The results of the study are in conformity with the tenets of the Double ABCX Model. Family adaptation is a dynamic process and the present study findings provide rich information on proper assessment and intervention to the practitioners working with families of stroke survivors.

Family has an important role in handling of elderly stroke patients' ADL dependency. Health practitioners can take benefit from the findings to help the stroke families play more active role in the handling ADL dependency of their patients after stroke.

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Background: Stroke can be seen as a family matter, and nearly all stroke patients live with their families in their communities. Comprehensive insights into stroke recovery from family caregivers' point of view are lacking. Objectives: The aim of the present study is to explore and describe family caregivers' experiences about the contributing elements of promoting the stroke recovery of older adults in the Iranian context. Methods: A qualitative content analysis approach was conducted. From September 2013 to April 2014, 17 family caregivers from multiple physiotherapy clinics in Sari, Iran, participated in this study. Data were generated through in-depth interviews, and the content analysis method was used to determine themes. Results: The results of data analysis were categorized into three main themes: 1) promoting functional recovery; 2) improving psychological health; and 3) strengthening social roles. The general, overarching theme was promoting positive recovery. Conclusions: The family positively figures in the stroke patient's recovery. Health practitioners must help the stroke families effectively play their critical roles in helping their stroke patients recover.