The goal of this clinical trial is to evaluate the effect of the Training to Aid Patients with Stroke (TAP-S) Program on caregiver outcomes among informal caregivers of adult stroke patients during the early post-stroke period. The main questions it aims to answer are: 1. Does participation in the TAP-S Program improve caregiver knowledge regarding stroke management, rehabilitation, and home care? 2. Does participation in the TAP-S Program reduce caregiver burden and improve caregiver quality of life across multiple assessment phases? Participants will: 1. Attend a structured caregiver education and training program covering basic stroke care, rehabilitation principles, positioning, transfers, home exercises, prevention of complications, and caregiver self-care. 2. Complete outcome assessments at baseline (pre-intervention), immediately post-intervention, and two weeks post-discharge. 3. Answer questionnaires measuring caregiver knowledge, caregiver strain, and quality of life.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
22
A structured caregiver education and training program designed to improve caregiver knowledge, reduce caregiver burden, and enhance quality of life among informal caregivers of stroke patients through multidisciplinary instruction, demonstrations, and supervised practical training sessions.
University of the Philippines Philippine General Hospital
Manila, National Capital Region, Philippines
Change in caregiver knowledge scores following participation in the Training to Aid Patients With Stroke (TAP-S) Program
Caregiver knowledge regarding stroke, rehabilitation principles, and home care will be assessed using a structured 15-item caregiver knowledge questionnaire developed by the study investigators based on established stroke rehabilitation, caregiver education, and home care recommendations. The questionnaire was designed to evaluate caregivers' understanding of stroke management, prevention of complications, rehabilitation principles, and safe home-based care practices. Prior to implementation, the questionnaire underwent expert review by rehabilitation medicine professionals for content validity. Total scores range from 0 to 15, with higher scores indicating greater caregiver knowledge and understanding of stroke management and home care.
Time frame: Baseline, immediately post-intervention, and two weeks post-discharge
Change in caregiver burden following participation in the Training to Aid Patients With Stroke (TAP-S) Program
Caregiver burden will be assessed using the Modified Caregiver Strain Index (MCSI), a 13-item instrument that evaluates strain related to caregiving across physical, psychological, social, personal, and financial domains. Each item is scored as 0 ("No"), 1 ("Sometimes"), or 2 ("Yes"), resulting in a total score ranging from 0 to 26. Higher scores indicate greater caregiver strain and burden.
Time frame: Baseline, immediately post-intervention, and two weeks post-discharge
Change in caregiver quality of life following participation in the Training to Aid Patients With Stroke (TAP-S) Program
Quality of life will be assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF), a 26-item validated instrument that evaluates four domains: Physical Health, Psychological Health, Social Relationships, and Environment. Items are rated on a 5-point Likert scale, with raw domain scores transformed according to WHO guidelines to a scale ranging from 0 to 100. Higher scores indicate better perceived quality of life. The Physical Health domain ranges from 0-100, the Psychological Health domain ranges from 0-100, the Social Relationships domain ranges from 0-100, and the Environment domain ranges from 0-100, with each domain analyzed separately across assessment phases.
Time frame: Baseline, immediately post-intervention, and two weeks post-discharge
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