Telemedicine Cognitive Behavioral Therapy for Anxiety After Stroke

Are you that FUCKING CLUELESS that you don't understand why the anxiety exists? Treat the primary problem. NOTHING EXISTS TO GET YOU 100% RECOVERED. Provide protocols and survivors will happily do millions of reps to get results and get recovered. Anxiety won't exist because proven methodologies will be used. We need some decent stroke leadership because we aren't even researching the correct problems.

Telemedicine Cognitive Behavioral Therapy for Anxiety After Stroke

Ho-Yan Yvonne Chun

,

Alan J. Carson

,

Athanasios Tsanas

,

Martin S. Dennis

,

Gillian E. Mead

,

Clementina Calabria

,

William N. Whiteley

Originally published24 Jun 2020https://doi.org/10.1161/STROKEAHA.120.029042Stroke. ;0

Abstract

Background and Purpose:

Disabling anxiety affects a quarter of stroke survivors but access to treatment is poor. We developed a telemedicine model for delivering guided self-help cognitive behavioral therapy (CBT) for anxiety after stroke (TASK-CBT). We aimed to evaluate the feasibility of TASK-CBT in a randomized controlled trial workflow that enabled all trial procedures to be carried out remotely. In addition, we explored the feasibility of wrist-worn actigraphy sensor as a way of measuring objective outcomes in this clinical trial.

Methods:

We recruited adult community-based stroke patients (n=27) and randomly allocated them to TASK-CBT (n=14) or relaxation therapy (TASK-Relax), an active comparator (n=13).

Results:

In our sample (mean age 65 [±10]; 56% men; 63% stroke, 37% transient ischemic attacks), remote self-enrolment, electronic signature, intervention delivery, and automated follow-up were feasible. All participants completed all TASK-CBT sessions (14/14). Lower levels of anxiety were observed in TASK-CBT when compared with TASK-Relax at both weeks 6 and 20. Mean actigraphy sensor wearing-time was 33 days (±15).

Conclusions:

Our preliminary feasibility data from the current study support a larger definitive clinical trial and the use of wrist-worn actigraphy sensor in anxious stroke survivors.

REGISTRATION:

URL: https://www.clinicaltrials.gov. Unique identifier: NCT03439813.