2000
DOI: 10.1037/h0087746
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Psychosocial intervention in stroke: Families in recovery from stroke trial (FIRST).

Abstract: A family-focused psychosocial intervention for stroke survivors is described and illustrated with case studies. It is designed to improve functional recovery through four specific pathways: increased knowledge, efficacy, and control through stroke education; optimized social support; increased network cohesion; and improved problem-solving abilities. Rationales for these pathways are presented and methods of implementing them discussed.

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Cited by 54 publications
(46 citation statements)
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“…The results of this trial showed no difference between intervention and UC in the primary endpoint at either three or six months, using an intention-totreat approach (28). An examination of prespecified subgroups revealed that those who were not depressed and had little cognitive impairment, more minor strokes, and fewer preexisting chronic conditions tended to benefit from the intervention.…”
Section: Interpreting the Results Of Social And Behavioral Interventimentioning
confidence: 96%
“…The results of this trial showed no difference between intervention and UC in the primary endpoint at either three or six months, using an intention-totreat approach (28). An examination of prespecified subgroups revealed that those who were not depressed and had little cognitive impairment, more minor strokes, and fewer preexisting chronic conditions tended to benefit from the intervention.…”
Section: Interpreting the Results Of Social And Behavioral Interventimentioning
confidence: 96%
“…Furthermore, based on these domains, 16 content areas of psychosocial adaptation to stroke were identified (9,23) and used as a checklist to ensure that all topics were addressed during the intervention while allowing variation in the sequence and relative emphases in each family system. Additional details of the intervention are described elsewhere (24). A brief eight-step description of the intervention is included as an Appendix.…”
Section: Interventionmentioning
confidence: 99%
“…36 This provides support for additional testing of the use of telephone social problem solving in their subsequent study. 29 Glass et al 34 described the development of a family-focused psychosocial intervention using a problem-defined system using case studies. The first published correlation study examining the relationships between caregiver social problem-solving abilities and their physical and psychosocial well-being in 20 blacks and 20 whites found that these abilities among caregivers were associated with their depression and general health status, but social support did not influence this relationship.…”
Section: Findings From the Nonintervention Studiesmentioning
confidence: 99%
“…32,33 Three were nonintervention studies, including a case study that described and illustrated the development of a problem-defined system to help family caregivers cope with their daily problems. 34 A correlational study that examined the relationship between caregivers' problem-solving abilities and their physical and psychological well-being was identified. 35 Another study described the framework and concepts supporting the use of a social problem-solving telephone partnership project in the United States.…”
Section: Study Design and Focusmentioning
confidence: 99%