A family caregiver‐oriented discharge planning program for older stroke patients and their family caregivers

Shyu, Yea‐Ing Lotus; Chen, Min-Chi; Chen, Sien-Tsong; Wang, Hsiao-Ping; Shao, Jung-Hua

doi:10.1111/j.1365-2702.2008.02450.x

Cited by 82 publications

(80 citation statements)

References 38 publications

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“…Thus, our CFA was based on the factorial structure of prior psychometric work performed in other populations. Although prior studies showed that the CPS items reflect stroke-caregiver preparedness, 25e27 and contrasting group validity of the CPS in this population is supported, 58 additional studies may be required for further validity testing. Given that some stroke survivors have physical and psychological disability, more dimensions or specific items may be needed to construct a model of preparedness in caregivers of stroke survivors.…”

Section: Discussionmentioning

confidence: 77%

Psychometric properties of the Caregiver Preparedness Scale in caregivers of stroke survivors

et al. 2014

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a b s t r a c tObjective: To evaluate the psychometric characteristics of the Caregiver Preparedness Scale (CPS) in caregivers of stroke survivors. Background: Caregiver preparedness can have an important impact on both the caregiver and the stroke survivor. The validity and reliability of the CPS has not been tested for the stroke-caregiver population. Methods: We used a cross-sectional design to study a sample of 156 caregivers of stroke survivors. Construct validity of the CPS was evaluated by confirmatory factor analysis (CFA). Internal consistency and test-retest reliability were also evaluated. Results: Caregivers were, on average, 54 year old (SD ¼ 13.2) and most were women (64.7%). CFA supported the unidimensionality of the scale (comparative fit index ¼ 0.98). Reliability was also supported: item-reliability index and itemetotal correlations above 0.30; composite reliability index ¼ 0.93; Cronbach's alpha ¼ 0.94; factor score determinacy ¼ 0.97; and test-retest reliability ¼ 0.92. Conclusion: The CPS is valid and reliable in caregivers of stroke survivors. Scores on this scale may assist health-care providers in identifying caregivers with less preparedness to provide specific interventions.

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Section: Discussionmentioning

confidence: 77%

Psychometric properties of the Caregiver Preparedness Scale in caregivers of stroke survivors

et al. 2014

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“…Skill building and psycho-educational 25,27,28,[30][31][32]35,40,41,[46][47][48]50,53,54,60,63 12 (37. 25,26,29,31,32,34,39,[41][42][43]47,48,52,56,58,59,61,62 15 (46.9) 9 (60) 11 ( Face-to-face and telephone 27,28,30,33,[35][36][37]40,[44][45][46]51,53,54,57,63 13 ( …”

Section: Summary and Best-designed Studiesmentioning

confidence: 99%

“…25,26,29,31,32,34,39,[41][42][43]47,48,52,56,58,59,61,62 15 (46.9) 9 (60) 11 ( Face-to-face and telephone 27,28,30,33,[35][36][37]40,[44][45][46]51,53,54,57,63 13 ( 25,27,28,31,34,36,[40][41][42][43][44][45][46][47][48][49][50]53,…”

Section: Summary and Best-designed Studiesmentioning

confidence: 99%

“…Several studies reported significant group differences favoring the intervention groups for satisfaction. 33,42,46,55,57,60 However, 1 study reported nonsignificant findings concerning satisfaction, 52 and 1 study actually reported worse caregiver satisfaction scores for the intervention compared with the control. 37 The latter study involved the use of a family support organizer and reported worse satisfaction scores for the survivors.…”

mentioning

confidence: 96%

“…Future studies should be responsive and tailored to both the needs of the care of the survivor and the unique needs of the family caregiver. 25,27,38,40,41,[44][45][46][47][48][49][50][51][52][53][54][55][56][58][59][60][61] 17 (53.1) 4 (23.5) 16 (94) Stroke survivor-caregiver dyad 26,[28][29][30][31][32][33][35][36][37]39,42,43,57,62,63 15 ( Psycho-educational 26,29,33,37,39,42,58 7 (21.9) 6 (85.7) 6 (85.7)Skill building and psycho-educational 25,27,28...…”

mentioning

confidence: 99%

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Evidence for Stroke Family Caregiver and Dyad Interventions

Bakas¹,

Clark²,

Kelly-Hayes³

et al. 2014

Stroke

214

188

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S troke is one of the leading causes of severe, long-term disability, 1 with a majority of stroke survivors requiring the assistance of a family caregiver.2 A family caregiver is defined in this context as a relative, partner, personal friend, or neighbor who provides assistance to an adult with a chronic or disabling condition such as stroke.3 Although family members may not consider themselves caregivers, this term is commonly used in the literature to represent family or informal (unpaid) caregivers.Family caregiver stress is commonly associated with longterm institutionalization of stroke survivors, resulting in significant costs to the healthcare system. [4][5][6][7][8] Family caregiver stress can also result in other negative outcomes for both survivors and their caregivers. 7 For example, caregiver stress has been shown to interfere with rehabilitation of the survivor 7 and can result in social isolation, declining health, and increased risk of mortality for the caregivers. 9,10 Depression is especially prevalent in stroke family caregivers, 7,11,12 with some studies reporting higher depression rates in the caregivers than in the survivors for whom they provide care. 11,13 Miller and colleagues 14 made recommendations for family caregiver education and support across inpatient, outpatient, and chronic care settings based on clinical practice guidelines and existing research. These recommendations involved (1) caregivers serving as integral members of interdisciplinary teams, (2) assessment of caregiver needs and concerns, (3) follow-up contacts and referrals, (4) counseling focused on problem solving and social support, (5) provision of strokerelated information, and (6) attention to the emotional and Abstract-Stroke is a leading cause of severe, long-term disability. Most stroke survivors are cared for in the home by a family caregiver. Caregiver stress is a leading cause of stroke survivor institutionalization, which results in significant costs to the healthcare system. Stroke family caregiver and dyad intervention studies have reported a variety of outcomes. A critical analysis of 17 caregiver intervention studies and 15 caregiver/stroke survivor dyad intervention studies was conducted to provide evidence-based recommendations for the implementation and future design of stroke family caregiver and dyad interventions. The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on March 26, 2014. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or ...

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Information provision for stroke patients and their caregivers

Förster

Brown

Smith

et al. 2012

Cochrane Database of Systematic Reviews

229

217

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A family caregiver‐oriented discharge planning program for older stroke patients and their family caregivers

Abstract: This caregiver-oriented discharge planning program, with its emphasis on individualised health education and home visits following discharge may improve caregivers' preparation and the satisfaction of their needs during the discharge transition.

Cited by 82 publications

References 38 publications

Psychometric properties of the Caregiver Preparedness Scale in caregivers of stroke survivors

Psychometric properties of the Caregiver Preparedness Scale in caregivers of stroke survivors

Evidence for Stroke Family Caregiver and Dyad Interventions

Information provision for stroke patients and their caregivers

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