Supporting wellbeing through peer-befriending (SUPERB) for people with aphasia: A feasibility randomised controlled trial

Katerina Hilari, Nicholas Behn, Kirsty James, Sarah Northcott, Jane Marshall, Shirley Thomas, Alan Simpson, Becky Moss, Chris Flood, Sally McVicker, Kimberley Goldsmith, Katerina Hilari, Nicholas Behn, Kirsty James, Sarah Northcott, Jane Marshall, Shirley Thomas, Alan Simpson, Becky Moss, Chris Flood, Sally McVicker, Kimberley Goldsmith

Abstract

Objective: To determine the feasibility and acceptability of peer-befriending, for people with aphasia.

Design: Single-blind, parallel-group feasibility randomised controlled trial comparing usual care to usual care + peer-befriending.

Participants and setting: People with aphasia post-stroke and low levels of distress, recruited from 5 NHS Hospitals and linked community services; their significant others; and 10 befrienders recruited from community.

Intervention: Six 1-hour peer-befriending visits over three months.

Main measures: Feasibility parameters included proportion eligible of those screened; proportion consented; missing data; consent and attrition rates. Acceptability was explored through qualitative interviews. Outcomes for participants and significant others were measured at baseline, 4- and 10-months; for peer-befrienders before training and after one/two cycles of befriending.

Results: Of 738 patients identified, 75 were eligible of 89 fully screened (84%), 62 consented (83% of eligible) and 56 randomised. Attrition was 16%. Adherence was high (93% attended ⩾2 sessions, 81% all six). The difference at 10 months on the GHQ-12 was 1.23 points on average lower/better in the intervention arm (95% CI 0.17, -2.63). There was an 88% decrease in the odds of GHQ-12 caseness (95% CI 0.01, 1.01). Fourty-eight significant others and 10 peer-befrienders took part. Procedures and outcome measures were acceptable. Serious adverse events were few (n = 10, none for significant others and peer-befrienders) and unrelated.

Conclusions: SUPERB peer-befriending for people with aphasia post-stroke experiencing low levels of distress was feasible. There was preliminary evidence of benefit in terms of depression. Peer-befriending is a suitable intervention to explore further in a definitive trial.Clinical trial registration-URL: http://www.clinicaltrials.gov Unique identifier: NCT02947776Subject terms: Translational research, mental health, rehabilitation, quality and outcomes, stroke.

Keywords: Feasibility study; aphasia; mood; peer-befriending.

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.

Figures

Figure 1.
Figure 1.
Participant CONSORT diagram.

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Source: PubMed

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