Care partner problem solving training (CP-PST) for care partners of adults with traumatic brain injury during inpatient rehabilitation: Study protocol for a multisite, randomized, single-blind clinical feasibility trial

Juengst, Shannon B.; Silva, Valeria; Goldin, Yelena; Cicerone, Keith D.; Lengenfelder, Jean; Chiaravalloti, Nancy D.; Driver, Simon; Mellick, David; Dart, Georgianna; Kew, Chung Lin; Nabasny, Andrew; Bell, Kathleen R.

doi:10.1016/j.cct.2019.03.004

Cited by 8 publications

(8 citation statements)

References 51 publications

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“…PST is a metacognitive strategy training approach, grounded in both problem-solving and self-management theory [44,45], that teaches a simple, systematic method for evaluating problems, generating and selecting solutions, developing specific goals and action plans, and evaluating and revising plans as needed (see Fig. 2 for the strategy steps and mnemonic in both English and Spanish) [33,46]. With the guidance of a therapist, caregivers learn to break down larger problems or goals into manageable and concrete steps.…”

Section: Overview Of the Interventionmentioning

confidence: 99%

“…With the guidance of a therapist, caregivers learn to break down larger problems or goals into manageable and concrete steps. By solving problems that may have seemed overwhelming, they gain self-efficacy [33,34,44]. Though it follows a standardized protocol, PST/DSJ offers the flexibility to individualize sessions to the unique needs, values, and goals of the participant and teaches a global problem-solving strategy that can be applied to any problem the participant may select during the sessions or face in the future.…”

Section: Overview Of the Interventionmentioning

confidence: 99%

“…PST/DSJ sessions will be delivered by trained social workers using a specific curriculum validated in our previous research studies [33,34,[41][42][43]. All intervention sessions will occur over the telephone or via Microsoft Teams.…”

Section: Overview Of the Interventionmentioning

confidence: 99%

“…The PST/DSJ intervention will consist of either three or six sessions (about 30-60 min each), depending on allocation, that follow a structured format described in the PST manual from our current Caregiver PST (CP-PST) intervention study [33]. See Table 1 for brief summary of the session content for three and six session conditions.…”

Section: Overview Of the Interventionmentioning

confidence: 99%

“…Problem-Solving Training (PST) is an evidence-based strategy training intervention that teaches a simple, systematic method for evaluating problems, generating and selecting solutions, developing specific goals and action plans, and evaluating and revising plans as needed [27][28][29][30][31][32][33][34][35][36][37][38][39]. PST reduces emotional distress and caregiver burden and promotes adaptive coping skills in caregivers of individuals with various disabilities, including dementia [28,30,[33][34][35][36]40]. Our group translated and culturally adapted PST to "Descubriendo Soluciones Juntos" (DSJ) [41] to address the needs of Spanish-speaking caregivers.…”

Section: Introductionmentioning

confidence: 99%

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Bilingual problem-solving training for caregivers of adults with dementia: A randomized, factorial-design protocol for the CaDeS trial

Juengst

Supnet

Kew

et al. 2021

Contemporary Clinical Trials

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Objective: Caregivers of individuals with Alzheimer's disease and related dementias (ADRD) often experience debilitating caregiver burden and emotional distress. To address these negative emotional consequences of caregiving, we will test and refine a strategy training intervention -Problem-Solving Training (PST) -that promotes self-efficacy and reduces caregiver burden and depressive symptoms. Previous research supports efficacy of PST; however, we do not know exactly how many PST sessions are needed or if post-training "boosters" are required to maintain PST benefits. Additionally, we translated and culturally-adapted PST into "Descubriendo Soluciones Juntos" (DSJ), our novel intervention for Spanish-speaking caregivers.

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Section: Overview Of the Interventionmentioning

confidence: 99%

Section: Overview Of the Interventionmentioning

confidence: 99%

Section: Overview Of the Interventionmentioning

confidence: 99%

Section: Overview Of the Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Bilingual problem-solving training for caregivers of adults with dementia: A randomized, factorial-design protocol for the CaDeS trial

Juengst

Supnet

Kew

et al. 2021

Contemporary Clinical Trials

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Culturally Adapting and Refining “Descubriendo Soluciones Juntos” for Care Partners of Adults with Neurological Conditions

Vega

Osborne

Braga

et al. 2023

J. Psychosoc. Rehabil. Ment. Health

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Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay

Juengst

Osborne

Holavanahalli

et al. 2019

Archives of Rehabilitation Research and Clinical Translation

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Objective To determine the feasibility of delivering an evidence-based self-management intervention, problem-solving training (PST), to care partners of individuals with traumatic brain injury (TBI), spinal cord injury (SCI), burn injury, or stroke during the inpatient hospital stay. Design In this single group pre-post intervention pilot feasibility study. Setting Inpatient rehabilitation or acute care and community. Participants Care partners (spouse or partner, family member, friend who is in any way responsible for the health or well-being of the care recipient) of individuals with TBI, SCI, burn injury, or stroke (N=39). Intervention PST is a metacognitive self-management intervention that teaches individuals a global strategy for addressing self-selected problems. Participants received up to 6 sessions of PST in person or via telephone during their care recipient’s inpatient stay. Main Outcome Measures We measured feasibility of recruitment, intervention delivery, and postintervention use of a smartphone app (Care Partner Problem Solving [CaPPS]) and participant satisfaction (Client Satisfaction Questionnaire [CSQ]) and engagement (Pittsburgh Rehabilitation Participation Scale [PRPS]) with the intervention. Results Of 39 care partners approached, n=10 (25.6%) were ineligible. Of n=29 (74.4%) who were eligible, n=17 (58.6%) refused, and n=12 (41.4%) consented, of whom n=8 (66.7%) completed ≥3 PST sessions. Not perceiving any benefit was the most common reason for refusal, followed by no interest in research. Participants were very satisfied with PST (CSQ mean=3.35, SD=0.60), reported strong working alliance (Working Alliance Inventory mean=6.8, SD=3.1), and demonstrated very good engagement (PRPS mean=4.75, SD=1.41). CaPPS was downloaded and used by only n=3 participants. Conclusions Delivering a self-management intervention to care partners during the care recipient’s acute hospital stay is feasible for a subset of potential participants. Short lengths of stay, language fluency, and perceiving no potential benefit were noted barriers. Boosters via smartphone app have potential, but several barriers must first be overcome.

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Care partner problem solving training (CP-PST) for care partners of adults with traumatic brain injury during inpatient rehabilitation: Study protocol for a multisite, randomized, single-blind clinical feasibility trial

Cited by 8 publications

References 51 publications

Bilingual problem-solving training for caregivers of adults with dementia: A randomized, factorial-design protocol for the CaDeS trial

Bilingual problem-solving training for caregivers of adults with dementia: A randomized, factorial-design protocol for the CaDeS trial

Culturally Adapting and Refining “Descubriendo Soluciones Juntos” for Care Partners of Adults with Neurological Conditions

Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay

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