Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, February 1, 2016

The efficacy of peer support in stroke rehabilitation

You wouldn't need so much peer support and stroke groups if our doctors would solve the neuronal cascade of death leaving survivors with much less damage to recover from. But this won't occur because there seems to be no understanding of cause and effect.
http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.667898
Author: Stamatakis, Christopher
Awarding Body: Cardiff University
Current Institution: Cardiff University
Date of Award: 2015
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Although Cardiff University participates in EThOS, this thesis cannot be supplied from the EThOS service. The reason given by the institution is: Restricted access.

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Abstract:
Aims: Peer support has been incorporated into clinical and national stroke guidelines as an important component of community rehabilitation, yet there is a paucity of research in this area. This study aimed to evaluate the efficacy of a community-based stroke peer support intervention for survivors and carers. Design: Stroke survivors and carers (n=47) were randomly assigned to either a five-week peer support group intervention or a waiting-list comparison condition. Mixed multivariate (MANCOVA) and univariate (ANCOVA / ANOVA) analyses were used to compare mean scores over time on a range of self-report measures. Additionally, mediation analysis was used to explore the processes underlying peer support. Method: All participants completed measures of psychological distress (GHQ-30), perceived social support (Multidimensional Scale of Perceived Social Support), quality of life (EQ-5D-3L) and activities of daily living (Barthel Index). Intervention group participants completed a group process questionnaire (TFI-19). Assessments were completed at baseline, post-intervention (five-weeks) and at follow-up (four-weeks). Due to significant differences between the two groups on the Barthel Index at baseline, these scores were added as a covariate in the MANCOVA and follow-up ANCOVAs used in analysis with the outcome variables (i.e. GHQ-30 and EQ-5D-3L). 
Results: Participants in the peer support intervention group reported decreased psychological distress and increased perceived social support and quality of life over time. These changes were significantly greater when compared to the control group, over the same time period. Perceived social support was found to mediate the relationship between group condition and psychological distress. 
Conclusions: Peer support can facilitate improvements in psychosocial wellbeing for stroke survivors and carers. Social support was found to be an important mechanism underlying peer support. Theoretical and clinical implications of peer support in stroke are discussed and recommendations for future research are outlined.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.667898  DOI: Not available
Keywords: BF Psychology ; RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry

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