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McLaren DM, Evans J, Baylan S, Smith S, Gardani M. The effectiveness of the behavioural components of cognitive behavioural therapy for insomnia in older adults: A systematic review. J Sleep Res 2023; 32:e13843. [PMID: 36802110 PMCID: PMC10909422 DOI: 10.1111/jsr.13843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Revised: 11/16/2022] [Accepted: 01/16/2023] [Indexed: 02/21/2023]
Abstract
Insomnia is more prevalent in older adults (> 60 years) than in the general population. Cognitive behavioural therapy for insomnia is the gold-standard treatment; however, it may prove too cognitively taxing for some. This systematic review aimed to critically examine the literature exploring the effectiveness of explicitly behavioural interventions for insomnia in older adults, with secondary aims of investigating their effect on mood and daytime functioning. Four electronic databases (MEDLINE - Ovid, Embase - Ovid, CINAHL, and PsycINFO) were searched. All experimental, quasi-experimental and pre-experimental studies were included, provided they: (a) were published in English; (b) recruited older adults with insomnia; (c) used sleep restriction and/or stimulus control; (d) reported outcomes pre-and-post intervention. Database searches returned 1689 articles; 15 studies, summarising the results of 498 older adults, were included - three focused on stimulus control, four on sleep restriction, and eight adopted multicomponent treatments comprised of both interventions. All interventions brought about significant improvements in one or more subjectively measured facets of sleep although, overall, multicomponent therapies demonstrated larger effects (median Hedge's g = 0.55). Actigraphic or polysomnographic outcomes demonstrated smaller or no effects. Improvements in measures of depression were seen in multicomponent interventions, but no intervention demonstrated any statistically significant improvement in measures of anxiety. This corroborates with the existing consensus that multicomponent approaches confer the most benefit, and adds to the literature by demonstrating this to be the case in brief, explicitly behavioural interventions. This review guides future study of treatments for insomnia in populations where cognitive behavioural therapy for insomnia is not appropriate.
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Affiliation(s)
- Declan M. McLaren
- School of Psychology and NeuroscienceThe University of GlasgowGlasgowScotland
| | - Jonathan Evans
- School of Health and WellbeingThe University of GlasgowGlasgowScotland
| | - Satu Baylan
- School of Health and WellbeingThe University of GlasgowGlasgowScotland
| | - Sarah Smith
- School of Psychology and NeuroscienceThe University of GlasgowGlasgowScotland
| | - Maria Gardani
- School of Health in Social ScienceThe University of EdinburghEdinburghScotland
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Turner C, Baylan S, Bracco M, Cruz G, Hanzal S, Keime M, Kuye I, McNeill D, Ng Z, van der Plas M, Ruzzoli M, Thut G, Trajkovic J, Veniero D, Wale SP, Whear S, Learmonth G. Developmental changes in individual alpha frequency: Recording EEG data during public engagement events. Imaging Neurosci (Camb) 2023; 1:1-14. [PMID: 37719836 PMCID: PMC10503479 DOI: 10.1162/imag_a_00001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 06/05/2023] [Accepted: 06/05/2023] [Indexed: 09/19/2023]
Abstract
Statistical power in cognitive neuroimaging experiments is often very low. Low sample size can reduce the likelihood of detecting real effects (false negatives) and increase the risk of detecting non-existing effects by chance (false positives). Here, we document our experience of leveraging a relatively unexplored method of collecting a large sample size for simple electroencephalography (EEG) studies: by recording EEG in the community during public engagement and outreach events. We collected data from 346 participants (189 females, age range 6-76 years) over 6 days, totalling 29 hours, at local science festivals. Alpha activity (6-15 Hz) was filtered from 30 seconds of signal, recorded from a single electrode placed between the occipital midline (Oz) and inion (Iz) while the participants rested with their eyes closed. A total of 289 good-quality datasets were obtained. Using this community-based approach, we were able to replicate controlled, lab-based findings: individual alpha frequency (IAF) increased during childhood, reaching a peak frequency of 10.28 Hz at 28.1 years old, and slowed again in middle and older age. Total alpha power decreased linearly, but the aperiodic-adjusted alpha power did not change over the lifespan. Aperiodic slopes and intercepts were highest in the youngest participants. There were no associations between these EEG indexes and self-reported fatigue, measured by the Multidimensional Fatigue Inventory. Finally, we present a set of important considerations for researchers who wish to collect EEG data within public engagement and outreach environments.
