The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke

Drummond, Avril E.R. and Hawkins, Loiuse and Lincoln, Nadina and Sprigg, Nikola and Tyrrell, Pippa and Worthington, Esme (2017) The Nottingham Fatigue After Stroke (NotFAST) Study: results from follow-up six months after stroke. Topics in Stroke Rehabilitation, 24 (8). pp. 592-596. ISSN 1945-5119

[img] PDF - Repository staff only until 11 September 2018. - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Download (64kB)

Abstract

Background: Post-stroke fatigue is common and disabling.

Objectives: The aim of NotFAST was to examine factors associated with fatigue in stroke 3 survivors without depression, six months after stroke.

Methods: Participants were recruited from four UK stroke units. Those with high levels of 5 depressive symptoms (score ≥7 on Brief Assessment Schedule Depression Cards) or aphasia were excluded. Follow-up assessment was conducted at six months after stroke. They were assessed on the Fatigue Severity Scale, Rivermead Mobility Index, Nottingham Extended Activities of Daily Living scale, Barthel Index, Beck Anxiety Index, Brief Assessment Schedule Depression Cards, Impact of Event Scale-Revised, and Sleep Hygiene Index.

Results: Of the 371 participants recruited, 263 (71%) were contacted at six months after stroke and 213 (57%) returned questionnaires. Approximately half (n=109, 51%) reported fatigue at six months. Of those reporting fatigue initially (n=88), 61 (69%) continued to report fatigue. ‘De novo’ (new) fatigue was reported by 48 (38%) of those not fatigued initially. Lower Nottingham Extended Activities of Daily Living scores and higher Beck Anxiety Index scores were independently associated with fatigue at six months.

Conclusions: Half the stroke survivors reported fatigue at six months post-stroke. Reduced independence in activities of daily living and higher anxiety levels were associated with the level of fatigue. Persistent and delayed onset fatigue may affect independence and participation in rehabilitation, and these findings should be used to inform the development of appropriate interventions.

Item Type: Article
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis in Topics in Stroke Rehabilitation on 11/09/2017, available online: http://www.tandfonline.com/10.1080/10749357.2017.1368912
Keywords: CVA; fatigue; follow-up; mood; rehabilitation; stroke; anxiety
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Health Sciences
Identification Number: 10.1080/10749357.2017.1368912
Depositing User: Roe, Jonathan
Date Deposited: 10 Aug 2017 14:06
Last Modified: 15 Nov 2017 12:36
URI: http://eprints.nottingham.ac.uk/id/eprint/44818

Actions (Archive Staff Only)

Edit View Edit View