settings.
• Data were analyzed using an iteratively developed framework approach.

Main Results:

• Twenty participants were recruited, including occupational therapists, physiotherapists, nurses, and psychologists, with some international 'fatigue experts'.
• Core themes identified regarding management strategies were consistent across professional backgrounds, settings, and conditions.
• Occupational therapists reported a significant responsibility for fatigue management, with all participants emphasizing multidisciplinary teamwork.

Conclusions:

• Clinicians' experiences in managing PSF and fatigue show considerable overlap across various conditions and professional groups.
• Current clinical practice for PSF management is predominantly informed by individual clinical expertise rather than established evidence.