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Affiliation(s)
- Christopher Turner
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Satu Baylan
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Martina Bracco
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
- Sorbonne Université, Institut du Cerveau - Paris Brain Institute - ICM, Inserm, CNRS, APHP, Hôpital de la Pitié Salpêtrière, Paris, France
| | - Gabriela Cruz
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Simon Hanzal
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Marine Keime
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Isaac Kuye
- School of Molecular Biosciences, University of Glasgow, Glasgow, Scotland
| | - Deborah McNeill
- School of Biodiversity, One Health & Veterinary Medicine, University of Glasgow, Glasgow, Scotland
| | - Zika Ng
- School of Molecular Biosciences, University of Glasgow, Glasgow, Scotland
| | - Mircea van der Plas
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Manuela Ruzzoli
- Basque Center on Cognition Brain and Language (BCBL), Donostia/San Sebastian, Spain
- Ikerbasque, Basque Foundation for Science, Bilbao, Spain
| | - Gregor Thut
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Jelena Trajkovic
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Domenica Veniero
- School of Psychology, University of Nottingham, Nottingham, United Kingdom
| | - Sarah P. Wale
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Sarah Whear
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
| | - Gemma Learmonth
- School of Psychology & Neuroscience, University of Glasgow, Glasgow, Scotland
- Division of Psychology, University of Stirling, Stirling, Scotland
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Montgomery MC, Baylan S, Gardani M. Prevalence of insomnia and insomnia symptoms following mild-traumatic brain injury: A systematic review and meta-analysis. Sleep Med Rev 2021; 61:101563. [PMID: 35033968 DOI: 10.1016/j.smrv.2021.101563] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 10/26/2021] [Accepted: 10/26/2021] [Indexed: 12/17/2022]
Abstract
Sleep is commonly disrupted following mild traumatic brain injury (mTBI), however there is a lack of consensus in the existing literature regarding the prevalence of insomnia/insomnia symptoms after injury. The aim of this review was to conduct a systematic review and meta-analysis of insomnia and insomnia symptoms' prevalence following mTBI. Full-text articles published in English in peer-reviewed journals, including adults with a clinical or self-reported mild traumatic brain injury diagnosis, were eligible for inclusion. Studies that assessed insomnia/insomnia symptoms after injury were included. Of the 2091 records identified, 20 studies were included in the review. 19 of these were meta-analysed (n = 95,195), indicating high heterogeneity among studies. Subgroup analyses indicated pooled prevalence estimates of post-mTBI insomnia disorder of 27.0% (95% CI 6.49-54.68) and insomnia symptoms of 71.7% (95% CI 60.31-81.85). The prevalence of insomnia is significantly higher in individuals who have sustained mild traumatic brain injury compared to prevalence estimates reported in the general population but high heterogeneity and methodological differences among studies make it difficult to provide reliable prevalence estimates. Future research should continue to advance our understanding of the onset, progression and impact of post-mild traumatic brain injury insomnia to promote the recovery and wellbeing of affected individuals. PROSPERO registration CRD42020168563.
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Affiliation(s)
| | - Satu Baylan
- Institute of Health and Wellbeing, University of Glasgow, UK
| | - Maria Gardani
- School of Health in Social Science, University of Edinburgh, UK.
