Feasibility of a Pilot Study of Problem-Solving Therapy for Stroke Survivors

Abstract

Purpose: The purpose of this pilot study was to assess the feasibility and potential effectiveness of problem-solving therapy (PST) on stroke survivors' depressive symptoms and function in the rehabilitation stage of recovery.

Design: This study employed a repeated measures experimental design.

Methods: We recruited a convenience sample of 22 ischemic stroke survivors and randomized to treatment group receiving PST and control group receiving standard care.

Findings: Our recruitment and retention rates were 54% and 81%, respectively. Results for depression scores in the treatment group as compared to the control group indicated clinical significance but not statistical significance (p>.05). Function was not statistically significant.

Conclusion: Problem-solving therapy is potentially therapeutic for stroke survivors.

Clinical relevance: Rehabilitation nurses could be educated on the use of PST as a potential intervention for stroke survivors.

Keywords: Poststroke depressive symptoms; poststroke depression; problem-solving therapy.