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dc.contributor.authorHaworth, Helen
dc.date.accessioned2017-12-11T10:17:15Z
dc.date.available2017-12-11T10:17:15Z
dc.date.issued2012
dc.identifier.citationThomas, S. A., Walker, M. F., Macniven, J. A., Haworth, H. & Lincoln, N. B. (2012). Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia. Clinical Rehabilitation, 27 (5), pp.398-408.en
dc.identifier.other10.1177/0269215512462227
dc.identifier.urihttp://hdl.handle.net/20.500.12904/7823
dc.description.abstractObjective: The aim was to evaluate behavioural therapy as a treatment for low mood in people with aphasia. Design: A randomized controlled trial comparing behavioural therapy plus usual care with a usual care control. Potential participants with aphasia after stroke were screened for the presence of low mood. Those who met the criteria and gave consent were randomly allocated. Setting: Participants were recruited from hospital wards, community rehabilitation, speech and language therapy services and stroke groups. Subjects: Of 511 people with aphasia identified, 105 had low mood and were recruited. Interventions: Behavioural therapy was offered for up to three months. Outcomes were assessed three and six months after random allocation. Main measures: Stroke Aphasic Depression Questionnaire, Visual Analog Mood Scales ‘sad’ item, and Visual Analogue Self-Esteem Scale. Results: Participants were aged 29 to 94 years (mean 67.0, SD 13.5) and 66 (63%) were men. Regression analysis showed that at three months, when baseline values and communication impairment were controlled for, group allocation was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), visual analogue ‘sad’ (P = 0.03), and Visual Analogue Self-Esteem Scale (P < 0.01). At six months, group alone was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), and remained significant when baseline values were controlled for (P = 0.02). Mean Stroke Aphasic Depression Questionnaire 10-item hospital version scores decreased from baseline to six months by six points in the intervention group as compared with an increase of 1.9 points in the control group.en
dc.description.urihttp://journals.sagepub.com/doi/10.1177/0269215512462227
dc.subjectStrokeen
dc.subjectBehaviouren
dc.subjectDepressionen
dc.subjectSurveys and questionnairesen
dc.titleCommunication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasiaen
dc.typeArticle
refterms.dateFOA2021-12-02T16:24:04Z


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