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Pappa K, Flegal KE, Baylan S, Evans JJ. Working memory training: Taking a step back to retool and create a bridge between clinical and neuroimaging research methods. Appl Neuropsychol Adult 2021; 29:1669-1680. [PMID: 33794120 DOI: 10.1080/23279095.2021.1904243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Improvements in patient outcomes and mortality after brain injury alongside increasing ageing population have resulted in an increasing need to develop cognitive interventions for individuals experiencing changes in their cognitive function. One topic of increasing research interest is whether cognitive functions such as attention, memory and executive functioning can be improved through the use of working memory training interventions. Both clinical and neuroimaging researchers are working to evidence this, but their efforts rarely come together. We discuss here several issues that may be hindering progress in this area, including the tools researchers utilize to measure cognition, the choice between employing active or passive control groups, the focus on transfer effects at the expense of well-characterized training effects, and the overall lack of neuroimaging studies in individuals with neurological disorders. We argue that the only way to advance the field is to build bridges between the disciplines of clinical neuropsychology and cognitive neuroscience. We suggest a multi-level framework to validate the efficacy of working memory interventions and other forms of cognitive training that combine both clinical and neuroimaging approaches. We conclude that in order to move forward we need to form multidisciplinary teams, employ interdisciplinary methods, brain imaging quality rating tools and build national and international collaborations based on open science principles.
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Affiliation(s)
- Katerina Pappa
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Kristin E Flegal
- Institute of Neuroscience and Psychology, University of Glasgow, Glasgow, UK
| | - Satu Baylan
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Jonathan J Evans
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
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Baylan S, Griffiths S, Grant N, Broomfield NM, Evans JJ, Gardani M. Incidence and prevalence of post-stroke insomnia: A systematic review and meta-analysis. Sleep Med Rev 2020; 49:101222. [DOI: 10.1016/j.smrv.2019.101222] [Citation(s) in RCA: 52] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Revised: 10/20/2019] [Accepted: 10/21/2019] [Indexed: 11/17/2022]
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Baylan S, Haig C, MacDonald M, Stiles C, Easto J, Thomson M, Cullen B, Quinn TJ, Stott D, Mercer SW, Broomfield NM, Murray H, Evans JJ. Measuring the effects of listening for leisure on outcome after stroke (MELLO): A pilot randomized controlled trial of mindful music listening. Int J Stroke 2019; 15:149-158. [PMID: 30940047 PMCID: PMC7045280 DOI: 10.1177/1747493019841250] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Background Cognitive deficits and low mood are common post-stroke. Music listening is
suggested to have beneficial effects on cognition, while mindfulness may
improve mood. Combining these approaches may enhance cognitive recovery and
improve mood early post-stroke. Aims To assess the feasibility and acceptability of a novel mindful music
listening intervention. Methods A parallel group randomized controlled feasibility trial with ischemic stroke
patients, comparing three groups; mindful music listening, music listening
and audiobook listening (control group), eight weeks intervention.
Feasibility was measured using adherence to protocol and questionnaires.
Cognition (including measures of verbal memory and attention) and mood
(Hospital Anxiety and Depression Scale) were assessed at baseline, end of
intervention and at six-months post-stroke. Results Seventy-two participants were randomized to mindful music listening
(n = 23), music listening (n = 24), or
audiobook listening (n = 25). Feasibility and acceptability
measures were encouraging: 94% fully consistent with protocol; 68.1%
completing ≥6/8 treatment visits; 80–107% listening adherence; 83% retention
to six-month endpoint. Treatment effect sizes for cognition at six month
follow-up ranged from d = 0.00 ([−0.64,0.64], music alone), d = 0.31,
([0.36,0.97], mindful music) for list learning; to d = 0.58 ([0.06,1.11],
music alone), d = 0.51 ([−0.07,1.09], mindful music) for immediate story
recall; and d = 0.67 ([0.12,1.22], music alone), d = 0.77
([0.16,1.38]mindful music) for attentional switching compared to audiobooks.
No signal of change was seen for mood. A definitive study would require 306
participants to detect a clinically substantial difference in improvement
(z-score difference = 0.66, p = 0.017, 80% power) in verbal
memory (delayed story recall). Conclusions Mindful music listening is feasible and acceptable post-stroke. Music
listening interventions appear to be a promising approach to improving
recovery from stroke.
