Stroke
Conditions
Keywords
Caregiver, stroke, psychoeducation, problem-solving
Brief summary
This is a randomized controlled trial with a 3-month psychoeducational program as intervention, followed by a 3 month observational period. The purpose of this study was to examine whether a psychoeducational program focusing on equipping caregivers with problem-solving skills would improve caregiver's problem-solving abilities, their psychological responses and caregiving resources, and would minimize the use of health and social services among stroke survivors.
Interventions
BEHAVIORALPsychoeducation
Sponsors
Chinese University of Hong Kong
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
(caregiver): * Family member of stroke survivor * Chinese adult * Live with stroke survivors * Primary caregiver * Being able to communicate with the researcher Inclusion Criteria (stroke survivor): * Chinese adult with diagnosis of stroke * Live at home after discharge * Being able to understand and to give consent
Exclusion criteria
(caregiver and stroke survivor): * History of self-reported doctor-diagnosed psychiatric illness * (stroke survivor): being mild to totally independent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregivers' change in depressive symptom severity from baseline | 3 month post intervention | Change in depressive symptoms severity, as measured by the 10-item Center for Epidemiological Studies Depression (Chinese version), will be analyzed by the GEE model |
| Caregiver's change in perceived mental health from baseline | 3 months post intervention | Change in perceived mental health, as measured by the Chinese (Hong Kong) Medical Outcomes Study 12-item Short Form Health Survey version 2 (SF-12v2), its mental component summary score will be analyzed by the GEE model |
| Caregiver's change in caregiving burden | at immediate post-intervention, 1-month post-intervention, 3-month post-intervention | End-point between-group differences of the caregiving burden, as measured by the Caregiving Strain Index (Chinese version), will be analyzed by multiple regression analysis |
| Caregiver's change in caregiving competence from baseline | 3 months post intervention | Change in caregiving competence, as measured by the Caregiving Competence Scale (Chinese version), will be analyzed by the GEE model |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Caregiving-related injuries | at immediate post-intervention, 1-month post-intervention, 3-month post-intervention | End-point between-group differences of the self-reported caregiving related injuries will be analyzed using Chi square statistics |
| Caregiver's change in self-appraised problem-solving abilities from baseline | 3 months post intervention | Change in self-appraised problem-solving abilities, as measured by the Problem Solving Inventory (Chinese version), will be analyzed using the Generalized Estimating Equations (GEE) model |
| Placement to residential/nursing care home (stroke survivors) | at immediate post-intervention, 1-month post-intervention, 3-month post-intervention | End-point between-group differences of the placement to residential/nursing care home of stroke survivors will be analyzed by the Chi square statistics |
| Stroke-related hospital readmission (stroke survivors) | at immediate post-intervention, 1-month post-intervention, 3-month post-intervention | End-point between-group differences of the self-reported stroke-related hospital readmission, such as falls, recurrent stroke, will be analyzed using Chi square statistics |
| Caregiver's change in family functioning from baseline | 3 months post intervention | Change in family functioning, as measured by the McMaster Model of Family Assessment Device (Chinese version), will be analyzed using the GEE model |
| Caregiver's change in perceived social support from baseline | 3 months post intervention | Change in perceived social support, as measured by the Six-item Social Support Questionnaire (Chinese version), will be analyzed using the GEE model |
| Caregiver's change in perceived physical health from baseline | 3 months post intervention | Change in perceived physical health, as measured by the Chinese (Hong Kong) SF-12v2 (Physical Component Summary Score), will be analyzed by the GEE model |
Countries
China
Outcome results
None listed