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Perceived control and recovery from functional limitations: Preliminary evaluation of a workbook‐based intervention for discharged stroke patients
Author(s) -
Frank Gisela,
Johnston Marie,
Morrison Val,
Pollard Beth,
MacWalter Ron
Publication year - 2000
Publication title -
british journal of health psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.05
H-Index - 88
eISSN - 2044-8287
pISSN - 1359-107X
DOI - 10.1348/135910700169017
Subject(s) - workbook , mood , intervention (counseling) , stroke (engine) , cognition , psychology , physical therapy , medicine , clinical psychology , physical medicine and rehabilitation , psychiatry , mechanical engineering , accounting , engineering , business
Background. Previous research has demonstrated that control cognitions predict functional limitations following stroke. This paper reports a preliminary evaluation of the effects of a workbook intervention, designed to enhance perceptions of control, in reducing disability in patients discharged from hospital following stroke. Methods. Thirty‐nine patients living at home who had had a stroke within the 2 previous years completed baseline assessments of functional limitations, mood and perceived control. They were then randomly allocated to either a Workbook Intervention or a Wait control group and functional limitation and mood outcomes were assessed 1 month later. Results. Results showed no benefit of the intervention, but both groups showed reduced functional limitations. Reductions in functional limitations were correlated with increases in perceptions of control. Conclusions. Clearly, the workbook intervention needs to be strengthened before a full evaluation would be worthwhile for this clinical group. It is possible that both groups demonstrated spontaneous recovery or may have benefited from the additional attention given by the researcher. These benefits were associated with enhanced perceptions of control, contributing to previous findings suggesting that control cognitions may be both a consequence and a determinant of functional limitations.