Evidence map›Paper›PMID 18436150›Full record

Trial reportJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association

Living well with stroke: design and methods for a randomized controlled trial of a psychosocial behavioral intervention for poststroke depression.

Pamela H Mitchell, Linda Teri, Richard Veith, Ann Buzaitis, David Tirschwell, Kyra Becker, Michael Fruin, Ruth Kohen, Kevin C Cain

2 registry-linked trialsOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00194454 nacompletednot on this map

Psychosocial/Behavioral Intervention in PSD

TypeinterventionalSponsorUniversity of WashingtonRan2002 to 2008Enrolled101ConditionsStrokeArmsModified cognitive behavioral therapy plus problem-solving, usual care
NCT01133106 nacompletednot on this map

Psychosocial/Behavioral Intervention in Post-Stroke Depression (PSD)

TypeinterventionalSponsorUniversity of WashingtonRan2010 to 2015Enrolled100ConditionsCerebrovascular Stroke, DepressionArmsBrief pleasurable events/behavioral therapy, Standard care
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  9. Article
  10. Life after stroke in Appalachia.International journal of nursing sciences · 2017
    Article
  11. Necessary and sufficient causes of participation post-stroke: practical and philosophical perspectives.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2014
    Article
  12. Article
  13. Article
  14. Factors Related to Continuation of Health Behaviours among Stroke Survivors.Journal of the Japanese Physical Therapy Association = Rigaku ryoho · 2011
    Article
  15. Gender and quality of life after cerebral stroke.Bosnian journal of basic medical sciences · 2010
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Pamela H MitchellDepartment of Biobehavioral Nursing and Health Systems, School of Nursing and School of Medicine, University of Washington, Seattle, Washington 98195-7266, USA. pmitch@u.washington.edu
Linda Teri
Richard Veith
Ann Buzaitis
David Tirschwell
Kyra Becker
Michael Fruin
Ruth Kohen
Kevin C Cain
University of Washington · USNeurobehavioral Systems · US

Funding

THERAPEUTIC EFFECTS OF INTRA-NASAL INSULIN DETEMIRP50AG005136 · NIA · UNIVERSITY OF WASHINGTON · PI JAYADEY, SUMAN · 1985 to 2019
$57.2M
PSYCHOSOCIAL/BEHAVIORAL INTERVENTION IN PSDR01NR007755 · NINR · UNIVERSITY OF WASHINGTON · PI KIRKNESS, CATHERINE J, MITCHELL, PAMELA H · 2002 to 2013
$4.3M
NIA NIH HHS P50 AG005136NINR NIH HHS R01 NR007755NINR NIH HHS R01NR007755
6 · The paper itself

Abstract

backgroundDepression is a sufficiently common sequela of a completed stroke to warrant intervention to improve mood, social, and functional outcome. Pharmacologic trials suggest short-term mood improvement from antidepressant treatment but no studies to date have determined whether these short-term gains can be enhanced and extended by a brief psychosocial/behavioral intervention delivered by advanced practice nurses. In addition, drug trials have not reported on functional outcomes such as limitations in ability, limitations in participation, and overall quality of survival. This randomized controlled trial was designed to evaluate the short- and long-term efficacy of a new brief psychosocial/behavioral intervention adjunctive to antidepressant treatment in reducing poststroke depression and improving functional outcomes.

methodsA total of 101 survivors of ischemic stroke with poststroke depression were randomly assigned to receive a brief psychosocial/behavioral intervention plus antidepressant or usual care, including antidepressants.

resultsThe primary outcome was reduction in depressive symptom severity (Hamilton Depression Rating Scale) at 12 months after stroke. Secondary outcomes were reductions in limitations in activity (Barthel Index), reduction in limitation in participation, and overall stroke impact (Stroke Impact Scale) at 6, 12, and 24 months poststroke. Factors influencing best response to psychosocial intervention were also explored.

conclusionThis article provides detail on the design and treatment methods of this randomized trial in progress. Findings from this study provide important information regarding the long-term efficacy of such a behavioral intervention in reducing poststroke depression and subsequent impaired aspects of psychosocial and physical recovery.

Indexed as

Behavior TherapyQuality of LifeActivities of Daily LivingAdultAgedAged, 80 and overAntidepressive AgentsCombined Modality TherapyData Interpretation, StatisticalDepressionDisability EvaluationFemaleGene FrequencyGenotypeHumansMaleAntidepressive AgentsSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, human

Identifiers

PMID18436150
PMCPMC2396193
OpenAlexW2078750205

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.