Helping Ease Anxiety and Depression Following Stroke Stage 3 (HEADS:UP)
Stroke, Cerebrovascular Accident Due to Cerebral Artery Occlusion, Anxiety
About this trial
This is an interventional treatment trial for Stroke focused on measuring Stroke, CVA, Anxiety, Depression, Mindfulness, MBSR, Online, Self-management, Mixed methods
Eligibility Criteria
Inclusion Criteria:
- Aged ≥18 years
- Have had ≥1 stroke at least 3 months previously
Able to speak and understand conversational English DESIRABLE BUT NOT ESSENTIAL: Able to identify a family member* who would: like to take part and can speak and understand conversational English.
- Family member: we use an inclusive definition of 'family': 'a self-identified group of two or more individuals who consider themselves as 'family' e.g. spouse, parent, friend. When we refer to 'family' in this document our meaning extends beyond 'family', to friends, peers and volunteers/buddies.
Exclusion Criteria:
- Prior MBSR attendance in the last three years (as this may confound results)
- Current participant in another trial of a similar psychological self-management intervention
- Currently receiving treatment for PTSD (post traumatic stress disorder) or psychosis
- Disclosing suicidal ideation
- Cannot follow a 2-stage command e.g. Please spell your surname and then tell me the days of the week; Please count to six and then spell your first name.
- Scores <3 on the PHQ-4
Sites / Locations
- Glasgow Caledonian University
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Online HEADS: UP
Control
A group-based Mindfulness Based Stress Reduction (MBSR) course adapted for people affected by stroke and delivered using a video communication platform e.g. Zoom. An informal introductory session in the first week is followed by 8 weekly sessions (2.5 hours, incorporating 30-minute comfort breaks). A 6-hour silent retreat is offered in week 7. An optional follow-up session is offered six-eight weeks after completion of the 9-week course.
No intervention provided.