Oral Presentation Asia Pacific Stroke Conference 2024

Factors associated with selected mental-health-related recovery goals after stroke: A sub-study from the Recover-focused Community support to Avoid readmissions and improve Participation after Stroke (ReCAPS) trial. (107383)

Shaun Hancock 1 , Jan Cameron 1 , Tharshanah Thayabaranathan 1 , Rene Stolwyk 2 , Natasha Lannin 3 4 , Monique F Kilkenny 1 5 , Nadine Andrew 6 7 , Ian Kneebone 8 , Muideen Olaiya 1 , Maree Hackett 9 , Dominique A Cadilhac 1 5
  1. Stroke and Ageing Research Group, Department of Medicine, School of Clinical Sciences, Monash University, Clayton, Victoria, Australia
  2. School of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Vicoria, Australia
  3. Department of Neurology, Alfred Health, Melbourne, Victoria, Australia
  4. Department of Neuroscience, Central Clinical School, Monash University, Melbourne, Victoria, Australia
  5. Public Health - Stroke Division, Florey Institute of Neuroscience and Mental Health, Heidelberg, Victoria, Australia
  6. Peninsula Clinical School, School of Translational Medicine, Monash University, Clayton, Victoria, Australia
  7. National Centre for Healthy Ageing, Frankston, Victoria, Australia
  8. Graduate School of Health, University of Technology Sydney, Ultimo, New South Wales, Australia
  9. Mental Health, George Institute for Global Health, Newtown, New South Wales, Australia

Background: The ReCAPS trial is a multi-component intervention comprised of standardised person-centred goal setting and personalised electronic messaging tailored to individualised goals. We have undertaken a sub-study using data from this Phase III trial to examine the characteristics of individuals who address their mental health needs.

Objective: To describe the characteristics of participants from the ReCAPS trial who chose one or more mental health-related recovery goals after hospital discharge, compared with those who did not.

Methods: While in hospital or shortly after discharge, participants prioritised 2-5 recovery goals from 5 broad categories, to address over 12 weeks. Data on demographics, anxiety and depression, health-related quality of life, stroke self-efficacy, and unmet needs after stroke were collected shortly after discharge. Factors associated with the selection of mental-health-related recovery goals were determined using multivariable logistic regressions.

Results: Among 466 participants (33% female, median age 67 years), 50 (11%) selected a mental-health-related recovery goal. Selection of mental-health-related recovery goals was associated with younger age (OR:1.19/5 years, p=0.03); history of anxiety (OR:3.29, p=0.003); previous treatment with a psychologist/psychiatrist (OR:4.41, p=0.03); current depression symptoms (OR:3.47, p=0.003) or anxiety (OR:5.95, p<0.001); or reporting mental health unmet needs (OR:5.77, p<0.001). Among those who had symptoms of depression or anxiety after stroke, self-reporting problems with anxiety/depression (OR:6.14, p=0.03) and better overall health (OR:1.03/unit, p=0.03) were associated with selecting mental-health-related recovery goals.

Conclusion: We highlighted important characteristics associated with setting mental health-related goals. Older individuals and those newly diagnosed with anxiety/depression should be assisted in setting mental-health-related recovery goals.