Development of the "Kalmer" relaxation intervention: co-design with stroke survivors with aphasia.

El-Helou, R; Ryan, B; Kneebone, I

Development of the "Kalmer" relaxation intervention: co-design with stroke survivors with aphasia.

El-Helou, R Ryan, B

Kneebone, I

Permalink

Publisher:: TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: Disabil Rehabil, 2023, 45, (9), pp. 1517-1529
Issue Date:: 2023-05

Closed Access

	Filename	Description	Size
	Development of the Kalmer relaxation intervention co design with stroke survivors with aphasia.pdf		1.1 MB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	El-Helou, R
dc.contributor.author	Ryan, B https://orcid.org/0000-0002-6053-7614
dc.contributor.author	Kneebone, I https://orcid.org/0000-0003-3324-7264
dc.date.accessioned	2023-09-14T00:00:51Z
dc.date.available	2023-09-14T00:00:51Z
dc.date.issued	2023-05
dc.identifier.citation	Disabil Rehabil, 2023, 45, (9), pp. 1517-1529
dc.identifier.issn	0963-8288
dc.identifier.issn	1464-5165
dc.identifier.uri	http://hdl.handle.net/10453/172084
dc.description.abstract	PURPOSE: Anxiety is common after stroke and more prevalent in survivors with aphasia. Relaxation is an effective first-line therapy. The current study aimed to obtain the perspectives of stroke survivors with aphasia to inform the development of an accessible, technology-based, relaxation intervention. MATERIALS AND METHODS: Qualitative co-design methods were used with twelve people with aphasia after stroke. The "Kalmer" Relaxation treatment package materials were iteratively based on participants' experiences and preferences; barriers and facilitators to treatment compliance were explored. Participants were also asked to consider how the intervention might be evaluated in a research trial. RESULTS: A thematic analysis highlighted the importance and need for the development of an appropriate and inclusive relaxation product, to be implemented by health professionals early post-stroke. Several behavioural strategies to improve treatment adherence were recommended. Participants had varying perspectives on clinically meaningful treatment outcomes. CONCLUSIONS: Overall, a co-designed accessible relaxation product was viewed as a necessary component of usual stroke care. Acceptability and feasibility and preliminary efficacy of the "Kalmer" intervention should be trialled in future studies. IMPLICATIONS FOR REHABILITATIONCo-designing psychological interventions for people with aphasia after stroke is needed to meet the needs of this at-risk population.Technology-based relaxation interventions to manage anxiety after stroke are viewed positively by people with aphasia and deemed acceptable and feasible.Clinical trials of these co-designed relaxation interventions are required before recommending integration into routine practice.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	TAYLOR & FRANCIS LTD
dc.relation.ispartof	Disabil Rehabil
dc.relation.isbasedon	10.1080/09638288.2022.2069294
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Rehabilitation
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	44 Human society
dc.subject.mesh	Humans
dc.subject.mesh	Stroke
dc.subject.mesh	Aphasia
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Speech Therapy
dc.subject.mesh	Survivors
dc.subject.mesh	Humans
dc.subject.mesh	Aphasia
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Speech Therapy
dc.subject.mesh	Survivors
dc.subject.mesh	Stroke
dc.subject.mesh	Humans
dc.subject.mesh	Stroke
dc.subject.mesh	Aphasia
dc.subject.mesh	Treatment Outcome
dc.subject.mesh	Speech Therapy
dc.subject.mesh	Survivors
dc.title	Development of the "Kalmer" relaxation intervention: co-design with stroke survivors with aphasia.
dc.type	Journal Article
utslib.citation.volume	45
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	closed_access	*
dc.date.updated	2023-09-14T00:00:50Z
pubs.issue	9
pubs.publication-status	Published
pubs.volume	45
utslib.citation.issue	9

Abstract:

PURPOSE: Anxiety is common after stroke and more prevalent in survivors with aphasia. Relaxation is an effective first-line therapy. The current study aimed to obtain the perspectives of stroke survivors with aphasia to inform the development of an accessible, technology-based, relaxation intervention. MATERIALS AND METHODS: Qualitative co-design methods were used with twelve people with aphasia after stroke. The "Kalmer" Relaxation treatment package materials were iteratively based on participants' experiences and preferences; barriers and facilitators to treatment compliance were explored. Participants were also asked to consider how the intervention might be evaluated in a research trial. RESULTS: A thematic analysis highlighted the importance and need for the development of an appropriate and inclusive relaxation product, to be implemented by health professionals early post-stroke. Several behavioural strategies to improve treatment adherence were recommended. Participants had varying perspectives on clinically meaningful treatment outcomes. CONCLUSIONS: Overall, a co-designed accessible relaxation product was viewed as a necessary component of usual stroke care. Acceptability and feasibility and preliminary efficacy of the "Kalmer" intervention should be trialled in future studies. IMPLICATIONS FOR REHABILITATIONCo-designing psychological interventions for people with aphasia after stroke is needed to meet the needs of this at-risk population.Technology-based relaxation interventions to manage anxiety after stroke are viewed positively by people with aphasia and deemed acceptable and feasible.Clinical trials of these co-designed relaxation interventions are required before recommending integration into routine practice.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/172084