Caregiver, Stroke
Conditions
Brief summary
This study was designed to determine the effect of functional mobility levels of stroke patients on caregiver burden, anxiety, and depression in their caregivers.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Stroke Patients: * Diagnosed with stroke according to WHO criteria (≥20% disability rate documented in Adult Disability Health Board Report) * Having a family member or relative who provides care * First-ever and unilateral stroke * Willing to participate voluntarily * Aged between 18-75 years * Post-stroke duration longer than 3 months * Stable vital signs * Scoring ≥24 on the Standardized Mini-Mental State Examination (SMMT) or the -Modified Mini-Mental State Examination for Illiterate Individuals (MMSE-E) * Able to understand and speak Turkish 2. Caregivers of Stroke Patients: * Willing to participate in the study * Living with the patient for at least 1 year * Being the primary (main responsible) caregiver and not receiving paid professional caregiving services * Aged 18 years or older * Scoring ≥24 on the Standardized Mini-Mental State Examination (SMMT) or MMSE-E
Exclusion criteria
1. Stroke Patients: * Presence of severe comorbid conditions * Unwillingness to participate * History of multiple strokes * Bilateral hemiplegia * Presence of major neurological, orthopedic, or rheumatologic disorders affecting the musculoskeletal system other than stroke * Congenital anomalies or amputation causing disability * Uncontrolled arrhythmia, uncontrolled hypertension, or unstable cardiac conditions * Botulinum toxin injection within the last 6 months * Inability to establish cooperation * Presence of neglect, aphasia, or hemianopsia 2. Caregivers of Stroke Patients: * Unwillingness to participate * Living with the patient for less than 1 year * Presence of mental retardation, dementia, or severe psychotic disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Brunnstrom Stages of Hemiplegic Recovery | Baseline | — |
| Beck Depression Inventory | Baseline | The Beck Depression Inventory (BDI) is scored between 0 and 63, where 0 indicates minimal or no depressive symptoms and 63 reflects severe depression; increasing scores correspond to greater severity of depressive symptomatology. |
| Beck Anxiety Inventory | Baseline | Beck Anxiety Inventory (BAI) ranges from 0 to 63, with 0 indicating minimal anxiety and 63 indicating severe anxiety; higher scores represent increased severity of anxiety symptoms. |
| Burden Interview | Baseline | — |
| Timed Up and Go Test | Baseline | — |
| Rivermead Mobility Index | Baseline | The Rivermead Mobility Index (RMI) ranges from 0 to 15. 0 indicates severe dependence with inability to perform basic mobility tasks. 15 indicates full independence in all assessed mobility activities. As the score increases, it reflects a progressive improvement in functional mobility, with greater independence in activities such as transfers, walking, and balance. |