ArticleClinical rehabilitation2018
What influences decisions about ongoing stroke rehabilitation for patients with pre-existing dementia or cognitive impairment: a qualitative study?
Article in Clinical rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Advancing dementia-friendly hospital care: a systematic review of healthcare professionals' reported barriers and facilitators using the theoretical domains framework.Age and ageing · 2026Pooled it
- What factors affect clinical decision-making about access to stroke rehabilitation? A systematic review.Clinical rehabilitation · 2019Pooled it
- Factors influencing clinical decision-making in inpatient rehabilitation: A scoping review.Clinical rehabilitation · 2026Article
- Influence of preexisting cognitive impairment and comorbidities on post-stroke outcomes: Dijon Stroke Registry.Journal of neurology · 2026Article
- Preexisting cognitive impairment in patients with acute stroke.Frontiers in neurology · 2025Review
- Spatial Neglect: An Exploration of Clinical Assessment Behaviour in Stroke Rehabilitation.Clinical rehabilitation · 2024Article
- Perspectives on Why Patients with Mild Cognitive Impairment Might Receive Fewer Cardiovascular Disease Treatments than Patients with Normal Cognition.Journal of Alzheimer's disease : JAD · 2023Article
- Measurement Feedback System for Intensive Neurorehabilitation after Severe Acquired Brain Injury.Journal of medical systems · 2022Article
- Exploring how occupational therapists and physiotherapists evaluate rehabilitation potential of older people in acute care.The British journal of occupational therapy · 2022Article
- Referral to geriatric rehabilitation: a scoping review of triage factors in acutely hospitalised older patients.Age and ageing · 2022Article
- Exploring rehabilitation potential in older people living with frailty: a qualitative focus group study.BMC geriatrics · 2021Article
- Cognitive Impairment Before Atrial Fibrillation-Related Ischemic Events: Neuroimaging and Prognostic Associations.Journal of the American Heart Association · 2020Observational
- Does pre-existing cognitive impairment impact on amount of stroke rehabilitation received? An observational cohort study.Clinical rehabilitation · 2019Observational
- Admission Thresholds and Outcomes in Inpatient Rehabilitation: A National Analysis.Advances in rehabilitation science and practiceArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify factors influencing clinicians decision-making about ongoing stroke rehabilitation for people with pre-existing dementia/cognitive impairment and the impact on clinical practice.
designQualitative semi-structured interviews with stroke specialist healthcare professionals analysed using thematic analysis.
settingAcute stroke unit, inpatient stroke rehabilitation units, and community stroke services.
participantsTwenty three professionals from six multidisciplinary stroke teams involved in decision-making about stroke patients' rehabilitation potential and clinical pathways.
resultsFactors influencing decision-making about ongoing rehabilitation were (1) gaining understanding of the individual patient, (2) clinician's knowledge of dementia/cognitive impairment, (3) predicting rehabilitation potential, (4) organizational constraints, and (5) clinician's perceptions of their role within the team. Decision-making led to two outcomes, either accommodating the pre-existing dementia/cognitive impairment within delivery of rehabilitation or ending rehabilitation for that patient to allocate limited resources where they were perceived more likely to be effective. Participants felt that patients with pre-existing dementia/cognitive impairment had difficulty demonstrating the required rehabilitation potential within the short timescales available in the current model of service delivery. Participants identified a need for training to improve their knowledge and confidence for decision-making and delivery of rehabilitation for this growing population.
conclusionClinicians' decision-making about ongoing rehabilitation for patients with prestroke dementia/cognitive impairments is influenced by gaps in their knowledge and by service constraints. Increased training and more flexible, patient-centred services would enable clinicians to better accommodate these patients in rehabilitation.
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