title: Training in positivity for stroke? A qualitative study of acceptability of use of Positive Mental Training (PosMT) as a tool to assist stroke survivors with post-stroke psychological problems and in coping with rehabilitation.
abstract: BACKGROUND
  Post-stroke psychological problems predict poor recovery, while positive affect enables patients to focus on rehabilitation and may improve functional outcomes. Positive Mental Training (PosMT), a guided self-help audio shows promise as a tool in promoting positivity, optimism and resilience.
  
  
  OBJECTIVE
  To assess acceptability of training in positivity with PosMT for prevention and management of post-stroke psychological problems and to help with coping with rehabilitation.
  
  
  METHODS
  A modified PosMT tool consisted of 12 audio tracks each lasting 18 minutes, one listened to every day for a week. Survivors and carers were asked to listen for 4 weeks, but could volunteer to listen for more. Interviews took place about experiences of the tool after 4 and 12 weeks.
  
  
  METHODS
  10 stroke survivors and 5 carers from Stroke Support Groups in the UK.
  
  
  RESULTS
  Three stroke survivors did not engage with the tool. The remainder reported positive physical and psychological benefits including improved relaxation, better sleep and reduced anxiety after four weeks. Survivors who completed the programme gained a positive outlook on the future, increased motivation, confidence and ability to cope with rehabilitation. No adverse effects were reported.
  
  
  CONCLUSIONS
  The PosMT shows potential as a tool for coping with rehabilitation and overcoming post-stroke psychological problems including anxiety and depression.
authors.affiliation: Department of Public Health and Primary Care, Primary Care Unit, University of Cambridge, UK.|School of Primary, Aboriginal and Rural Health Care, University of Western Australia, Australia.
authors.forename: Nahal
authors.initials: N
authors.lastname: Mavaddat
authors.affiliation: Ming Chen Clinics, Edinburgh, Scotland.
authors.forename: Sheila
authors.initials: S
authors.lastname: Ross
authors.affiliation: School of Clinical Sciences and Community Health, University of Edinburgh, UK.
authors.forename: Alastair
authors.initials: A
authors.lastname: Dobbin
authors.affiliation: Department of Public Health and Primary Care, Primary Care Unit, University of Cambridge, UK.
authors.forename: Kate
authors.initials: K
authors.lastname: Williams
authors.affiliation: Department of Public Health and Primary Care, Primary Care Unit, University of Cambridge, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Graffy
authors.affiliation: Department of Public Health and Primary Care, Primary Care Unit, University of Cambridge, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Mant
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D017028:Caregivers / Q000523:psychology; D003863:Depression / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D020521:Stroke / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy*; D000071939:Stroke Rehabilitation / Q000379:methods / Q000523:psychology*; D017741:Survivors / Q000523:psychology*
keywords: Stroke; anxiety; depression; positivity; qualitative analysis; rehabilitation; rehabilitation interventions; semistructured interviews