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Affiliation(s)
- Satu Baylan
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Caroline Haig
- Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK
| | - Maxine MacDonald
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Ciara Stiles
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.,Stroke Psychology Service, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Jake Easto
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.,Stroke Psychology Service, NHS Greater Glasgow and Clyde, Glasgow, UK
| | - Meigan Thomson
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Breda Cullen
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Terence J Quinn
- Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK
| | - David Stott
- Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK
| | - Stewart W Mercer
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.,Usher institute of population health sciences and informatics, University of Edinburgh, Edinburgh, UK
| | - Niall M Broomfield
- Stroke Psychology Service, NHS Greater Glasgow and Clyde, Glasgow, UK.,Norwich Medical School, University of East Anglia, England, UK
| | - Heather Murray
- Robertson Centre for Biostatistics, University of Glasgow, Glasgow, UK
| | - Jonathan J Evans
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
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Baylan S, McGinlay M, MacDonald M, Easto J, Cullen B, Haig C, Mercer SW, Murray H, Quinn TJ, Stott D, Broomfield NM, Stiles C, Evans JJ. Participants' experiences of music, mindful music, and audiobook listening interventions for people recovering from stroke. Ann N Y Acad Sci 2018; 1423:349-359. [PMID: 29727009 DOI: 10.1111/nyas.13618] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2017] [Revised: 12/20/2017] [Accepted: 12/31/2017] [Indexed: 12/01/2022]
Abstract
Existing research evidence suggests that both music listening and mindfulness interventions may have beneficial effects on mood and cognition poststroke. This mixed-methods study, nested within a pilot randomized controlled trial investigating the feasibility and acceptability of combining music listening and brief mindfulness training poststroke, explored study participants' experiences of engaging in the interventions. Fifty-six stroke survivors who were randomized to receive an 8-week intervention of mindful music listening (n = 15), music listening (n = 21), or audiobook listening (n = 20, control) using self-selected material participated in a postintervention individual semistructured interview with a researcher not involved in their intervention delivery. Interview questions focused on affective, cognitive, and physical experiences. Data were coded and analyzed using thematic analysis. Across groups, listening was associated with positive distraction from thoughts and worries. Mindful music listening was most strongly associated with relaxation and concentration, improved attentional control, and emotion regulation, as well as enjoyment. Music listening was most strongly associated with increased activity, memory reminiscence, and improved mood. In addition, participants provided valuable feedback on intervention feasibility and acceptability. The findings suggest that the interventions were feasible and enjoyable for people recovering from stroke.
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Affiliation(s)
- Satu Baylan
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Meigan McGinlay
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Maxine MacDonald
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Jake Easto
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
- Stroke Psychology Service, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom
| | - Breda Cullen
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Caroline Haig
- Robertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Stewart W Mercer
- General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Heather Murray
- Robertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Terence J Quinn
- Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom
| | - David Stott
- Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom
| | - Niall M Broomfield
- Stroke Psychology Service, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom
| | - Ciara Stiles
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
- Stroke Psychology Service, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom
| | - Jonathan J Evans
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
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Abstract
BACKGROUND People with stroke conventionally receive a substantial part of their rehabilitation in hospital. Services have now been developed that offer people in hospital an early discharge with rehabilitation at home (early supported discharge: ESD). OBJECTIVES To establish if, in comparison with conventional care, services that offer people in hospital with stroke a policy of early discharge with rehabilitation provided in the community (ESD) can: 1) accelerate return home, 2) provide equivalent or better patient and carer outcomes, 3) be acceptable satisfactory to patients and carers, and 4) have justifiable resource implications use. SEARCH METHODS We searched the Cochrane Stroke Group Trials Register (January 2017), Cochrane Central Register of Controlled Trials (CENTRAL 2017, Issue 1) in the Cochrane Library (searched January 2017), MEDLINE in Ovid (searched January 2017), Embase in Ovid (searched January 2017), CINAHL in EBSCO (Cumulative Index to Nursing and Allied Health Literature; 1937 to December 2016), and Web of Science (to January 2017). In an effort to identify further published, unpublished, and ongoing trials we searched six trial registries (March 2017). We also performed citation tracking of included studies, checked reference lists of relevant articles, and contacted trialists. SELECTION