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Cognitive Behavioral Therapy for Self-Efficacy, Sleep Quality, and Fatigue After Stroke
Sponsor: Mansoura University
Summary
Stroke is a major cause of long-term disability among older adults and may negatively affect self-efficacy, sleep quality, and fatigue. This study aims to evaluate the effect of a Cognitive Behavioral Therapy (CBT) program on self-efficacy, sleep quality, and fatigue in older adults after stroke. A total of 90 geriatric patients will be allocated to two groups: a study group receiving CBT in addition to usual care and a control group receiving usual care only. The CBT program will consist of seven modules delivered over eight individual sessions. Outcomes will be assessed at baseline and at one and two months after completion of the intervention using the Stroke Self-Efficacy Questionnaire, Pittsburgh Sleep Quality Index, and Fatigue Severity Scale. The findings are expected to provide evidence regarding the potential benefits of CBT in improving recovery-related outcomes and quality of life among older adults after stroke.
Official title: Effect of a Cognitive Behavioral Therapy Program on Self-Efficacy, Sleep Quality and Fatigue in Post-Stroke Geriatric Patients
Key Details
Gender
All
Age Range
60 Years - Any
Study Type
INTERVENTIONAL
Enrollment
90
Start Date
2026-03-03
Completion Date
2026-09-29
Last Updated
2026-10-30
Healthy Volunteers
No
Conditions
Interventions
cognitive behavioral therapy
Cognitive behavioral therapy program will include 7 modules delivering across 8 sessions, addressing maladaptive beliefs and behaviors perpetuating sleep and fatigue symptoms. Also, this program will contain adaptations for common cognitive impairments after stroke, by using session structure, concrete concepts, regular repetition, explicit discussion as to how homework use of reminders, written handouts, and additional support from therapists to identify unhelpful thought patterns or behaviors
Usual Care Group
Participants continue to receive usual post-stroke care as provided by the clinic (e.g., routine follow-up, medication management, supportive counseling), without the cognitive behavioral therapy program.
Locations (1)
Mansoura University Hospital
Al Mansurah, Dakahlia Governorate, Egypt