A cluster randomized controlled trial of a client-centred, activities of daily living intervention for people with stroke : One year follow-up of caregivers
Bertilsson, Ann Sofie ; Eriksson, Gunilla ; Ekstam, Lisa LU
; Tham, Kerstin
; Andersson, Magnus
; Von Koch, Lena
and Johansson, Ulla
(2016)
In Clinical Rehabilitation
30(8).
p.765-775
- Abstract
Objective: Compare caregiver burden, provision of informal care, participation in everyday occupations and life satisfaction of caregivers to people with stroke, who either had received a client-centred, activities of daily living intervention or usual activities of daily living interventions. Design: A multicentre cluster randomized controlled trial in which 16 rehabilitation units were randomly assigned to deliver a client-centred, activities of daily living intervention or usual activities of daily living interventions. Caregiver outcomes were compared cross-sectionally at 12 months and changes in outcomes between three and 12 months after people with stroke were included in the study. Setting: Inpatient and outpatient... (More)
Objective: Compare caregiver burden, provision of informal care, participation in everyday occupations and life satisfaction of caregivers to people with stroke, who either had received a client-centred, activities of daily living intervention or usual activities of daily living interventions. Design: A multicentre cluster randomized controlled trial in which 16 rehabilitation units were randomly assigned to deliver a client-centred, activities of daily living intervention or usual activities of daily living interventions. Caregiver outcomes were compared cross-sectionally at 12 months and changes in outcomes between three and 12 months after people with stroke were included in the study. Setting: Inpatient and outpatient rehabilitation. Participants: Caregivers of people with stroke enrolled in the trial. Intervention: A client-centred, activities of daily living intervention aiming to increase agency in daily activities and participation in everyday life for people after stroke. Main measures: Caregiver Burden Scale, Occupational Gaps Questionnaire, LiSat-11. Results: There were no differences in outcomes between caregivers in the client-centred, activities of daily living (n = 88) and the usual activities of daily living (n = 95) group at 12 months. The caregiver burden score was 42.7 vs. 41.8, p = 0.75, mean occupational gaps were 3.5 vs. 4.0, p = 0.52 and satisfaction with life was 53% vs. 50%, p = 0.87. There were no differences in changes between three and 12 months. However, within groups there were significant differences in caregiver burden, factor general strain, for caregivers in the client-centred, activities of daily living group, and in provision of informal care for the usual activities of daily living group. Conclusion: The client-centred intervention did not bring about any difference between caregiver-groups, but within groups some difference was found for caregiver burden and informal care.
(Less)
- author
- Bertilsson, Ann Sofie
; Eriksson, Gunilla
; Ekstam, Lisa
LU
; Tham, Kerstin
; Andersson, Magnus
; Von Koch, Lena
and Johansson, Ulla
- organization
- publishing date
- 2016-08-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- activities of daily living, carers, patient-centred care, rehabilitation, Stroke
- in
- Clinical Rehabilitation
- volume
- 30
- issue
- 8
- pages
- 11 pages
- publisher
- SAGE Publications
- external identifiers
-
- scopus:84978371273
- pmid:26396166
- wos:000380956300005
- ISSN
- 0269-2155
- DOI
- 10.1177/0269215515603780
- language
- English
- LU publication?
- yes
- id
- c3f3db22-19f8-4fd3-9781-d14be3b0b7fd
- date added to LUP
- 2016-08-01 14:06:28
- date last changed
- 2025-01-12 09:23:47
@article{c3f3db22-19f8-4fd3-9781-d14be3b0b7fd,
abstract = {{<p>Objective: Compare caregiver burden, provision of informal care, participation in everyday occupations and life satisfaction of caregivers to people with stroke, who either had received a client-centred, activities of daily living intervention or usual activities of daily living interventions. Design: A multicentre cluster randomized controlled trial in which 16 rehabilitation units were randomly assigned to deliver a client-centred, activities of daily living intervention or usual activities of daily living interventions. Caregiver outcomes were compared cross-sectionally at 12 months and changes in outcomes between three and 12 months after people with stroke were included in the study. Setting: Inpatient and outpatient rehabilitation. Participants: Caregivers of people with stroke enrolled in the trial. Intervention: A client-centred, activities of daily living intervention aiming to increase agency in daily activities and participation in everyday life for people after stroke. Main measures: Caregiver Burden Scale, Occupational Gaps Questionnaire, LiSat-11. Results: There were no differences in outcomes between caregivers in the client-centred, activities of daily living (n = 88) and the usual activities of daily living (n = 95) group at 12 months. The caregiver burden score was 42.7 vs. 41.8, p = 0.75, mean occupational gaps were 3.5 vs. 4.0, p = 0.52 and satisfaction with life was 53% vs. 50%, p = 0.87. There were no differences in changes between three and 12 months. However, within groups there were significant differences in caregiver burden, factor general strain, for caregivers in the client-centred, activities of daily living group, and in provision of informal care for the usual activities of daily living group. Conclusion: The client-centred intervention did not bring about any difference between caregiver-groups, but within groups some difference was found for caregiver burden and informal care.</p>}},
author = {{Bertilsson, Ann Sofie and Eriksson, Gunilla and Ekstam, Lisa and Tham, Kerstin and Andersson, Magnus and Von Koch, Lena and Johansson, Ulla}},
issn = {{0269-2155}},
keywords = {{activities of daily living; carers; patient-centred care; rehabilitation; Stroke}},
language = {{eng}},
month = {{08}},
number = {{8}},
pages = {{765--775}},
publisher = {{SAGE Publications}},
series = {{Clinical Rehabilitation}},
title = {{A cluster randomized controlled trial of a client-centred, activities of daily living intervention for people with stroke : One year follow-up of caregivers}},
url = {{http://dx.doi.org/10.1177/0269215515603780}},
doi = {{10.1177/0269215515603780}},
volume = {{30}},
year = {{2016}},
}