ArticleBMJ open2023
Cognitive assessment after stroke: A qualitative study of patients' experiences.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Developing a core outcome set for intervention studies in post stroke cognitive impairment (COS-PSCI): a protocol.BMJ open · 2026Article
- Preliminary validation of the Bulgarian SCCAN: initial reliability, validity, and screening accuracy across neurological populations.Frontiers in psychology · 2026Article
- Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review.BMJ open · 2025Article
- A modified Delphi survey to build expert consensus on the structure and content of an enhanced care pathway for cognitive changes after stroke in the UK.BMC health services research · 2024Article
- Domain-specific cognitive impairment 6 months after stroke: The value of early cognitive screening.International journal of stroke : official journal of the International Stroke Society · 2024Article
- The Acceptability of post-stroke cognitive testing through the lens of the theory of acceptability, a qualitative study.Cerebral circulation - cognition and behavior · 2024Article
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Authors and funding
3 authors.
Funding
Abstract
objectivesClinical guidelines recommend early cognitive assessment after stroke to inform rehabilitation and discharge decisions. However, little is known about stroke survivors' experiences of the cognitive assessment process. This qualitative study aimed to explore patients' experiences of poststroke cognitive assessments.
designStroke survivors were purposively sampled in an iterative process through a pool of research volunteers who had previously taken part in the Oxford Cognitive Screen Recovery study. Stroke survivors and their family caregivers were invited to participate in a semistructured interview steered by a topic guide. Interviews were audio recorded, transcribed and analysed using reflexive thematic analysis. Demographic, clinical and cognitive data were acquired from patients' previous research data.
settingStroke survivors were originally recruited from the acute inpatient unit at Oxford University Hospital (John Radcliffe), UK. Participants were interviewed after discharge either at their homes or via telephone or videocall.
participantsTwenty-six stroke survivors and eleven caregivers participated in semi-structured interviews.
resultsWe identified three key phases of the cognitive assessment process and themes pertaining to each phase. The phases (numbered) and themes (lettered) were as follows: (1) before the cognitive assessment: (A) lack of explanation, (B) considering the assessment useless; (2) during the cognitive assessment: varied emotional responses, moderated by (D) perception of the purpose behind cognitive assessment, (E) perception of cognitive impairment, (F) confidence in cognitive abilities, (G) assessment administration style and (3) after the cognitive assessment: (H) feedback can impact self-confidence and self-efficacy, (I) vague feedback and clinical jargon are unhelpful.
conclusionsStroke survivors require clear explanations about the purpose and outcomes of poststroke cognitive assessments, including constructive feedback, to promote engagement with the process and protect their psychological wellbeing.
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