CRITERIA Randomised controlled trials (RCTs) recruiting stroke patients in hospital to receive either conventional care or any service intervention that has provided rehabilitation and support in a community setting with an aim of reducing the duration of hospital care. DATA COLLECTION AND ANALYSIS The primary patient outcome was the composite end-point of death or long-term dependency recorded at the end of scheduled follow-up. Two review authors scrutinised trials, categorised them on their eligibility and extracted data. Where possible we sought standardised data from the primary trialists. We analysed the results for all trials and for subgroups of patients and services, in particular whether the intervention was provided by a co-ordinated multidisciplinary team (co-ordinated ESD team) or not. We assessed risk of bias for the included trials and used GRADE to assess the quality of the body of evidence. MAIN RESULTS We included 17 trials, recruiting 2422 participants, for which outcome data are currently available. Participants tended to be a selected elderly group of stroke survivors with moderate disability. The ESD group showed reductions in the length of hospital stay equivalent to approximately six days (mean difference (MD) -5.5; 95% confidence interval (CI) -3 to -8 days; P < 0.0001; moderate-grade evidence). The primary outcome was available for 16 trials (2359 participants). Overall, the odds ratios (OR) for the outcome of death or dependency at the end of scheduled follow-up (median 6 months; range 3 to 12) was OR 0.80 (95% CI 0.67 to 0.95, P = 0.01, moderate-grade evidence) which equates to five fewer adverse outcomes per 100 patients receiving ESD. The results for death (16 trials; 2116 participants) and death or requiring institutional care (12 trials; 1664 participants) were OR 1.04 (95% CI 0.77 to 1.40, P = 0.81, moderate-grade evidence) and OR 0.75 (95% CI 0.59 to 0.96, P = 0.02, moderate-grade evidence), respectively. Small improvements were also seen in participants' extended activities of daily living scores (standardised mean difference (SMD) 0.14, 95% CI 0.03 to 0.25, P = 0.01, low-grade evidence) and satisfaction with services (OR 1.60, 95% CI 1.08 to 2.38, P = 0.02, low-grade evidence). We saw no clear differences in participants' activities of daily living scores, patients subjective health status or mood, or the subjective health status, mood or satisfaction with services of carers. We found low-quality evidence that the risk of readmission to hospital was similar in the ESD and conventional care group (OR 1.09, 95% CI 0.79 to 1.51, P = 0.59, low-grade evidence). The evidence for the apparent benefits were weaker at one- and five-year follow-up. Estimated costs from six individual trials ranged from 23% lower to 15% greater for the ESD group in comparison to usual care.In a series of pre-planned analyses, the greatest reductions in death or dependency were seen in the trials evaluating a co-ordinated ESD team with a suggestion of poorer results in those services without a co-ordinated team (subgroup interaction at P = 0.06). Stroke patients with mild to moderate disability at baseline showed greater reductions in death or dependency than those with more severe stroke (subgroup interaction at P = 0.04). AUTHORS' CONCLUSIONS Appropriately resourced ESD services with co-ordinated multidisciplinary team input provided for a selected group of stroke patients can reduce long-term dependency and admission to institutional care as well as reducing the length of hospital stay. Results are inconclusive for services without co-ordinated multidisciplinary team input. We observed no adverse impact on the mood or subjective health status of patients or carers, nor on readmission to hospital.
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Affiliation(s)
- Peter Langhorne
- ICAMS, University of GlasgowAcademic Section of Geriatric MedicineLevel 2, New Lister BuildingGlasgow Royal InfirmaryGlasgowUKG31 2ER
| | - Satu Baylan
- Queen Elizabeth University HospitalInstitute of Health and Wellbeing, College of Medical, Veterinary and Life SciencesGlasgowUKG51 4TF
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Baylan S, Evans J. Development of a paradigm for studying the effects of brief Goal Management Training with Implementation Intentions. Neuropsychol Rehabil 2016; 29:56-72. [DOI: 10.1080/09602011.2016.1256326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Satu Baylan
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | - Jonathan Evans
- Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
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Baylan S, Swann-Price R, Peryer G, Quinn T. The effects of music listening interventions on cognition and mood post-stroke: a systematic review. Expert Rev Neurother 2016; 16:1241-1249. [PMID: 27548875 DOI: 10.1080/14737175.2016.1227241] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Music listening may have beneficial psychological effects but there has been no comprehensive synthesis of the available data describing efficacy of music listening in stroke. Areas covered: We performed a systematic review examining the effects of music listening interventions on cognition and mood post-stroke. We found five published trials (n = 169 participants) and four ongoing trials. All studies demonstrated benefits of music listening on at least one measure of cognition or mood. Heterogeneity precluded meta-analysis and all included studies had potential risk of bias. Common reporting or methodological issues including lack of blinding, lack of detail on the intervention and safety reporting. Expert commentary: It is too early to recommend music listening as routine treatment post-stroke, available studies have been under-powered and at risk of bias. Accepting these caveats, music listening may have beneficial effects on both mood and cognition and we await the results of ongoing controlled studies.
