Caregiver Burnout, Caregiver Stress Syndrome, Stroke, Acute
Conditions
Keywords
Caregiver, Stroke, Coaching, Stress, Self-efficacy, Re-admission, Burden
Brief summary
Caregivers of people with stroke experience strain that can reduce their quality of life. Caregivers are routinely engaged during hospital discharge for education and training related to the person with stroke. However, the critical period after stroke survivor's discharge is largely unsupported for the caregiver. This proposed study is a randomized controlled trial that will provide post-discharge support for caregivers using a health coaching program as compared to usual care and examine its effect of caregivers and people with stroke.
Detailed description
Caregiver strain reduces quality of life and can increase the chance of unplanned hospital readmission for the person with stroke. Caregivers are routinely engaged during hospital discharge for education and training. However, the critical period after discharge is largely unsupported. The proposed research will integrate occupational therapy and telehealth to provide a post-discharge, caregiver-focused program, the Health Coaching-in-Context that consists of up to 10 sessions, arranged once-a-week or multiple times a week based on convenience of scheduling for up to 10 weeks. The program targets improved caregiver health and reduction in readmissions for stroke survivor. The study aims to examine the effects of the coaching program for caregivers as compared to usual care and evaluate the feasibility of study design. A pilot randomized controlled trial will be conducted with two parallel groups, Health Coaching-in-Context and usual care. A sample of up to 40 pairs, including up to 40 stroke survivors and their respective 40 caregivers will be recruited from University hospitals and randomly assigned after consenting. The occupational therapist, unaware of the group assignment, will administer assessments before and after the intervention, and at 4-week follow-up. Data will be collected on general information, readmissions, performance, self-efficacy, and quality of life.
Interventions
BEHAVIORALCoaching
Health Coaching-in-Context that consists of up to 10 sessions, arranged once-a-week or multiple times a week based on convenience of scheduling for up to 10 weeks. The program targets improved caregiver health through occupational therapy coaching.
Sponsors
American Occupational Therapy Foundation
Thomas Jefferson University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Assessor will be blinded to treatment group allocation
Intervention model description
Single-blind randomized controlled trial design with two parallel groups
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Survivor criteria: First-time stroke, discharged from hospital within the past 30 days. * Caregiver criteria: Informal caregiver primarily responsible for care (family member, friend, or partner), may or may not live in the same household. Passes cognition screen, willing to use teleconference using phone, tablet, or computer. * Both: 18 to 80 years of age, understand and speak English
Exclusion criteria
* Children * 81 years of age or older * Unable to understand and speak English * Does not provide consent * Caregiver does not pass cognition screen
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Canadian Occupational Performance Measure | Week 1 | Measure of performance and satisfaction with performance of daily tasks. Each domain score is out of 10, minimum is 1, and higher scores are better. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Revised Caregiver Self-efficacy scale | Week 1 | Measure of confidence with caregiving related tasks. 0 to 100 range for 15 items, higher score is better self-efficacy |
| Zarit Burden Interview | Week 1 | Burden experienced by caregiver while caring for person with stroke. Lower score is better, 22 items, range is 0 to 88. |
| Re-admission | 30 day re-admission | Number of subjects readmitted. Lower is better. |
| Single-item life satisfaction scale | Week 1 | Life Satisfaction Evaluation. Lower scores are better, range from 1 to 4 Satisfaction with life - one question Quality of life evaluation Satisfaction with life - one question Quality of life evaluation Satisfaction with life - one question Satisfaction with life - one question |
| Stroke Impact Scale | Week 1 | The impact of stroke on various areas of daily activities of the person with stroke. Range from 0 to 100, higher is better. |
| WHO-BREF Quality of Life scale | Week 1 | World Health Organization-Brief Quality of life evaluation. Higher Scores are better. Scores in four domains 0 to 100 each |
Countries
United States
Contacts
Primary ContactNamrata Grampurohit, PhD
Backup ContactErica Witoslawski, BS
Outcome results
None listed