The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke

Background: Post-stroke fatigue is common and disabling. Objectives: The aim of NotFAST was to examine factors associated with fatigue in stroke 3 survivors without depression, six months after stroke. Methods: Participants were recruited from four UK stroke units. Those with high levels of 5 depr...

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Main Authors: Drummond, Avril E.R., Hawkins, Loiuse, Lincoln, Nadina, Sprigg, Nikola, Tyrrell, Pippa, Worthington, Esme
Format: Article
Language:English
Published: Taylor and Francis 2017
Online Access:http://eprints.nottingham.ac.uk/44818/
http://eprints.nottingham.ac.uk/44818/
http://eprints.nottingham.ac.uk/44818/
http://eprints.nottingham.ac.uk/44818/1/300617_NotFAST%20Final%20version%20TSR.docx
id nottingham-44818
recordtype eprints
spelling nottingham-448182018-07-02T09:14:36Z http://eprints.nottingham.ac.uk/44818/ The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke Drummond, Avril E.R. Hawkins, Loiuse Lincoln, Nadina Sprigg, Nikola Tyrrell, Pippa Worthington, Esme Background: Post-stroke fatigue is common and disabling. Objectives: The aim of NotFAST was to examine factors associated with fatigue in stroke 3 survivors without depression, six months after stroke. Methods: Participants were recruited from four UK stroke units. Those with high levels of 5 depressive symptoms (score ≥7 on Brief Assessment Schedule Depression Cards) or aphasia were excluded. Follow-up assessment was conducted at six months after stroke. They were assessed on the Fatigue Severity Scale, Rivermead Mobility Index, Nottingham Extended Activities of Daily Living scale, Barthel Index, Beck Anxiety Index, Brief Assessment Schedule Depression Cards, Impact of Event Scale-Revised, and Sleep Hygiene Index. Results: Of the 371 participants recruited, 263 (71%) were contacted at six months after stroke and 213 (57%) returned questionnaires. Approximately half (n=109, 51%) reported fatigue at six months. Of those reporting fatigue initially (n=88), 61 (69%) continued to report fatigue. ‘De novo’ (new) fatigue was reported by 48 (38%) of those not fatigued initially. Lower Nottingham Extended Activities of Daily Living scores and higher Beck Anxiety Index scores were independently associated with fatigue at six months. Conclusions: Half the stroke survivors reported fatigue at six months post-stroke. Reduced independence in activities of daily living and higher anxiety levels were associated with the level of fatigue. Persistent and delayed onset fatigue may affect independence and participation in rehabilitation, and these findings should be used to inform the development of appropriate interventions. Taylor and Francis 2017-09-11 Article PeerReviewed application/pdf en http://eprints.nottingham.ac.uk/44818/1/300617_NotFAST%20Final%20version%20TSR.docx Drummond, Avril E.R. and Hawkins, Loiuse and Lincoln, Nadina and Sprigg, Nikola and Tyrrell, Pippa and Worthington, Esme (2017) The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke. Topics in Stroke Rehabilitation, 24 (8). pp. 592-596. ISSN 1945-5119 http://www.tandfonline.com/doi/abs/10.1080/10749357.2017.1368912 doi:10.1080/10749357.2017.1368912 doi:10.1080/10749357.2017.1368912
repository_type Digital Repository
institution_category Local University
institution University of Nottingham Malaysia Campus
building Nottingham Research Data Repository
collection Online Access
language English
description Background: Post-stroke fatigue is common and disabling. Objectives: The aim of NotFAST was to examine factors associated with fatigue in stroke 3 survivors without depression, six months after stroke. Methods: Participants were recruited from four UK stroke units. Those with high levels of 5 depressive symptoms (score ≥7 on Brief Assessment Schedule Depression Cards) or aphasia were excluded. Follow-up assessment was conducted at six months after stroke. They were assessed on the Fatigue Severity Scale, Rivermead Mobility Index, Nottingham Extended Activities of Daily Living scale, Barthel Index, Beck Anxiety Index, Brief Assessment Schedule Depression Cards, Impact of Event Scale-Revised, and Sleep Hygiene Index. Results: Of the 371 participants recruited, 263 (71%) were contacted at six months after stroke and 213 (57%) returned questionnaires. Approximately half (n=109, 51%) reported fatigue at six months. Of those reporting fatigue initially (n=88), 61 (69%) continued to report fatigue. ‘De novo’ (new) fatigue was reported by 48 (38%) of those not fatigued initially. Lower Nottingham Extended Activities of Daily Living scores and higher Beck Anxiety Index scores were independently associated with fatigue at six months. Conclusions: Half the stroke survivors reported fatigue at six months post-stroke. Reduced independence in activities of daily living and higher anxiety levels were associated with the level of fatigue. Persistent and delayed onset fatigue may affect independence and participation in rehabilitation, and these findings should be used to inform the development of appropriate interventions.
format Article
author Drummond, Avril E.R.
Hawkins, Loiuse
Lincoln, Nadina
Sprigg, Nikola
Tyrrell, Pippa
Worthington, Esme
spellingShingle Drummond, Avril E.R.
Hawkins, Loiuse
Lincoln, Nadina
Sprigg, Nikola
Tyrrell, Pippa
Worthington, Esme
The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke
author_facet Drummond, Avril E.R.
Hawkins, Loiuse
Lincoln, Nadina
Sprigg, Nikola
Tyrrell, Pippa
Worthington, Esme
author_sort Drummond, Avril E.R.
title The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke
title_short The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke
title_full The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke
title_fullStr The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke
title_full_unstemmed The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke
title_sort nottingham fatigue after stroke (notfast) study: results from follow-up six months after stroke
publisher Taylor and Francis
publishDate 2017
url http://eprints.nottingham.ac.uk/44818/
http://eprints.nottingham.ac.uk/44818/
http://eprints.nottingham.ac.uk/44818/
http://eprints.nottingham.ac.uk/44818/1/300617_NotFAST%20Final%20version%20TSR.docx
first_indexed 2018-09-06T13:36:24Z
last_indexed 2018-09-06T13:36:24Z
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