Evaluating the feasibility and acceptability of the Mood Assessment Post-Stroke (MAPS) mood screening training

Rebecca El-Helou; Jeffrey M. Rogers; Brooke Ryan; Dianne L. Marsden; Ann Winkler; Andrew Baillie; Ian Kneebone

doi:10.1071/IB23046

RESEARCH ARTICLE (Open Access)

Evaluating the feasibility and acceptability of the Mood Assessment Post-Stroke (MAPS) mood screening training

Rebecca El-Helou ^A ^B ^* , Jeffrey M. Rogers ^C , Brooke Ryan ^A ^B , Dianne L. Marsden ^D ^E , Ann Winkler ^F , Andrew Baillie ^C and Ian Kneebone

^A ^B

+ Author Affiliations

- Author Affiliations

^A Graduate School of Health, University of Technology Sydney, Sydney, Australia

^B Centre of Research Excellence in Aphasia Recovery and Rehabilitation, La Trobe University, Melbourne, Australia

^C Faculty of Medicine and Health, University of Sydney, Sydney, Australia

^D School of Medicine and Public Health and Priority Research Centre for Stroke and Brain Injury, University of Newcastle, Callaghan, Australia

^E Hunter Stroke Service, Hunter New England Local Health District, Newcastle, Australia

^F Prince of Wales Hospital, Sydney, Australia

^* Correspondence to: Rebecca.El-Helou@student.uts.edu.au

Brain Impairment 24(3) 679-695 https://doi.org/10.1017/BrImp.2022.34

Submitted: 31 March 2022 Accepted: 28 November 2022 Published: 23 December 2022

© The Author(s), 2022. Published by Cambridge University Press on behalf of Australasian Society for the Study of Brain Impairment. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Mood problems are common after stroke, and screening is recommended. Training may support staff knowledge and implementation of screening, but the feasibility of training programmes in the Australian healthcare system has not been formally established. This study aimed to assess the feasibility of a mood screening training for a multidisciplinary team (MDT) of stroke clinicians working in a post-acute inpatient rehabilitation service.

Twelve staff from a rehabilitation service at a major hospital in Sydney, Australia participated in a 3-h interactive training session. The feasibility of running the course, assessment of knowledge gained via a consolidation exercise and quiz and acceptability of the training were assessed via focus groups.

The in-person modality of the training hindered recruitment and assessment of participants’ knowledge, though the actual measures themselves appeared appropriate. Nine participants provided feedback in two focus groups. Thematic analysis identified positive reactions to the training. However, low self-efficacy persisted and organisational/socio-cultural barriers to implementation emerged. Following training, the medical officers of the MDT had successfully implemented routine screening.

Overall, the training appeared acceptable and to foster knowledge in staff. However, limitations to recruitment and administering evaluations were identified. The development of flexible online training may improve future evaluations of screening training programmes/pathways.

Keywords: Acceptability, implementation, mood, screening, stroke, training.

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