OTSLPQualitativeDisability and rehabilitation2023

Learning to flourish in a new reality: a thematic analysis of couples' experience of participation in a positive psychology intervention post-stroke.

Jackie Einerson, Lauren K Lundstrom, Brieanna K Allen and 2 others

PMID 35914538

WHAT IT FOUND

Couples after stroke described ReStoreD activities as giving them ways to notice feelings, slow down, spend intentional time together, and talk about difficult things.

Some care-partners felt sadder seeing what they missed, so it is not a relationship fix.

Key findings

01Couples described becoming more aware of feelings, pausing to savor small moments, and trying new coping strategies such as meditation.

02Some participants said they spent more intentional time together and had conversations they had previously avoided.

03A couple of care-partners reported feeling more isolated and sad when they saw what they were missing, because they expected ReStoreD to fix broader relationship issues.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

This was a secondary analysis of interviews from a pilot study, so it describes experience rather than testing effect. Only 26 of 34 enrolled dyads completed the intervention and interviews, and the authors note dropouts may have had different experiences. The sample was English-speaking, primarily White, and highly educated, and did not include people with significant cognitive impairment or receptive aphasia, so experiences may not apply to all couples. Interview questions focused on the ReStoreD intervention, not on broader stroke experience, and responses reflect that line of questioning.

Declared interests

The authors reported no conflicts of interest. The supplied publication types indicate NIH extramural research support.

The easy way to misread this

Do not read these positive themes as proof that ReStoreD improves mood, participation, or relationships after stroke. The paper analysed interviews from a pilot study, and it reports experiences rather than tested outcomes.

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