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A Biopsychosocial Intervention for Stroke Carers (BISC): development and description of the intervention

Kontou, Eirini; Thomas, Shirley A.; Cobley, Christine; Fisher, Rebecca; Golding-Day, Miriam R.; Walker, Marion F.

A Biopsychosocial Intervention for Stroke Carers (BISC): development and description of the intervention Thumbnail


Christine Cobley

Rebecca Fisher

Marion F. Walker


Objective: Family members of stroke survivors are often not supported for their caring role, with many reporting adjustment difficulties. This paper describes the development and content of a group-based intervention for informal carers of stroke survivors. Method: The intervention is based on the theoretical foundation of the biopsychosocial model with the aim to understand and address the physical, psychological and social factors of caring for stroke survivors. Findings from a comprehensive literature review and a qualitative study with carers and stroke professionals were synthesized to guide the intervention development. The Template for Intervention Description and Replication (TIDieR) checklist was used as a framework to describe the intervention. Results: The intervention integrates cognitive-behavioural approaches via the identification of the biopsychosocial (physical, emotional, social) factors that can have an impact on the well-being of carers. It includes education on stroke-specific topics and advice on coping strategies. It consists of six structured two-hour group sessions facilitated in a community setting. It provides information and support on adjusting to the caring role in the first year post-stroke. Intervention materials were designed for addressing carers’ specific needs using psychological techniques, such as problem-solving, goal setting and relaxation exercises. Conclusion: We have underlined the importance for describing and reporting the process of intervention development for complex interventions in the context of stroke rehabilitation. An intervention addressing the needs of informal stroke carers (Biopsychosocial Intervention for Stroke Carers; BISC) has been developed and described. BISC was further evaluated in a single-centre feasibility randomized controlled trial.

Journal Article Type Article
Acceptance Date Dec 6, 2021
Online Publication Date Jan 2, 2022
Publication Date Jan 1, 2022
Deposit Date Dec 20, 2021
Publicly Available Date Jan 1, 2022
Journal Health Psychology and Behavioral Medicine
Electronic ISSN 2164-2850
Publisher Informa UK Limited
Peer Reviewed Peer Reviewed
Volume 10
Issue 1
Pages 92-103
Keywords Behavioral Neuroscience; General Psychology; Health (social science)
Public URL
Publisher URL


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