Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 34,245 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
Sunday, March 30, 2025
Behaviour change approaches within digital health technology-based interventions to facilitate early upper limb rehabilitation post stroke: a scoping review
Tuesday, October 22, 2024
Development of a behaviour change intervention for improving physical activity amongst stroke survivors with physical disabilities: a co-design approach
My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION, DO YOU? You create EXACT 100% recovery protocols and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. GET THERE!
There would be no need for this useless research on behaviour change theory!
Development of a behaviour change intervention for improving physical activity amongst stroke survivors with physical disabilities: a co-design approach
- Li Khim Kwah,
- Kinjal Doshi,
- Everlyn Wai,
- Jenna Hollis,
- Marie-Louise Bird,
- Yong Hao Pua,
- Julian Thumboo,
- Lian Leng Low,
- Hong-Gu He,
- Deidre Anne De Silva,
- Susan Niam,
- Irene Toh,
- Yook Cing Lui,
- Silvana Choo,
- Juliana Wang &
- Shamala Thilarajah
BMC Public Health volume 24, Article number: 2918 (2024) Cite this article
Abstract
Background
Stroke survivors face many barriers to physical activity (PA). Solving physical inactivity after stroke requires a “systems-based” approach. We aimed to develop a complex intervention targeted at improving PA after stroke in Singapore using behaviour change theory and a co-design approach involving multiple stakeholders.
Methods
We carried out the intervention development in three phases: i. preparation phase, ii. co-design phase, and iii. intervention refinement phase. During the preparation phase, we conducted surveys (n = 38 stroke survivors, 71 physiotherapists and 35 exercise professionals) and interviews (n = 19 stroke survivors) to understand the factors influencing PA after stroke. The co-design phase consisted of two-co-design workshops held in August 2022 and were attended by 13 stroke survivors and 4 caregivers. Relevant domains of the Theoretical Domains Framework (TDF) and items in the Template for Intervention Description and Replication (TIDieR) checklist guided the discussion topics in the first co-design workshop. Solution prototypes such as exercise videos, arm and leg straps and information resources were shown in the second co-design workshop to gather feedback. In the intervention refinement phase, eight healthcare professionals from various sectors participated in two virtual Zoom meetings in August 2023, and used the Acceptability, Practicability, Effectiveness, Affordability, Spillover effects and Equity (APEASE) grid to rate the active ingredients in the complex intervention by considering the current healthcare landscape in terms of resources and manpower.
Results
Stroke survivors and caregivers want a personalised PA program, stroke-specific PA opportunities and information resources, medical clearance, advice and help from healthcare professionals skilled in stroke care, face-to-face sessions at preferred exercise spaces, and access to adaptive equipment. A complex intervention consisting of 21 behaviour change techniques, 6 intervention functions and 8 options was developed.
Conclusions
Using behaviour change theory and a co-design approach involving multiple stakeholders, a complex intervention was developed to target physical inactivity after stroke. The intervention titled MOTIVATE is currently being tested in a type 1 hybrid effectiveness-implementation trial.
Friday, November 17, 2017
The Simpler Talk Therapy That Treats Depression Effectively
What is your doctor doing about treating your depression after you realize s/he doesn't have a clue to get you 100% recovered? But maybe you would rather actually be treated with SSRIs since they provide better recoveries? But your doctor can decide which is best for you after you ask about pros and cons to each approach.
Antidepressants may help people recover from stroke even if they are not depressed
The Simpler Talk Therapy That Treats Depression Effectively
Behavioural activation therapy is a more straightforward alternative to cognitive-behavioural therapy — the gold standard of depression treatment.
Clinical depression affects around 350 million people around the world, but only a fraction receive the best care.
Behavioural activation therapy could be a good alternative that provides access to therapy for more people.
The therapy itself focuses on encouraging people to take part in meaningful activities that are linked to their core values.
It helps people find out which activities make them feel better.
Unfortunately, many people with depression engage in activities that ultimately make them feel worse.
Chief among these is rumination: letting depressing thoughts roll around in the mind.
The therapy helps people to make the connection between what they do and their mood.
It is also aimed at fighting avoidance and moving towards personally rewarding experiences.
The focus for policy-makers, though, is on cost and the potential to reduce it.
Professor David Richards, the study’s first author, said:
“Effectively treating depression at low cost is a global priority.The study itself recruited 440 people who were split into two groups, one of which received behavioural activation therapy, the other getting cognitive-behavioural therapy.
Our finding is the most robust evidence yet that Behavioural Activation is just as effective as CBT, meaning an effective workforce could be trained much more easily and cheaply without any compromise on the high level of quality.
This is an exciting prospect for reducing waiting times and improving access to high-quality depression therapy worldwide, and offers hope for countries who are currently struggling with the impact of depression on the health of their peoples and economies.”
The results showed that behavioural activation therapy provided similar outcomes to CBT.
Around two-thirds of people in both groups felt better one year later.
The study was published in the journal The Lancet (Richards et al., 2016).

