Investigating the Feasibility and Acceptability of Technology-Based Cognitive Rehabilitation after Stroke

Ene, Crina-Georgiana (2023) Investigating the Feasibility and Acceptability of Technology-Based Cognitive Rehabilitation after Stroke. Doctoral thesis, University of East Anglia.

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Abstract

Purpose: The primary aim of this thesis was to evaluate the feasibility and acceptability of technology-based cognitive rehabilitation interventions in stroke. Related objectives were to better understand the challenges faced by trials in this area, as well as to summarise the technology-based cognitive rehabilitation interventions that have been tested in stroke.

Design: The portfolio contains the following sections: a) an introduction to the thesis portfolio, b) a systematic review of the feasibility and acceptability of technology-based cognitive rehabilitation in stroke, c) a bridging chapter highlighting the gaps identified by the systematic review that the empirical paper aimed to address, d) an empirical paper of a feasibility randomised-controlled trial of two online asynchronous psychological interventions for stroke survivors, one targeting executive functioning and problem-solving and the other providing psychoeducation about stroke and neuroanatomy, e) an additional methodology chapter for the empirical paper, and f) an overall discussion and critical evaluation.

Findings: The systematic review provides preliminary evidence that technology-based cognitive rehabilitation interventions are feasible and acceptable to research in a stroke population. Feasibility indicators aggregated across the identified studies suggest that research in technology-based cognitive rehabilitation interventions in stroke faces similar challenges to that of other forms of cognitive rehabilitation, especially recruitment inefficiency. Acceptability indicators were found to be positive where reported, although the majority of studies did not report the relevant data, making the findings difficult to generalise. The empirical paper found that a full trial of the two interventions we developed would be feasible, and that the interventions were acceptable to the stroke survivors recruited.

Originality/value: The systematic review and empirical research project presented in this thesis portfolio provide novel contributions to the literature on the feasibility and acceptability of technology-based cognitive rehabilitation in stroke, as well as highlight the potential role of these interventions in wider service provision. The portfolio has implications for future research conducted in this field, as well as for the ongoing initiatives to integrate technology-based interventions in standard post-stroke rehabilitation.

Item Type:	Thesis (Doctoral)
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User:	Chris White
Date Deposited:	07 Nov 2023 09:43
Last Modified:	07 Nov 2023 09:43
URI:	https://ueaeprints.uea.ac.uk/id/eprint/93586
DOI:

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