The goal of this study is to evaluate the effect of a family-centered support program on the care burden, depressive symptoms, perceived social support, and quality of life of stroke survivor' caregivers and on care recipients' rehabilitation adherence and depressive symptoms.
The family-centered support program included stroke and rehabilitation education, problem-solving skills training, long-term care information support, and instant messaging applications-based 24-h peers-support group for caregivers. Investigators hypothesized that (1) Compared with those in the control group, caregivers who undergo a family-centered support program have lower care burdens, do not have a high risk of depression, and perceive better social support and quality of life; (2) Compared with those in the control group, care recipients in the family-centered support group have ideal rehabilitation adherence and are not at a high risk of depression.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
210
Once participants joined the family-centered support group, participants received 90-minute interventions, including an introduction to stroke and rehabilitation education, problem-solving skills training, and long-term care information. Investigators also invited participants to join the instant messaging application-based 24-h peer-support group for caregivers. On the second and fourth days after receiving the interventions, the researcher visited the participants to review and practice the content provided on the first day; each session was 30 to 40 minutes long. The researcher contacted the participants one week after participants joined the study to discuss their care difficulties or experiences and did so three times biweekly thereafter via the instant messaging application.
Chang Gung University of Science and Technology
Taoyuan, Taiwan
Depressive symptoms
Depressive symptoms were measured using the Taiwanese Depression Scale.The range of total scores is between 0\~54, the scores higher than 19 indicated an increased risk of depression.
Time frame: The outcome was assessed at baseline.
Caregiver care burden
The caregiver strain index (CSI) was used to measure caregiver care burden. The range of total scores is between 0\~13, the higher total scores indicated a higher care burden.
Time frame: The outcome was assessed at baseline.
Perceived social support
Medical Outcome Study Social Support Survey- Taiwanese version was used to measure the perceived social support for caregivers of stroke survivors. The range of total scores is between 19\~95, and the higher full scores indicated a perception of better social support.
Time frame: The outcome was assessed at baseline.
Caregivers' quality of life
Taiwanese version of the World Health Organization Quality of Life BREF(WHOQOL-BREF) was used to measure caregivers' quality of life. The range of total scores is between 4\~20, and the higher full scores indicated a better quality of life. WHOQOL-BREF was used to measure the quality of life of stroke survivors' caregivers.
Time frame: The outcome was assessed at baseline.
Rehabilitation adherence
A single item of rehabilitation adherence measurement was used to measure stroke Patients' rehabilitation adherence levels. The range of scores is between 1\~5, and the highest scores indicated an optimal adherence level.
Time frame: The outcome was assessed at baseline.
Change from baseline depressive symptoms at first month
Depressive symptoms were measured using the Taiwanese Depression Scale.The range of total scores is between 0\~54, the scores higher than 19 indicated an increased risk of depression.
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Time frame: The outcome was assessed at first month after inclusion.
Change from baseline caregiver care burden at first month
The caregiver strain index (CSI) was used to measure caregiver care burden. The range of total scores is between 0\~13, the higher total scores indicated a higher care burden.
Time frame: The outcome was assessed at first month after inclusion.
Change from baseline perceived social support at first month
Medical Outcome Study Social Support Survey- Taiwanese version was used to measure the perceived social support for caregivers of stroke survivors. The range of total scores is between 19\~95, and the higher full scores indicated a perception of better social support.
Time frame: The outcome was assessed at first month after inclusion.
Change from baseline caregivers' quality of life at first month
Taiwanese version of the World Health Organization Quality of Life BREF(WHOQOL-BREF) was used to measure caregivers' quality of life. The range of total scores is between 4\~20, and the higher full scores indicated a better quality of life.WHOQOL-BREF was used to measure the quality of life of stroke survivors' caregivers.
Time frame: The outcome was assessed at first month after inclusion.
Change from baseline rehabilitation adherence at first month
A single item of rehabilitation adherence measurement was used to measure stroke patients' rehabilitation adherence levels. The range of scores is between 1\~5, and the highest scores indicated an optimal adherence level.
Time frame: The outcome was assessed at first month after inclusion.
Change from baseline depressive symptoms at third month
Depressive symptoms were measured using the Taiwanese Depression Scale.The range of total scores is between 0\~54, the scores higher than 19 indicated an increased risk of depression.
Time frame: The outcome was assessed at third after inclusion.
Change from baseline caregiver care burden at third month
The caregiver strain index (CSI) was used to measure caregiver care burden. The range of total scores is between 0\~13, the higher total scores indicated a higher care burden.
Time frame: The outcome was assessed at third after inclusion.
Change from baseline perceived social support at third month
Medical Outcome Study Social Support Survey- Taiwanese version was used to measure the perceived social support for caregivers of stroke survivors. The range of total scores is between 19\~95, and the higher full scores indicated a perception of better social support.
Time frame: The outcome was assessed at third after inclusion.
Change from baseline caregivers' quality of life at third month
Taiwanese version of the World Health Organization Quality of Life BREF (WHOQOL-BREF) was used to measure caregivers' quality of life. The range of total scores is between 4\~20, and the higher full scores indicated a better quality of life. WHOQOL-BREF was used to measure the quality of life of stroke survivors' caregivers.
Time frame: The outcome was assessed at third after inclusion.
Change from baseline rehabilitation adherence at third month
A single item of rehabilitation adherence measurement was used to measure stroke patients' rehabilitation adherence levels. The range of scores is between 1\~5, and the highest scores indicated an optimal adherence level.
Time frame: The outcome was assessed at third after inclusion.