Does psychological treatment improve the outcome after stroke?

ISRCTN ISRCTN33773710
DOI https://doi.org/10.1186/ISRCTN33773710
Secondary identifying numbers MS33
Submission date
23/01/2004
Registration date
23/01/2004
Last edited
17/06/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Allan House
Scientific

Department of Psychiatry
University of Leeds
15 Hyde Terrace
Leeds
LS2 9LT
United Kingdom

Phone +44 (0)113 233 2725
Email a.o.house@leeds.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeQuality of life
Scientific titleDoes psychological treatment improve the outcome after stroke?
Study objectivesDepressed mood may affect about 40% of elderly people after a stroke, especially during the first year. It is a major determinant of quality of life for patients and carers, and may delay functional and social recovery. The condition may not be recognised, and even if it is, the best treatment is not known.
The aim of this study was to assess the effectiveness of a psychological intervention.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedCerebrovascular disease, stroke
Intervention1. Psychiatric nurse therapist offering six hourly sessions of a problem-solving type of cognitive- behaviour therapy
2. Voluntary visitor with no special training offering a similar time of support and advice
3. Nothing beyond normal rehabilitation
Intervention typeOther
Primary outcome measure1. Patients and carers were assessed at entry, at 6 months and at 12 months.
Measurements of patients comprised:
1.1. Present State Examination
1.2. General Health Questionnaire 28 (GHQ-28)
1.3. Beck Hopelessness scale
1.4. Frenchay Activities Index
1.5. Barthel ADL Scale
1.6. Mini Mental State Exam,
1.7. Nottingham Health Profile
2. Carers were assessed by
2.1. GHQ-28
2.2. Nottingham Health Profile
2.3. Social Adjustment Scale
2.4. Carers Strain Index
3. Information was also collected on contacts with general practitioners and hospital service, use of medication especially antidepressants, and satisfaction with care received.
4. Resource use over the 12 months was also measured.
Secondary outcome measuresNot provided at time of registration
Overall study start date01/06/1995
Completion date01/02/2000

Eligibility

Participant type(s)Patient
Age groupOther
SexBoth
Target number of participants448
Total final enrolment450
Key inclusion criteria448 patients were recruited from hospitals in Leeds and Bradford within one month of suffering a stroke. Median age of patients was 73, and 40% lived alone.
Key exclusion criteriaPatients with significant cognitive or communication difficulties
Date of first enrolment01/06/1995
Date of final enrolment01/02/2000

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Leeds
Department of Psychiatry
15 Hyde Terrace
Leeds
LS2 9LT
United Kingdom

Sponsor information

Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Government

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.doh.gov.uk

Funders

Funder type

Government

NHS Cardiovascular Disease and Stroke National Research and Development Programme (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2001 Yes No
Results article results 14/06/2019 17/06/2019 Yes No

Editorial Notes

17/06/2019: Publication reference and total final enrolment added.
18/03/2016: Publication reference added