Synthesis of qualitative research on post-stroke fatigue and cognitive behavioural therapy for post brain injury fatigue: A single case experimental design

Abstract

This thesis synthesised qualitative experiences of post-stroke fatigue in stroke survivors and explored the effectiveness of cognitive behaviour therapy interventions for the management of post brain injury fatigue.
The first chapter includes a systematic review reporting qualitative experiences of post stroke fatigue. Studies frequently reported on the distinct nature of post stroke fatigue and its life changing consequences. Moreover, studies often conveyed the experience of living and functioning with post-stroke fatigue and strategies that contribute to its management.
The second chapter includes an empirical paper reporting on the effectiveness of a cognitive behavioural therapy intervention for people with post brain injury fatigue using a withdrawal/reversal single case experimental design. This intervention was safe and well accepted by participants (n = 4) with post brain injury fatigue. It was effective at reducing fatigue levels as all participants reported significant reliable change in their fatigue complaints. For all participants fatigue reduction was observed during the intervention after the formulation/psychoeducation session of the intervention. Therefore, formulation and psychoeducation, even when used briefly, can result in improved outcomes for people with post brain injury fatigue. All participants’ fatigue levels remained low throughout the intervention and at follow-up indicating cognitive behavioural therapy to be an effective therapeutic approach.

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ORCID for Warren Dunger: orcid.org/0000-0002-3213-5175

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