New! Earn CE Credit With AJOT Articles!
Learn about tested treatment strategies by reading AJOT articles in your area of practice. Become an evidence-based practitioner and demonstrate your knowledge by passing the course exam. Articles have been selected for their relevance to practice, fresh ideas, and strong evidence supporting treatment and the distinct value of OT.
Earn .1 AOTA CEU (1.25 NBCOT PDU/1 contact hour)
Effectiveness of Interventions for Adults With Psychological or Emotional Impairment After Stroke: An Evidence-Based Review
This evidence-based review was conducted to evaluate the effectiveness of occupational therapy interventions to prevent or mitigate the effects of psychological or emotional impairments after stroke. Thirty-nine journal articles met the inclusion criteria. Six types of interventions were identified that addressed depression, anxiety, or mental health–related quality of life: exercise or movement based, behavioral therapy and stroke education, behavioral therapy only, stroke education only, care support and coordination, and community-based interventions that included occupational therapy. Evidence from well-conducted research supports using problem-solving or motivational interviewing behavioral techniques to address depression. The evidence is inconclusive for using multicomponent exercise programs to combat depression after stroke and for the use of stroke education and care support and coordination interventions to address poststroke anxiety. One study provided support for an intensive multidisciplinary home program in improving depression, anxiety, and health-related quality of life. The implications of the findings for practice, research, and education are discussed.
Mary W. Hildebrand, OTD, OTR/L, is Associate Professor, Occupational Therapy, MGH Institute of Health Professions, Boston, MA; firstname.lastname@example.org
1. Identify common psychological impairments that occur after a person has a stroke.
2. Describe the role of occupational therapy in treatment of psychological impairments after stroke.
3. Name effective interventions for psychological impairments after stroke that are within the scope of practice of occupational therapists.
CE Find Key Words: Stroke, CVA, depression, anxiety, behavioral therapy, motivational interviewing
Learning Level: Intermediate
Target Audience: Occupational Therapists and Occupational Therapy Assistants
Content Focus: Category 1: Domain of OT; Category 2: OT Process: Intervention