Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia
Objective: The aim was to evaluate behavioural therapy as a treatment for low mood in people with aphasia. Design: A randomized controlled trial comparing behavioural therapy plus usual care with a usual care control. Potential participants with aphasia after stroke were screened for the presen...
| Main Authors: | , , , , |
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| Format: | Article |
| Published: |
SAGE
2013
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| Online Access: | https://eprints.nottingham.ac.uk/2335/ |
| _version_ | 1848790758091390976 |
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| author | Thomas, Shirley A. Walker, Marion F. Macniven, Jamie A. Haworth, Helen Lincoln, Nadina |
| author_facet | Thomas, Shirley A. Walker, Marion F. Macniven, Jamie A. Haworth, Helen Lincoln, Nadina |
| author_sort | Thomas, Shirley A. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Objective:
The aim was to evaluate behavioural therapy as a treatment for low mood in people with aphasia.
Design:
A randomized controlled trial comparing behavioural therapy plus usual care with a usual care control. Potential participants with aphasia after stroke were screened for the presence of low mood. Those who met the criteria and gave consent were randomly allocated.
Setting:
Participants were recruited from hospital wards, community rehabilitation, speech and language therapy services and stroke groups.
Subjects:
Of 511 people with aphasia identified, 105 had low mood and were recruited.
Interventions:
Behavioural therapy was offered for up to three months. Outcomes were assessed three and six months after random allocation.
Main measures:
Stroke Aphasic Depression Questionnaire, Visual Analog Mood Scales ‘sad’ item, and Visual Analogue Self-Esteem Scale.
Results:
Participants were aged 29 to 94 years (mean 67.0, SD 13.5) and 66 (63%) were men. Regression analysis showed that at three months, when baseline values and communication impairment were controlled for, group allocation was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), visual analogue ‘sad’ (P = 0.03), and Visual Analogue Self-Esteem Scale (P < 0.01). At six months, group alone was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), and remained significant when baseline values were controlled for (P = 0.02). Mean Stroke Aphasic Depression Questionnaire 10-item hospital version scores decreased from baseline to six months by six points in the intervention group as compared with an increase of 1.9 points in the control group.
Conclusions:
Behavioural therapy seemed to improve the mood of people with aphasia. |
| first_indexed | 2025-11-14T18:17:42Z |
| format | Article |
| id | nottingham-2335 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T18:17:42Z |
| publishDate | 2013 |
| publisher | SAGE |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-23352020-05-04T20:19:20Z https://eprints.nottingham.ac.uk/2335/ Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia Thomas, Shirley A. Walker, Marion F. Macniven, Jamie A. Haworth, Helen Lincoln, Nadina Objective: The aim was to evaluate behavioural therapy as a treatment for low mood in people with aphasia. Design: A randomized controlled trial comparing behavioural therapy plus usual care with a usual care control. Potential participants with aphasia after stroke were screened for the presence of low mood. Those who met the criteria and gave consent were randomly allocated. Setting: Participants were recruited from hospital wards, community rehabilitation, speech and language therapy services and stroke groups. Subjects: Of 511 people with aphasia identified, 105 had low mood and were recruited. Interventions: Behavioural therapy was offered for up to three months. Outcomes were assessed three and six months after random allocation. Main measures: Stroke Aphasic Depression Questionnaire, Visual Analog Mood Scales ‘sad’ item, and Visual Analogue Self-Esteem Scale. Results: Participants were aged 29 to 94 years (mean 67.0, SD 13.5) and 66 (63%) were men. Regression analysis showed that at three months, when baseline values and communication impairment were controlled for, group allocation was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), visual analogue ‘sad’ (P = 0.03), and Visual Analogue Self-Esteem Scale (P < 0.01). At six months, group alone was a significant predictor of the Stroke Aphasic Depression Questionnaire (P < 0.05), and remained significant when baseline values were controlled for (P = 0.02). Mean Stroke Aphasic Depression Questionnaire 10-item hospital version scores decreased from baseline to six months by six points in the intervention group as compared with an increase of 1.9 points in the control group. Conclusions: Behavioural therapy seemed to improve the mood of people with aphasia. SAGE 2013-05 Article PeerReviewed Thomas, Shirley A., Walker, Marion F., Macniven, Jamie A., Haworth, Helen and Lincoln, Nadina (2013) Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia. Clinical Rehabilitation, 27 (5). pp. 398-408. ISSN 0269-2155 http://cre.sagepub.com/content/27/5/398.full doi:10.1177/0269215512462227 doi:10.1177/0269215512462227 |
| spellingShingle | Thomas, Shirley A. Walker, Marion F. Macniven, Jamie A. Haworth, Helen Lincoln, Nadina Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia |
| title | Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia |
| title_full | Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia |
| title_fullStr | Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia |
| title_full_unstemmed | Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia |
| title_short | Communication and Low Mood (CALM): a randomized controlled trial of behavioural therapy for stroke patients with aphasia |
| title_sort | communication and low mood (calm): a randomized controlled trial of behavioural therapy for stroke patients with aphasia |
| url | https://eprints.nottingham.ac.uk/2335/ https://eprints.nottingham.ac.uk/2335/ https://eprints.nottingham.ac.uk/2335/ |