School of Allied Health, Ageing Research Centre, Faculty of Education and Health Sciences, Health Research Institute, University of Limerick, Limerick, Ireland.
Department of Sport, Exercise & Nutrition, Atlantic Technological University (ATU), Galway, Ireland.
PLoS One. 2022 Jun 16;17(6):e0269961. doi: 10.1371/journal.pone.0269961. eCollection 2022.
Stroke is a leading cause of death and disability worldwide. Despite the prevalence and associated burden of post-stroke cognitive impairment, there is uncertainty regarding optimum interventions to improve cognitive function in people post-stroke. The aim of this study is to explore the perspectives of key stakeholders on the design and development of a multidisciplinary intervention to rehabilitate cognitive deficits in people post-stroke.
Audio-recorded, semi-structured interviews were employed with people post-stroke, caregivers, healthcare professionals and academics. All transcribed interviews were exported to NVivo software and analysed using reflexive thematic analysis.
Thirty interviews were conducted across stakeholder groups including people post-stroke (n = 10), caregivers (n = 5), healthcare professionals (n = 14) and academics (n = 1). Four themes relevant to the design and development of the intervention were identified (i) engagement in the intervention must be meaningful, (ii) the point of readiness to engage, (iii) a familiar but flexible setting is key (iv) pragmatics of intervention delivery.
These findings present new perspectives across stakeholder groups on the design and delivery of an intervention to rehabilitate cognitive deficits in people post-stroke. Taken together with existing quantitative evidence, these findings will inform the development of a feasibility trial, examining patient and process outcomes, to rehabilitate cognitive deficits post-stroke.
卒中是全世界范围内导致死亡和残疾的主要原因。尽管卒中后认知障碍的发病率高且负担重，但对于改善卒中后人群认知功能的最佳干预措施仍存在不确定性。本研究旨在探讨关键利益相关者对设计和开发多学科干预措施以恢复卒中后人群认知缺陷的看法。
采用音频记录的半结构式访谈，对卒中后患者、照顾者、医疗保健专业人员和学者进行访谈。将所有转录的访谈导出到 NVivo 软件中，并使用反思性主题分析进行分析。
在包括卒中后患者（n = 10）、照顾者（n = 5）、医疗保健专业人员（n = 14）和学者（n = 1）在内的各利益相关者组中进行了 30 次访谈。确定了与干预设计和开发相关的四个主题（i）参与干预必须有意义，（ii）准备好参与的时机，（iii）熟悉但灵活的环境是关键，（iv）干预交付的实用性。
这些发现为卒中后人群认知缺陷的干预设计和实施提供了来自各利益相关者群体的新视角。这些发现与现有的定量证据相结合，将为评估认知缺陷康复的可行性试验提供信息，该试验将检查患者和治疗过程的结果。
