Caregivers of people with stroke experience strain that can reduce their quality of life. Caregivers are routinely engaged during hospital discharge for education and training related to the person with stroke. However, the critical period after stroke survivor's discharge is largely unsupported for the caregiver. This proposed study is a randomized controlled trial that will provide post-discharge support for caregivers using a health coaching program as compared to usual care and examine its effect of caregivers and people with stroke.
Caregiver strain reduces quality of life and can increase the chance of unplanned hospital readmission for the person with stroke. Caregivers are routinely engaged during hospital discharge for education and training. However, the critical period after discharge is largely unsupported. The proposed research will integrate occupational therapy and telehealth to provide a post-discharge, caregiver-focused program, the "Health Coaching-in-Context" that consists of up to 10 sessions, arranged once-a-week or multiple times a week based on convenience of scheduling for up to 10 weeks. The program targets improved caregiver health and reduction in readmissions for stroke survivor. The study aims to examine the effects of the coaching program for caregivers as compared to usual care and evaluate the feasibility of study design. A pilot randomized controlled trial will be conducted with two parallel groups, "Health Coaching-in-Context" and usual care. A sample of up to 40 pairs, including up to 40 stroke survivors and their respective 40 caregivers will be recruited from University hospitals and randomly assigned after consenting. The occupational therapist, unaware of the group assignment, will administer assessments before and after the intervention, and at 4-week follow-up. Data will be collected on general information, readmissions, performance, self-efficacy, and quality of life.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
80
"Health Coaching-in-Context" that consists of up to 10 sessions, arranged once-a-week or multiple times a week based on convenience of scheduling for up to 10 weeks. The program targets improved caregiver health through occupational therapy coaching.
Thomas Jefferson University
Philadelphia, Pennsylvania, United States
RECRUITINGCanadian Occupational Performance Measure
Measure of performance and satisfaction with performance of daily tasks. Each domain score is out of 10, minimum is 1, and higher scores are better.
Time frame: Week 1
Canadian Occupational Performance Measure
Measure of performance and satisfaction with performance of daily tasks.Each domain score is out of 10, minimum is 1, and higher scores are better.
Time frame: Week 12
Canadian Occupational Performance Measure
Measure of performance and satisfaction with performance of daily tasks. Each domain score is out of 10, minimum is 1, and higher scores are better.
Time frame: Week 15
Re-admission
Number of subjects readmitted. Lower is better.
Time frame: 30 day re-admission
Re-admission
Number of subjects readmitted. Lower is better.
Time frame: 60 day re-admission
Re-admission
Number of subjects readmitted. Lower is better.
Time frame: 90 day re-admission
Revised Caregiver Self-efficacy scale
Measure of confidence with caregiving related tasks. 0 to 100 range for 15 items, higher score is better self-efficacy
Time frame: Week 1
Revised Caregiver Self-efficacy scale
Measure of confidence with caregiving related tasks. 0 to 100 range for 15 items, higher score is better self-efficacy
Time frame: Week 12
Revised Caregiver Self-efficacy scale
Measure of confidence with caregiving related tasks. 0 to 100 range for 15 items, higher score is better self-efficacy
Time frame: Week 15
Zarit Burden Interview
Burden experienced by caregiver while caring for person with stroke. Lower score is better, 22 items, range is 0 to 88.
Time frame: Week 1
Zarit Burden Interview
Burden experienced by caregiver while caring for person with stroke. Lower score is better, 22 items, range is 0 to 88.
Time frame: Week 12
Zarit Burden Interview
Burden experienced by caregiver while caring for person with stroke. Lower score is better, 22 items, range is 0 to 88.
Time frame: Week 15
WHO-BREF Quality of Life scale
World Health Organization-Brief Quality of life evaluation. Higher Scores are better. Scores in four domains 0 to 100 each
Time frame: Week 1
WHO-BREF Quality of Life scale
World Health Organization-Brief Quality of life evaluation. Higher Scores are better. Scores in four domains 0 to 100 each
Time frame: Week 12
WHO-BREF Quality of Life scale
World Health Organization-Brief Quality of life evaluation. Higher Scores are better. Scores in four domains 0 to 100 each
Time frame: Week 15
Single-item life satisfaction scale
Life Satisfaction Evaluation. Lower scores are better, range from 1 to 4 Satisfaction with life - one question Quality of life evaluation Satisfaction with life - one question Quality of life evaluation Satisfaction with life - one question Satisfaction with life - one question
Time frame: Week 1
Single-item life satisfaction scale
Life Satisfaction Evaluation. Lower scores are better, range from 1 to 4 Satisfaction with life - one question Quality of life evaluation Satisfaction with life - one question Quality of life evaluation Satisfaction with life - one question Satisfaction with life - one question
Time frame: Week 12
Single-item life satisfaction scale
Life Satisfaction Evaluation. Lower scores are better, range from 1 to 4 Satisfaction with life - one question Quality of life evaluation Satisfaction with life - one question Quality of life evaluation Satisfaction with life - one question Satisfaction with life - one question
Time frame: Week 15
Stroke Impact Scale
The impact of stroke on various areas of daily activities of the person with stroke. Range from 0 to 100, higher is better.
Time frame: Week 1
Stroke Impact Scale
The impact of stroke on various areas of daily activities of the person with stroke. Range from 0 to 100, higher is better.
Time frame: Week 12
Stroke Impact Scale
The impact of stroke on various areas of daily activities of the person with stroke. Range from 0 to 100, higher is better.
Time frame: Week 15
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