Questionnaire assessment of usual practice in mood and cognitive assessment in Scottish stroke units

Lees, R. A., Broomfield, N. M. and Quinn, T. J. (2014) Questionnaire assessment of usual practice in mood and cognitive assessment in Scottish stroke units. Disability and Rehabilitation, 36(4), pp. 339-343. (doi: 10.3109/09638288.2013.791728)

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Abstract

Purpose: National and International guidelines recommend cognition and mood assessment for all stroke survivors. However, there is no consensus on preferred screening tool or method of assessment. We aimed to describe clinical practice in cognitive and mood assessment across Scottish stroke services. Method: We used a questionnaire based survey. After local piloting, we distributed the questionnaire using mixed methodologies (online and paper) across all Stroke Managed Clinical Networks in Scotland. We also distributed the questionnaire to specialist societies representing stroke physicians, nurses and allied health professionals and through the UK Stroke Forum delegate pack. Results: We received 174 responses from nurses, physiotherapists, psychologists, occupational therapists and medical staff. Medical staff made up the largest group of respondents (61, 35%). Of the respondents 148 (85%) routinely assess cognition and 119 (72%) mood. A variety of tools were used (cognitive n = 45 tools; mood n = 17); Mini Mental State Examination (n = 103, 59% of respondents) and the Hospital Anxiety and Depression Scale (n = 76, 44%) were the most commonly employed tools. Conclusion: Response rate was modest but included all mainland Scottish regions with active stroke services. Although the majority of responders are assessing cognition and mood there is substantial heterogeneity in measures used and certain commonly used tools are not validated or appropriate for use in stroke. We suggest development of evidence based, standardised assessment protocols

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Broomfield, Dr Niall and Quinn, Professor Terry
Authors: Lees, R. A., Broomfield, N. M., and Quinn, T. J.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
Journal Name:Disability and Rehabilitation
ISSN:0963-8288
ISSN (Online):1464-5165

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