Testing the Effectiveness of Knowledge and Behavior Therapy in Patients of Hemiplegic Stroke

Abstract

Consistent with our expectations, patients with stroke who received K&B training showed greater improvements in mental and physical health. Our findings suggest that the K&B therapy effectively targeted anger and improved the well-being among patients with stroke. It is our recommendation that K&B therapy should be implemented with a hospital's standard procedure for stroke recovery.

The Effectiveness of Cognitive Behavioral Therapy for People with Depression Following Stroke: A Systematic Review and Meta-Analysis

“…The four included studies were all parallel-group and superiority trials of explanatory RCTs (Alexopoulos et al, 2012;Chang et al, 2011;Lincoln & Flannaghan, 2003;Mitchell et al, 2009). Details of the basic characteristics, research design, and findings are summarized in Table 1.…”

“…They felt struggled to identify standardized-and individualized-care when session plans were not clearly described. For example, in Chang et al (2011), rater V used length-dependent reference and judged that post-treatment follow-up at 1 month was considered adequate for short-term CBT (four sessions completed in 1 month); however, KC rated "inadequate" with a judgment on fixed reference (3 months as a cutoff) regardless of intensity of CBT.…”

“…Although the researcher found that antidepressant therapy was not likely to impede the effectiveness of CBT, adjunctive techniques, such as a general rehabprogram, relaxation exercise, and anger management were not examined. One study (Chang et al, 2011) with the highest effect size in the review distinctively applied anger management skills in the CBT sessions. The study reported a high association between treatment outcomes and anger elements, which could raise doubts about whether anger management training contributed to the alleviation of depressive symptoms.…”

Translating stepped psychological care to aphasia rehabilitation

“…This review analysed one publication, the most recent, from these studies (Aben, et al, 2014;Corsten, et al, 2015;Graven, et al, 2016). There were 23 RCTs (Aben, et al, 2014;Graven, et al, 2016;Bagley, Hudson, Forster, Smith, & Young, 2005;Bakas, Farran, Austin, Given, Johnson, & Williams, 2009;Chang, Zhang, Xia, & Chen, 2011;Cumming, Collier, Thrift, & Bernhardt, 2008;Drummond, et al, 2013;Forster, et al, 2013;Green, Forster, Bogle, & Young, 2002;Hoffmann, McKenna, Worrall, & Read, 2007;Hoffmann, Ownsworth, Eames, & Shum, 2015;Lincoln, Jones, & Mulley, 1985;Mant, Carter, Wade, & Winner, 2000;Mead, et al, 2007;Pfeiffer, et al, 2014;Raglio, et al, 2017;Rudd, Wolfe, Tilling, & Beech, 1997;Sackley, et al, 2015;Sansom, Ng, Zhang, & Khan, 2015;Smith, Egbert, Dellman-Jenkins, Nanna, & Palmieri, 2012;Thomas, et al, 2013;Visser, et al, 2016;Wolfe, Tilling, & Rudd, 2000), and 2 non-randomized controlled trials (Geddes & Chamberlain, 1994;Taricco, et al, 2014). There were 5 single participant experimental designs (Eriksson, Forsgren, Hartelius, & Saldert, 2016a;Eriksson, Hartelius, & Saldert, 2016b;Jones, Mandy, & Partridge, 2009;Murray & Ray, 2001;Rabin, et al, 2012) and 9 case series designs…”

“…The highest scores were 9 out of a possible 10 for two studies which fulfilled all criteria except report of blinding therapists to treatment allocation (Graven, et al, 2016;Green, et al, 2002). Eligibility criteria were provided for all studies and all but four studies had similar groups at baseline on key prognostic indicators (Chang, et al, 2011;Pfeiffer, et al, 2014;Geddes & Chamberlain, 1994;Taricco, et al, 2014). Intention to treat analysis was reported in 52% of studies.…”