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Long-term psychological consequences of stroke (OX-CHRONIC): A longitudinal study of cognition in relation to mood and fatigue after stroke: Protocol
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Abstract
Background: The long-term psychological consequences of stroke and how cognitive problems change over time after the first-year following stroke remain unclear. Particularly, trajectories of domain-specific and domain-general cognitive functions and how cognition interacts with mood, fatigue and quality of life are not well described. Aims: To determine the prevalence, trajectories and wider impact of domain-specific cognitive impairment in long-term stroke survivors, in relation to mood, fatigue and quality of life. Methods: Participants who previously took part in the Oxford Cognitive Screening study, completed the 6-month follow-up with cognitive, mood, fatigue and quality of life assessments and agreed to be contacted for future research will be recruited into OX-CHRONIC. The eligible cohort is between 2- and 9-years post-stroke. Cognition will be assessed with a detailed neuropsychological battery, alongside questionnaire measures of mood, fatigue, activities of daily life and quality of life measures at two timepoints, 1 year apart. Additionally, medical records will be accessed to extract further clinical information about the stroke and patients may opt-in to wear an activity monitor for 1 week to provide fine-grained measures of sleep and activity. The study protocol and study materials were approved by the national ethics committee (REC Ref: 19/SC/0520). Planned outputs: OX-CHRONIC will provide detailed data on the evolving cognitive profiles of stroke survivors over several years post-stroke. Estimates of long-term prevalence as well as the effect of changes in cognitive profiles on mood, fatigue and quality of life will be examined. This study is funded by a Priority Programme Grant from the Stroke Association (SA PPA 18/100032).
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Metadata
- Authors
- Demeyere, N., Williams, O. A., Milosevich, E., Chiu, E. G., Drozdowska, B. A., Dillon, A., Dawes, H., Thomas, S., Kuppuswamy, A., Pendlebury, S. T., & J Quinn, T.
- Affiliations
- University of Oxford (GB)
- University of Glasgow (GB)
- Oxford Brookes University (GB)
- University of Nottingham (GB)
- UCL Queen Square Institute of Neurology (GB)
- John Radcliffe Hospital (GB)
- Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK 2
- Corresponding author
- Demeyere, Nele
- ORCID
- Venue
- European Stroke Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-12-01
- Volume
- 6
- Issue
- 4
- Pages
- 428-437
- ISSN
- 2396-9873 (ISSN-L)
- 2396-9881
- PMC
- PMC8948513
- OpenAlex
- W3211632948
- Cited by
- 13
- References
- 5
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 3
- FWCI
- 1.44
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Stroke Journal (publishedVersion, cc-by)
- medRxiv (acceptedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Funders
- Stroke Association UK (SA PPA 18/100032)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Keywords
- stroke, long-term cognitive impairment, cognitive trajectories, mood, fatigue, quality of life, activities of daily living, sleep, physical activity, stroke survivors, neuropsychological assessment
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