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REVIEW
Contents Vol 25(1)

A scoping review of remote group-based psychological interventions for people after transient ischemic attack and stroke

Jade Kettlewell https://orcid.org/0000-0002-6713-4551 A * , Eirini Kontou https://orcid.org/0000-0001-5837-9891 B , Abigail R. Lee https://orcid.org/0000-0003-2931-8111 B , Shirley Thomas https://orcid.org/0000-0003-0704-9387 C , Naomi Thorpe https://orcid.org/0000-0002-4539-8564 D and Dana Wong https://orcid.org/0000-0001-9619-1929 E
+ Author Affiliations
- Author Affiliations

A Centre for Academic Primary Care, University of Nottingham, UK.

B Mental Health and Clinical Neurosciences, Institute of Mental Health, University of Nottingham, UK.

C Injury, Recovery and Inflammation Science, School of Medicine, University of Nottingham, UK.

D Library and Knowledge Services, Nottinghamshire Healthcare NHS Foundation Trust, UK.

E Department of Psychology, Counselling & Therapy, La Trobe University, Australia.

* Correspondence to: Jade.kettlewell@nottingham.ac.uk

Handling Editor: Grahame Simpson

Brain Impairment 25, IB23071 https://doi.org/10.1071/IB23071
Submitted: 11 October 2023  Accepted: 12 November 2023  Published: 19 January 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the Australasian Society for the Study of Brain Impairment.

Abstract

Background

Mental health and quality of life are commonly affected following a stroke or Transient Ischemic Attack (TIA) diagnosis, although many people are discharged without clear information about their psychological impact. Evidence suggests psychological interventions can be successfully delivered via remote methods (e.g. videoconferencing, telephone). However, it is unclear whether such interventions are effective for people post-stroke/TIA. This scoping review aimed to identify current evidence for remote group-based psychological interventions for people following TIA and stroke.

Methods

Four electronic databases (MEDLINE, Embase, PsycINFO, Scopus) were searched for articles on online group psychological interventions post-TIA and stroke. Four reviewers independently screened titles, abstracts and full texts, then two authors extracted data for included studies. A bespoke data extraction form was used to describe interventions, informed by Template for Intervention Description and Replication (TIDieR) checklists.

Results

The search yielded 1333 studies, from which six were included in the review. Four were feasibility studies (two randomised controlled trials, two single-group pre-/post-design). All interventions targeted stroke survivors; no studies targeted people with TIA. Delivery methods included teleconferencing, videoconferencing, an online platform (virtual multiuser world) and a hybrid approach using videoconferencing and face-to-face visits. Remote intervention components were delivered in the community or at participants’ homes. All studies included a mood measure. Improvement in mood and/or quality of life was reported across the four studies.

Conclusions

More research is needed to explore and confirm the potential benefits of remote delivery of group psychological interventions following stroke and TIA. Better reporting of implementation barriers/facilitators and more high-quality research are required to determine the effectiveness of remote interventions.

Keywords: group intervention, minor stroke, psychoeducation, psychological intervention, scoping review, telehealth, telepsychology, TIA.

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