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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

Authors

Jennifer Geraghty

ROSHAN NAIR Roshan.dasnair@nottingham.ac.uk
Professor of Clinical Psychology and Neuropsychology

Nadina Lincoln

Jack Roffe

Natasha Lannin

AVRIL DRUMMOND avril.drummond@nottingham.ac.uk
Professor of Healthcare Research



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

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