This is a randomized controlled trial with a 3-month psychoeducational program as intervention, followed by a 3 month observational period. The purpose of this study was to examine whether a psychoeducational program focusing on equipping caregivers with problem-solving skills would improve caregiver's problem-solving abilities, their psychological responses and caregiving resources, and would minimize the use of health and social services among stroke survivors.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
128
Prince of Wales Hospital, Shatin Hospital, Tai Po Hospital
Hong Kong SAR, China
Caregivers' change in depressive symptom severity from baseline
Change in depressive symptoms severity, as measured by the 10-item Center for Epidemiological Studies Depression (Chinese version), will be analyzed by the GEE model
Time frame: 3 month post intervention
Caregiver's change in perceived mental health from baseline
Change in perceived mental health, as measured by the Chinese (Hong Kong) Medical Outcomes Study 12-item Short Form Health Survey version 2 (SF-12v2), its mental component summary score will be analyzed by the GEE model
Time frame: 3 months post intervention
Caregiver's change in caregiving burden
End-point between-group differences of the caregiving burden, as measured by the Caregiving Strain Index (Chinese version), will be analyzed by multiple regression analysis
Time frame: at immediate post-intervention, 1-month post-intervention, 3-month post-intervention
Caregiver's change in caregiving competence from baseline
Change in caregiving competence, as measured by the Caregiving Competence Scale (Chinese version), will be analyzed by the GEE model
Time frame: 3 months post intervention
Caregiver's change in self-appraised problem-solving abilities from baseline
Change in self-appraised problem-solving abilities, as measured by the Problem Solving Inventory (Chinese version), will be analyzed using the Generalized Estimating Equations (GEE) model
Time frame: 3 months post intervention
Caregiver's change in family functioning from baseline
Change in family functioning, as measured by the McMaster Model of Family Assessment Device (Chinese version), will be analyzed using the GEE model
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Time frame: 3 months post intervention
Caregiver's change in perceived social support from baseline
Change in perceived social support, as measured by the Six-item Social Support Questionnaire (Chinese version), will be analyzed using the GEE model
Time frame: 3 months post intervention
Caregiver's change in perceived physical health from baseline
Change in perceived physical health, as measured by the Chinese (Hong Kong) SF-12v2 (Physical Component Summary Score), will be analyzed by the GEE model
Time frame: 3 months post intervention
Caregiving-related injuries
End-point between-group differences of the self-reported caregiving related injuries will be analyzed using Chi square statistics
Time frame: at immediate post-intervention, 1-month post-intervention, 3-month post-intervention
Stroke-related hospital readmission (stroke survivors)
End-point between-group differences of the self-reported stroke-related hospital readmission, such as falls, recurrent stroke, will be analyzed using Chi square statistics
Time frame: at immediate post-intervention, 1-month post-intervention, 3-month post-intervention
Placement to residential/nursing care home (stroke survivors)
End-point between-group differences of the placement to residential/nursing care home of stroke survivors will be analyzed by the Chi square statistics
Time frame: at immediate post-intervention, 1-month post-intervention, 3-month post-intervention