Screening Depression and Suicidality in Post Stroke Aphasia: A Theory of Planned Behaviour Study

Schlesinger, H; Shiggins, C; Kneebone, II; Broomfield, NM; Ford, C

Screening Depression and Suicidality in Post Stroke Aphasia: A Theory of Planned Behaviour Study

Schlesinger, H Shiggins, C Kneebone, II Broomfield, NM Ford, C

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Publisher:: ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
Publication Type:: Journal Article
Citation:: Aphasiology, 2023, ahead-of-print, (ahead-of-print)
Issue Date:: 2023-01-01

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Field	Value	Language
dc.contributor.author	Schlesinger, H
dc.contributor.author	Shiggins, C
dc.contributor.author	Kneebone, II
dc.contributor.author	Broomfield, NM
dc.contributor.author	Ford, C
dc.date.accessioned	2023-11-08T03:40:36Z
dc.date.available	2023-11-08T03:40:36Z
dc.date.issued	2023-01-01
dc.identifier.citation	Aphasiology, 2023, ahead-of-print, (ahead-of-print)
dc.identifier.issn	0268-7038
dc.identifier.issn	1464-5041
dc.identifier.uri	http://hdl.handle.net/10453/173226
dc.description.abstract	Background: Clinical guidelines recommend screening for post-stroke depression, which is particularly important for people with post-stroke aphasia, due to increased risk of depression and suicidality. The Theory of Planned Behaviour (TPB) suggests that behavioural intentions are influenced by three factors: attitudes, normative beliefs, and perceived behavioural control. It has been used to investigate staff intentions to perform post-stroke screening, but little is known about staff intentions to screen people with aphasia for depression or suicidality. Aims: We examined how UK stroke professionals describe screening for depression and suicidality with people with aphasia and whether the TPB predicts intent to screen depression with this population. Methods & Procedures: We conducted a cross-sectional online survey and used multiple regression to test whether attitudes, normative beliefs, and perceived behavioural control predicted intent to screen people with aphasia for depression and suicidality. To assess response stability over time we asked respondents to repeat the survey over a fortnight later. Results: One hundred and eighteen UK stroke professionals completed the survey between May and September 2020. Intent to screen people with aphasia for depression was high (M = 71.6%, SD = 34.7) but much lower for suicidality (M = 42.4%, SD = 39). Approximately half the variance in intent to screen for depression was predicted by the TPB, R 2 =.48, F (3,101) = 30.60, p <.001, with normative beliefs identified as a significant predictor, β =.62, p <.001. Responses were stable over time for those who repeated the survey (N = 13). Conclusions: More support is needed to help stroke professionals screen for depression and suicidality in people with post-stroke aphasia. Screening rates may be improved by communicating clear expectations that staff should screen all stroke survivors for depression and suicidality, developing aphasia-accessible screening tools and providing training to all stroke professionals.
dc.language	English
dc.publisher	ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
dc.relation.ispartof	Aphasiology
dc.relation.isbasedon	10.1080/02687038.2023.2203801
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights	© 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/ licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent
dc.subject	1103 Clinical Sciences, 1109 Neurosciences, 1702 Cognitive Sciences
dc.subject.classification	Speech-Language Pathology & Audiology
dc.subject.classification	3209 Neurosciences
dc.subject.classification	4201 Allied health and rehabilitation science
dc.subject.classification	5204 Cognitive and computational psychology
dc.title	Screening Depression and Suicidality in Post Stroke Aphasia: A Theory of Planned Behaviour Study
dc.type	Journal Article
utslib.citation.volume	ahead-of-print
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
utslib.for	1702 Cognitive 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	open_access	*
dc.date.updated	2023-11-08T03:40:35Z
pubs.issue	ahead-of-print
pubs.publication-status	Published
pubs.volume	ahead-of-print
utslib.citation.issue	ahead-of-print

Abstract:

Background: Clinical guidelines recommend screening for post-stroke depression, which is particularly important for people with post-stroke aphasia, due to increased risk of depression and suicidality. The Theory of Planned Behaviour (TPB) suggests that behavioural intentions are influenced by three factors: attitudes, normative beliefs, and perceived behavioural control. It has been used to investigate staff intentions to perform post-stroke screening, but little is known about staff intentions to screen people with aphasia for depression or suicidality. Aims: We examined how UK stroke professionals describe screening for depression and suicidality with people with aphasia and whether the TPB predicts intent to screen depression with this population. Methods & Procedures: We conducted a cross-sectional online survey and used multiple regression to test whether attitudes, normative beliefs, and perceived behavioural control predicted intent to screen people with aphasia for depression and suicidality. To assess response stability over time we asked respondents to repeat the survey over a fortnight later. Results: One hundred and eighteen UK stroke professionals completed the survey between May and September 2020. Intent to screen people with aphasia for depression was high (M = 71.6%, SD = 34.7) but much lower for suicidality (M = 42.4%, SD = 39). Approximately half the variance in intent to screen for depression was predicted by the TPB, R 2 =.48, F (3,101) = 30.60, p <.001, with normative beliefs identified as a significant predictor, β =.62, p <.001. Responses were stable over time for those who repeated the survey (N = 13). Conclusions: More support is needed to help stroke professionals screen for depression and suicidality in people with post-stroke aphasia. Screening rates may be improved by communicating clear expectations that staff should screen all stroke survivors for depression and suicidality, developing aphasia-accessible screening tools and providing training to all stroke professionals.

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http://hdl.handle.net/10453/173226