An investigation of different interventions designed to maintain the benefits following a group-based memory rehabilitation program in stroke patients.

Abstract

Addressing memory problems after stroke is a research priority due to significant unmet needs reported by survivors of stroke. Memory rehabilitation, including group programs based on teaching people strategies to compensate for their memory problems (such as using diaries or calendars), has been shown to produce significant short-term improvements in memory after a stroke. However, difficulties establishing new strategies into everyday routines can mean that effects are inconsistently maintained over time.

In this project, we seek to evaluate the following two eHealth maintenance intervention programs that are designed to sustain the improvements in everyday memory made following six weeks of group-based memory skills training: 1) Booster sessions delivered via telehealth (videoconferencing), and 2) SMS or email reminders prompting use of memory strategies taught. As well as evaluating whether these eHealth interventions are effective in maintaining the use of strategies that enhance memory function, we are seeking to assess whether these interventions are appropriate, practical, and potentially cost-effective. In order to evaluate whether these intervention strategies are effective in helping people maintain their benefits, we will compare the results that we find from the two treatment options against results from having no maintenance support (which is the current practice).

Identifying effective strategies for maintaining the benefits of memory rehabilitation could help reduce the long-term impact of these problems after a stroke. These benefits could include increased independence and employment opportunities, as well as better quality of life for those recovering from a stroke and their families.