A new study started in 2015 funded by the South London CLAHRC
The study aims to ensure that the Bridges Programme is accessible for stroke survivors who have cognitive, communication or mood difficulties. Our research has shown that this group of patients are less likely to gain access to any self-management programme. Inequity and lack of access to self-management support for some groups, particularly those with more complex needs, has also been highlighted by the Health Foundation.
We will survey stroke teams who use Bridges to support people to self-manage and those that don’t, and explore the views of stroke survivors who have cognitive, communication or mood difficulties, their family members and the health and social care professionals who support them. We will also be observing interactions during rehabilitation to explore how self-management is supported when people have cognitive and communication problems. This intelligence-gathering exercise will inform the development of an adaptation of both the workbook and the training to help professionals understand how to support people who experience this particular problem. Any adaptations will be developed in collaboration with stroke survivors and will then be evaluated by re-interviewing and re-observing.