SLPQualitativeFrontiers in rehabilitation sciences2022

Co-creating Digital Stories With UK-Based Stroke Survivors With the Aim of Synthesizing Collective Lessons From Individual Experiences of Interacting With Healthcare Professionals.

Joseph Hall, Thilo Kroll, Frederike van Wijck and 1 others

PMID 36189023

WHAT IT FOUND

Stroke survivors made digital stories and chose six lessons for clinicians: check symptoms beyond FAST, avoid age and lifestyle assumptions, listen to the person, prepare for discharge, and support long-term recovery.

Key findings

01Five stroke survivors completed digital stories after one participant withdrew before the final stage.

02The stories were synthesized into six collective lessons for healthcare professionals, covering varied symptoms, age and lifestyle assumptions, listening, discharge preparation, and long-term support.

03Participants reported misdiagnosis when varied symptoms beyond Face, Arms and Speech signs were overlooked.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only six workshop participants were involved, and only five completed digital stories, so these lessons may not represent other stroke survivors. One participant withdrew before the final stage, so the final stories came from five participants. The paper did not report testing the stories with healthcare professionals or measuring outcomes; it says the next step is to engage healthcare professionals and evaluate impact. Participants came from a previous qualitative study and excluded people unable to provide consent or with severe cognitive or communicative impairment; no one used aphasia support, so survivors with communication difficulties were not represented. The sample was 33 to 63 years old, all White British, and none had a disability before stroke, so older survivors, other ethnicities, and people with pre-existing disability were not represented. All contact was remote because of COVID-19, which may have affected who could participate and how the process worked.

Declared interests

The study was funded as part of a full-time PhD research studentship at Glasgow Caledonian University. The authors declared no commercial or financial relationships that could be construed as a potential conflict of interest.

The easy way to misread this

Do not read the six lessons as evidence that digital stories improve clinician behavior or patient outcomes. The study did not test the stories with healthcare professionals and measured no clinical outcome; it only co-created stories and themes with five stroke survivors who completed stories.

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The study

Participants
29 stroke survivors consented to be contacted; 6 took part in online workshops, 1 took part through an online bulletin board, 5 took part as advisors, and 5 completed digital stories
Certainty of evidence
Very low

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Joseph Hall, Thilo Kroll, Frederike van Wijck, et al. Co-creating Digital Stories With UK-Based Stroke Survivors With the Aim of Synthesizing Collective Lessons From Individual Experiences of Interacting With Healthcare Professionals. Frontiers in rehabilitation sciences. 2022.

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