Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review

Objectives To search the literature systematically in order to map and identify gaps in research investigating patient and family member psychoeducation needs regarding post-stroke cognition.Design Scoping review conducted in line with Joanna Briggs Institute (JBI) recommendations and PRISMA-ScR che...

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Main Authors: Nele Demeyere, Georgina Hobden, Faye Tabone
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/1/e084681.full
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author Nele Demeyere
Georgina Hobden
Faye Tabone
author_facet Nele Demeyere
Georgina Hobden
Faye Tabone
author_sort Nele Demeyere
collection DOAJ
description Objectives To search the literature systematically in order to map and identify gaps in research investigating patient and family member psychoeducation needs regarding post-stroke cognition.Design Scoping review conducted in line with Joanna Briggs Institute (JBI) recommendations and PRISMA-ScR checklist.Methods MEDLINE, PsycINFO, Embase, CINAHL and Scopus were searched on 25 August 2023 for peer-reviewed studies conducted in a high-income country, describing cognition-related psychoeducation needs in stroke survivors and/or family members aged ≥18 years (≥50% of the study population). Two reviewers independently screened titles, abstracts and then full-text articles. One reviewer extracted pre-defined study characteristics and findings. These data were verified by a second reviewer. Synthesis involved descriptive statistics and thematic analysis.Results Searches identified 8115 articles, of which 30 were included. Articles were published between 1996 and 2023. Studies were conducted in Australia (n=7), USA (n=6), UK (n=5), Canada (n=3), New Zealand (n=3), Ireland (n=2), Netherlands (n=2), South Korea (n=1) and Sweden (n=1). Most studies (n=21) used an exclusively qualitative approach but six combined qualitative and quantitative methods. The post-stroke period under investigation varied, including the acute/subacute stage (n=10) and the chronic stage (n=3), though many articles did not state the timepoint explicitly. Research was conducted with stroke survivors only (n=7), family members only (n=12) and both stroke survivors and family members (n=11). Qualitative analysis suggested participants wanted psychoeducation about cognitive impairment, including recovery expectations, treatment/therapy options and signposting to services/resources available. Hopeful information was important. Factors potentially impacting cognition-related psychoeducation needs were identified as time since stroke and family member relationship. Most articles focused on aphasia with very few studies considering other cognitive domains (eg, memory, attention, executive function).Conclusions The need for psychoeducation regarding cognition is well evidenced throughout the post-stroke care continuum, though most research has focused on language impairments. Further research investigating other cognitive impairments (eg, impairments in memory, attention and executive function) is required.
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spelling doaj-art-46f07ce5500a45bba1f6f8f32ea055f12025-01-17T22:10:09ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-084681Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping reviewNele Demeyere0Georgina Hobden1Faye Tabone22 Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK1 Department of Experimental Psychology, University of Oxford, Oxford, UK2 Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UKObjectives To search the literature systematically in order to map and identify gaps in research investigating patient and family member psychoeducation needs regarding post-stroke cognition.Design Scoping review conducted in line with Joanna Briggs Institute (JBI) recommendations and PRISMA-ScR checklist.Methods MEDLINE, PsycINFO, Embase, CINAHL and Scopus were searched on 25 August 2023 for peer-reviewed studies conducted in a high-income country, describing cognition-related psychoeducation needs in stroke survivors and/or family members aged ≥18 years (≥50% of the study population). Two reviewers independently screened titles, abstracts and then full-text articles. One reviewer extracted pre-defined study characteristics and findings. These data were verified by a second reviewer. Synthesis involved descriptive statistics and thematic analysis.Results Searches identified 8115 articles, of which 30 were included. Articles were published between 1996 and 2023. Studies were conducted in Australia (n=7), USA (n=6), UK (n=5), Canada (n=3), New Zealand (n=3), Ireland (n=2), Netherlands (n=2), South Korea (n=1) and Sweden (n=1). Most studies (n=21) used an exclusively qualitative approach but six combined qualitative and quantitative methods. The post-stroke period under investigation varied, including the acute/subacute stage (n=10) and the chronic stage (n=3), though many articles did not state the timepoint explicitly. Research was conducted with stroke survivors only (n=7), family members only (n=12) and both stroke survivors and family members (n=11). Qualitative analysis suggested participants wanted psychoeducation about cognitive impairment, including recovery expectations, treatment/therapy options and signposting to services/resources available. Hopeful information was important. Factors potentially impacting cognition-related psychoeducation needs were identified as time since stroke and family member relationship. Most articles focused on aphasia with very few studies considering other cognitive domains (eg, memory, attention, executive function).Conclusions The need for psychoeducation regarding cognition is well evidenced throughout the post-stroke care continuum, though most research has focused on language impairments. Further research investigating other cognitive impairments (eg, impairments in memory, attention and executive function) is required.https://bmjopen.bmj.com/content/15/1/e084681.full
spellingShingle Nele Demeyere
Georgina Hobden
Faye Tabone
Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review
BMJ Open
title Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review
title_full Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review
title_fullStr Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review
title_full_unstemmed Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review
title_short Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review
title_sort research investigating patient and carer psychoeducation needs regarding post stroke cognition a scoping review
url https://bmjopen.bmj.com/content/15/1/e084681.full
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