The feasibility and efficacy of a positive psychology group for community stroke survivors and carers

• Main Author: McMakin, Isla
• Published: Cardiff University 2016
• Subjects: 362.1968; BF Psychology
• Online Access: http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.699339

Psychological distress is common for both survivors and carers following a stroke, but the evidence base for psychological interventions is limited. This study investigated the feasibility and efficacy of an interactive group-based Positive Psychotherapy [PP] intervention for stroke survivors and carers. PP is an approach that focuses on individuals’ strengths and engagement in life with the aim of improving their psychological wellbeing. This study is comprised of two parts (1a and 1b), within which changes in psychological wellbeing and psychological distress were the main outcomes investigated. Study 1a: stroke survivors and carers (n=48) were randomly assigned to the five-week PP group or waiting-list control. Study 1b: stroke survivors and carers (n = 20) were assigned to the PP group only. All participants completed measures of psychological wellbeing (SWEMWBS), psychological distress (HADS), multidimensional wellbeing (PERMA-P) and daily functioning (FAI) at three time points (baseline, 5, 10 weeks post-baseline). Statistical analyses were conducted to examine changes in mean scores across time. Supplementary qualitative feedback regarding the PP intervention was collected via a focus group (n=10). Study 1a participants reported significant improvements in daily functioning following attendance at the PP group. Increases in psychological and multidimensional wellbeing were reported following attendance at the PP groups; however these changes were not statistically significant. In conclusion, the PP intervention was feasible to deliver. A full-scale trial, with the recommended improvements made, is required to further investigate the efficacy of the PP intervention regarding psychological wellbeing and daily functional amongst community-based stroke survivors and carers.