The use of writing groups to facilitate adaptation after stroke.
OBJECTIVE
This is a report on a pilot study of small writing groups to assist in long-term adaptation after stroke onset.


METHODS
26 stroke survivors participated in a small group experience to write a short essay to be published about their recovery. The sample consisted of middle-aged, well-educated participants who were several years post stroke and were self-selected by interest and experience in writing. The sample was evenly divided between men and women, and minority racial groups were adequately represented. Essays were published on a website and clustered in themes about coping with recovery and personal growth/changes in self-concept.


RESULTS
The group experience was well received by participants. Objective measures showed a trend toward improvement in positive identity and no significant change in depression or well-being. Significant differences found between subgroups (improved vs. declined; aphasia vs. no aphasia) are discussed. Anecdotal observations of the group process and implications for practice and further research are provided.
Hartke
Robert J
RJ
Rehabilitation Institute of Chicago, Departments of Physical Medicine and Rehabilitation and Psychiatry and Behavioral Science, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
King
Rosemarie B
RB
Denby
Florence
F
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D005260:Female; D006126:Group Processes; D006801:Humans; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000523:psychology; D000071939:Stroke Rehabilitation; D014956:Writing