Results of a UK-wide vignette study with occupational therapists to explore cognitive screening post stroke

Jennifer Geraghty, Joanne Ablewhite, Roshan Das Nair, Nadina Lincoln, Eirini Kontou, Jack Roffe, Natasha Lannin, Avril Drummond

Research output: Contribution to journalArticleResearchpeer-review


Background/Aims There is a paucity of evidence in the UK regarding cognitive screening performed by occupational therapists and whether, and how, cognitive impairments are identified and assessed. The aim of this study was to identify current occupational therapy practice for the assessment of cognitive problems in patients following stroke. Methods Occupational therapists were invited to complete an online vignette study. Participants were asked to: Identify any presenting cognitive problems; decide whether to complete cognitive assessments; and list any assessments they would use. Data were analysed using descriptive analysis. Results A total of 53 occupational therapists from across the UK participated. Participants identified key cognitive issues, but some problems, such as apraxia and attention, were overlooked. A large number of potential assessments were suggested, the most common being the Montreal Cognitive Assessment and Oxford Cognitive Screen. Conclusions The variation found in occupational therapists' recognition and assessment of cognitive problems has the potential to impact on management and rehabilitation in stroke services, survivor outcomes, education and research.

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalInternational Journal of Therapy and Rehabilitation
Issue number7
Publication statusPublished - 2 Jul 2020


  • Cognitive screening
  • Community
  • Occupational therapy
  • Rehabilitation
  • Stroke

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