StrokeCog study: modelling and modifying stroke-related cognitive impairment through innovative application of health psychology principles
AbstractRationale: Cognitive impairment is a very common stroke outcome. Evidence indicates a strong association between post-stroke cognitive impairment and subsequent development of dementia, often associated with poor medication adherence and further stroke. Despite its prevalence, post-stroke cognitive impairment is arguably the “lost dimension” of stroke rehabilitation, with rehabilitation of cognitive impairment receiving substantially less attention than rehabilitation of physical function. Aims: The aim of this symposium is to (i) profile post-stroke cognitive impairment; (ii) describe the long-term impact of cognitive impairment and medication adherence for stroke-related morbidity and mortality; (iii) profile the development of an innovative epidemiological modeling platform that profiles the cognitive impairment – dementia continuum and enables evaluation of the effects of interventions to rehabilitate cognitive impairment post-stroke; (iv) develop and test a post-stroke cognitive intervention in a pilot RCT using health psychology principles of behaviour change; and (v) cost post-stroke cognitive impairment and the continuum to dementia, and conduct an evaluation of cost-effectiveness of hypothetical interventions to reduce post-stroke cognitive impairment. Summary: This symposium presents five papers focussed on epidemiological and economic modelling of post-stroke cognitive impairment and the potential epidemiological and cost implications of delivering post-stroke cognitive rehabilitation as part of routine care. As part of the StrokeCog study, a rehabilitation intervention is being developed using health behaviour change theory, and pilot RCT findings will be tested for effectiveness in epidemiological and economic models. The symposium will present 5 papers, followed by a discussant. The five papers will detail the context and study components of the StrokeCog study, with a discussion by Professor Marie Johnston to conclude the symposium. Based on innovative application of principles of health psychology, this research programme will yield a number of deliverables that make an original contribution to national and international research and literature.
Copyright (c) 2017 A. Hickey, F. Doyle, D. Rohde, N. Merriman, E. Sexton, N. Donnelly, M. Johnston
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