Effects of Transitional Care Model–Based Interventions for Stroke Patients and Caregivers on Caregivers' Competence and Patient Outcomes

Abstract

This study evaluated the effectiveness of the Transitional Care Model Stroke Turkey for stroke patients and caregivers as regards the competence of caregivers and patient outcomes. It is a parallel-group, assessor-blinded monocenter conducted with 126 participants in total (66 intervention included 33 stroke patients and 33 caregivers; 60 control groups included 30 stroke patients and 30 caregivers), between March and August 2018. The Transitional Care Model Stroke Turkey program lasts for 13 to 20 weeks. It includes a 12-week follow-up after discharge, a minimum of three hospital visits, one home visit, minimum 18 phone calls, and Web-based training. The intervention group exhibited better caregiver competence (13.48 ± 2.31), preparation for care (28.48 ± 4.74), and e-health literacy (34.42 ± 4.74) than the control group (respectively, 11.37 ± 2.48, 20.93 ± 7.10, 26.93 ± 8.53) (P < .001). Emotional exhaustion and depersonalization increased in the control group, but remained the same in the intervention group. Personal accomplishment decreased in the intervention group, unlike in the control group. Within 12 weeks of discharge, five patients from the intervention group and seven patients from the control group were rehospitalized. There was no statistical difference between stroke patients in either group in terms of having previously used home healthcare services. The Transitional Care Model Stroke Turkey is a practical model for stroke patients transitioning from hospital to home.

Engaging patients in designing a transmural allied health pathway: A qualitative exploration of hospital‐to‐home transitions

“…Previous research has focused on physician‐ and nurse‐led interventions to improve transitions regarding (nursing) care needs or medication adherence 14,15 . Meanwhile, this research study shows that access to allied healthcare during and/or after discharge can prevent or reduce the risk of readmissions 16–18 .…”

“…13 Previous research has focused on physician-and nurse-led interventions to improve transitions regarding (nursing) care needs or medication adherence. 14,15 Meanwhile, this research study shows that access to allied healthcare during and/or after discharge can prevent or reduce the risk of readmissions. [16][17][18] However, there is a need for more holistic transitional care interventions (i.e., actions designed to ensure coordination and continuity of care between different locations or levels of care) and integrated care provided (i.e.…”

Telehealth in Informal Caregivers of Stroke Survivors: A Systematic Review

“…A total of 47 articles were read in full, and 28 articles were excluded. Nineteen articles [ 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 ] met the eligibility criteria and were included in the final review. No further articles were found by searching other sources.…”

“…In terms of gender, the majority of the ICs are women [ 43 , 44 , 45 , 46 , 47 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 58 , 59 , 60 , 61 ] and in most articles, the IC was the spouse or the daughter/son of the SS [ 43 , 44 , 45 , 47 , 49 , 50 , 52 , 55 , 60 ]. The average age of the ICs is over 50 years, with the exception of Goudarzian et al [ 54 ] and Mohammadi et al [ 61 ], Mou et al [ 57 ], and Hussin et al [ 60 ], where it is over 45 years.…”

“…The average age of the ICs is over 50 years, with the exception of Goudarzian et al [ 54 ] and Mohammadi et al [ 61 ], Mou et al [ 57 ], and Hussin et al [ 60 ], where it is over 45 years. Only Elsheikh et al [ 56 ] and Demir et al [ 59 ] included ICs below 40 years old.…”