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Adjustment with aphasia after stroke: study protocol for a pilot feasibility randomised controlled trial for SUpporting wellbeing through PEeR Befriending (SUPERB)

Hilari, Katerina; Behn, Nicholas; Marshall, Jane; Simpson, Alan; Thomas, Shirley; Northcott, Sarah; Flood, Chris; McVicker, Sally; Jofre-Bonet, Mireia; Moss, Becky; James, Kirsty; Goldsmith, Kimberley


Katerina Hilari

Nicholas Behn

Jane Marshall

Alan Simpson

Sarah Northcott

Chris Flood

Sally McVicker

Mireia Jofre-Bonet

Becky Moss

Kirsty James

Kimberley Goldsmith


Background: Despite the high prevalence of mood problems after stroke, evidence on effective interventions particularly for those with aphasia is limited. There is a pressing need to systematically evaluate interventions aiming to improve wellbeing for people with stroke and aphasia. This study aims to evaluate the feasibility of a peer-befriending intervention.
Methods/design: SUPERB is a single blind, parallel group feasibility trial of peer befriending for people with aphasia post-stroke and low levels of psychological distress. The trial includes a nested qualitative study and pilot economic evaluation and it compares usual care (n = 30) with usual care + peer befriending (n = 30). Feasibility outcomes include proportion screened who meet criteria, proportion who consent, rate of consent, number of missing/incomplete data on outcome measures, attrition rate at follow-up, potential value of conducting main trial using value of information analysis (economic evaluation), description of usual care, and treatment fidelity of peer befriending. Assessments and outcome measures (mood, wellbeing, communication, and social participation) for participants and significant others will be administered at baseline, with outcome measures re-administered at 4 and 10 months post-randomisation. Peer befrienders will complete outcome measures before training and after they have completed two cycles of befriending. The qualitative study will use semi-structured interviews of purposively sampled participants (n = 20) and significant others (n = 10) from both arms of the trial, and all peer befrienders to explore the acceptability of procedures and experiences of care. The pilot economic evaluation will utilise the European Quality of life measure (EQ-5D-5 L) and a stroke-adapted version of the Client Service Receipt Inventory (CSRI).
Discussion: This study will provide information on feasibility outcomes and an initial indication of whether peer befriending is a suitable intervention to explore further in a definitive phase III randomised controlled trial.


Hilari, K., Behn, N., Marshall, J., Simpson, A., Thomas, S., Northcott, S., …Goldsmith, K. (2019). Adjustment with aphasia after stroke: study protocol for a pilot feasibility randomised controlled trial for SUpporting wellbeing through PEeR Befriending (SUPERB). Pilot and Feasibility Studies, 5(1), Article 14.

Journal Article Type Article
Acceptance Date Jan 9, 2019
Online Publication Date Jan 22, 2019
Publication Date Jan 22, 2019
Deposit Date Feb 11, 2019
Publicly Available Date Feb 11, 2019
Journal Pilot and Feasibility Studies
Print ISSN 2055-5784
Electronic ISSN 2055-5784
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 5
Issue 1
Article Number 14
Public URL
Publisher URL


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