Results of a UK-wide vignette study with occupational therapists to explore cognitive screening post-stroke

Geraghty, Jennifer; Ablewhite, Joanne; das Nair, Roshan; Lincoln, Nadina; Kontou, Eirini; Roffe, Jack; Lannin, Natasha; Drummond, Avril

Abstract

Background.
There is a paucity of evidence in the UK regarding occupational therapy (OT) cognitive screening, and whether, and how, cognitive impairments are identified and assessed.

Aims
To identify current OT practice for the assessment of cognitive problems in patients following stroke.

Methods
OTs were invited to complete an online vignette study. Participants were asked to identify any presenting cognitive problems, decide whether to complete cognitive assessments and list any assessments they would use. Data were analysed using descriptive analysis.

Findings
Fifty-three OTs from across the UK participated. OTs identified key cognitive issues but some problems, such as apraxia and attention, were overlooked. A large number of potential assessments were suggested: the most common were the Montreal Cognitive Assessment and Oxford Cognitive Screen.

Conclusion
The variation found in OTs’ recognition and assessment of cognitive problems has potential to impact on management and rehabilitation in stroke services, survivor outcomes, education and research.

Citation

Geraghty, J., Ablewhite, J., das Nair, R., Lincoln, N., Kontou, E., Roffe, J., …Drummond, A. (2020). Results of a UK-wide vignette study with occupational therapists to explore cognitive screening post-stroke. International Journal of Therapy and Rehabilitation, 27(7),

• Journal Article Type: Article
• Acceptance Date: Dec 12, 2019
• Online Publication Date: Jul 2, 2020
• Publication Date: Jul 2, 2020
• Deposit Date: Dec 19, 2019
• Publicly Available Date: Jan 3, 2021
• Journal: International Journal of Therapy and Rehabilitation
• Print ISSN: 1741-1645
• Electronic ISSN: 1759-779X
• Publisher: Mark Allen Healthcare
• Peer Reviewed: Peer Reviewed
• Volume: 27
• Issue: 7
• Keywords: Occupational therapy, Stroke, Cognitive screening, Community, Rehabilitation
• Public URL: https://nottingham-repository.worktribe.com/output/3600140
• Publisher URL: https://www.magonlinelibrary.com/doi/abs/10.12968/ijtr.2019.0064
• Additional Information: This document is the Accepted Manuscript version of a Published Work that appeared in final form in International Journal of Therapy and Rehabilitation, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://www.magonlinelibrary.com/doi/abs/10.12968/ijtr.2019.0064