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Affiliation(s)
- Satu Baylan
- a Mental Health and Wellbeing, Institute of Health and Wellbeing , University of Glasgow , Glasgow , UK
| | - Rhiannon Swann-Price
- b Institute of Infection, Immunity and Inflammation , University of Glasgow , Glasgow , UK
| | - Guy Peryer
- c Faculty of Medical and Health Sciences , University of East Anglia , Norwich , UK
| | - Terry Quinn
- d Institute of Cardiovascular and Medical Sciences , University of Glasgow , Glasgow , UK
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Cullen B, Pownall J, Cummings J, Baylan S, Broomfield N, Haig C, Kersel D, Murray H, Evans JJ. Positive PsychoTherapy in ABI Rehab (PoPsTAR): A pilot randomised controlled trial. Neuropsychol Rehabil 2016; 28:17-33. [PMID: 26726854 DOI: 10.1080/09602011.2015.1131722] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Psychological distress is common following acquired brain injury (ABI), but the evidence base for psychotherapeutic interventions is small and equivocal. Positive psychotherapy aims to foster well-being by increasing experiences of pleasure, engagement and meaning. In this pilot trial, we investigated the feasibility and acceptability of brief positive psychotherapy in adults with ABI and emotional distress. Participants were randomised to brief positive psychotherapy plus usual treatment, or usual treatment only. Brief positive psychotherapy was delivered over eight individual out-patient sessions, by one research psychologist. A blinded assessor administered the Depression Anxiety Stress Scales (DASS-21) and the Authentic Happiness Inventory (AHI) at 5, 9 and 20 weeks post-baseline. Of 27 participants randomised (median age 57; 63% male; 82% ischaemic stroke survivors; median 5.7 months post-injury), 14 were assigned to positive psychotherapy, of whom 8 completed treatment. The intervention was feasible to deliver with excellent fidelity, and was acceptable to participants. Retention at 20 weeks was 63% overall. A full-scale trial would need to retain n = 39 per group to end-point, to detect a significant difference in change scores on the DASS-21 Depression scale of 7 points (two-tailed alpha = .05, power = .80). Trials including an active control arm would require larger sample sizes. We conclude that a full-scale trial to investigate efficacy is warranted.
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Affiliation(s)
- Breda Cullen
- a Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK
| | - Jaycee Pownall
- a Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK
| | - Joanne Cummings
- a Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK.,b School of Psychological Sciences and Health , University of Strathclyde , Glasgow , UK
| | - Satu Baylan
- a Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK
| | - Niall Broomfield
- a Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK.,c Stroke Psychology Service, NHS Greater Glasgow & Clyde , Glasgow , UK
| | - Caroline Haig
- d Robertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK
| | - Denyse Kersel
- e Community Treatment Centre for Brain Injury, NHS Greater Glasgow & Clyde , Glasgow , UK
| | - Heather Murray
- d Robertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK
| | - Jonathan J Evans
- a Mental Health and Wellbeing, Institute of Health and Wellbeing, University of Glasgow , Glasgow , UK
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Ozcan PE, Edipoğlu I, Akinci IO, Senturk E, Baylan S, Cagatay AA, Esen F, Telci L, Cakar N. Effect of different recruitment maneuvers on bacterial translocation. Crit Care 2010. [PMCID: PMC2933995 DOI: 10.1186/cc8415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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