Article

This study aims to determine the long-term effects of a
new Memory Self-efficacy (MSE) training program for stroke patients on MSE,
depression, and quality of life. METHODS: In a randomized controlled trial,
patients were allocated to a MSE training or a peer support group. Outcome
measures were MSE, depression, and quality of life, measured with the
Metamemory-In-Adulthood questionnaire, Center for Epidemiological
Studies-Depression Scale
(CES-D), and the Who-Qol Bref questionnaire,
respectively. We used linear mixed models to compare the outcomes of both groups
immediately after training, after 6 months, and after 12 months, adjusted for
baseline. RESULTS: In total, 153 former inpatients from 2 rehabilitation centers
were randomized-77 to the experimental and 76 to the control group. MSE increased
significantly more in the experimental group and remained significantly higher
than in the control group after 6 and 12 months (B = 0.42; P = .010).
Psychological quality of life also increased more in the experimental group but
not significantly (B = 0.09; P = .077). However, in the younger subgroup of
patients (<65 years old), psychological quality of life significantly improved in
the experimental group compared to the control group and remained significantly
higher over time (B = 0.14; P = .030). Other outcome measures were not
significantly different between both groups. CONCLUSIONS: An MSE training program
improved MSE and psychological quality of life in stroke patients aged <65 years.
These effects persisted during 12 months of follow-up.

Langue : ANGLAIS