Effect of carer education on functional abilities of patients with stroke

Mudzi, Witness; Stewart, Aimée; Musenge, Eustasius

doi:10.12968/ijtr.2012.19.7.380

Cited by 19 publications

(34 citation statements)

References 28 publications

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“…This is within the time frame of 6 months when most functional recovery occurs (Bonita & Beaglehole, 1988; Horstman et al, 2012;Wade & Hewer, 1987). The mean change in BI score from baseline to follow-up for the intervention group in the current study is similar to that found in the study conducted by Mudzi, Stewart and Musenge (2012). This similarity may be attributed to the fact that in both studies, caregiver education on the importance of exercise was carried out.…”

Section: Function and Adherencesupporting

confidence: 81%

The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

Kara

Ntsiea

2015

Hong Kong Journal of Occupational Therapy

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Background/Objective: Functional recovery for stroke survivors begins with rehabilitation. It may not be feasible for therapists to supervise all rehabilitation, especially in the home environment. Therefore, adherence to prescribed exercise programmes is important. The objective of this study was to determine the effect of a written and pictorial home exercise prescription on adherence to a home exercise programme in patients with stroke. Methods: This was a randomised controlled trial with a blinded assessor. The control group received a home exercise programme with verbal instructions, while the intervention group received the same home exercise programme with verbal instructions but with additional written and pictorial instructions for the exercises. An exercise logbook was used to monitor adherence. The Modified Rivermead Mobility Index (MRMI) and Barthel Index (BI) were used to establish mobility and activities of daily living. Results: There were a total of 42 participants, with 21 in each group; mean age was 60.8 AE 15.5 years. Forty (95%) of the participants had suffered a stroke less than 4 months prior to the study. Both control and intervention groups had similar outcomes: there was no significant difference between groups with regard to functional ability (MRMI, p Z .40; BI, p Z .65) and adherence (p Z .53). The relationship between functional ability (MRMI and BI) and the level of adherence for both the control and intervention groups was not statistically significant. Conclusion: The addition of a written and pictorial home exercise prescription does not lead to better adherence to a home exercise programme compared to having no written and pictorial instructions. Possible reasons may be that patients had caregivers as a support system, and the exercise logbook served as a reminder and motivational track record for patients. There also Funding/support: This study was partially funded by the

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Section: Function and Adherencesupporting

confidence: 81%

The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

Kara

Ntsiea

2015

Hong Kong Journal of Occupational Therapy

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“…This research used quantitative methods for data collection from 2 instruments: (1) The WHO DAS 2.0 (World Health Organization Disability Assessment Schedule)17 provided quantitative data about perceptions of disability related to community reintegration status; and (2) An original Home Observation Data form (HOD)18 provided quantitative information about the nature of the home setting, which affects reintegration. Clients and their guardians were interviewed by an appropriately trained and qualified translator in the client's home for the WHO DAS 2.0 and HOD.…”

Section: Methodsmentioning

confidence: 99%

“…The HOD is an original checklist form utilized successfully in year 1 of this study (Table 4). It consists of observation categories, with assigned environmental descriptors based on the Malawi 2010 Demographic and Health Survey (MDHS)19 and the WHO DAS 2.0 questions17 The researchers observed the environment, took linear measurements, discussed the information with the guardians as needed, and completed the HOD checklist, according to the study protocol.…”

Section: Methodsmentioning

confidence: 99%

Clients with stroke and non-stroke and their guardians’ views on community reintegration status after in-patient rehabilitation

Glickman

2018

Mal. Med. J

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AimThe aim of this study was to compare client community reintegration status following discharge from the Kachere Rehabilitation Centre (KRC), Blantyre, Malawi, in 2 consecutive years with client versus guardian perspectives on reintegration status.MethodsUsing quantitative methods, 35 clients with stroke and non-stroke diagnoses (spinal cord dysfunction and neuropathic conditions) and 32 client guardians (the family caregivers in Malawi) were separately interviewed using the WHO Disability Assessment Schedule (DAS) 2.0 (a measure of disability due to reintegration problems back into the community). The results were analyzed using descriptive statistics and the Wilcoxon Signed-Rank Test or the Mann-Whitney U Test, as appropriate, to test for significant differences between groups. The clients' home environments were categorized using an original checklist, the Home Observation Data Form (HOD).ResultsModerate to severe perceived levels of disability related to reintegration difficulties were noted by clients in years 1 and 2. For those with non-stroke diagnoses, there was a significant change in year 2 results compared to year 1, but not for those with stroke diagnoses. Guardians agreed with their client's perceptions of difficulty in year 2. Major areas of concern were taking care of household responsibilities, participating in day-to-day work or school routines, joining in community activities, and walking one kilometer per day.ConclusionsCommunity reintegration challenges in suburban Blantyre, Malawi continued to plague individuals with stroke and non-stroke diagnoses for 2 consecutive years after discharge from KRC. Based on the important role guardians play during their client's rehabilitation phase and when they return to the community, opportunities may exist to improve client perception of disability related to their reintegration status. Future studies are important to replicate these results, investigate the idea of a more important role for guardians in patient-centered care, and the relationship between motor and cognitive function and reintegration status.

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“…Various contributing factors have been described, such as limited insight from caregivers and patients and differences in expectations, for example, patients feeling that therapy does not address all of their concerns or having different goals than therapist 56 . Other factors relate to health systems, such as a shortage of healthcare workers, challenges with finances and transport, and a lack of communication upon discharge 2 . In their strategic plan for the Prevention and Control of Non-Communicable Diseases 2013-17, the Department of Health identified "improved access to rehabilitative services, particularly at the community level" as a priority 9 .…”

Section: Therapy Receivedmentioning

confidence: 99%

“…Survivors of a cerebrovascular accident (CVA) often experience permanent impairment and need assistance with their activities of daily living [1][2][3] , as a full recovery only occurs in only approximately 45% of patients with CVA 4 . Comprehensive early intervention by an inter-professional team can assist patients to reach their maximum potential by decreasing the effect of disability.…”

Section: Introductionmentioning

confidence: 99%

The perceived burden of care among caregivers of survivors of cerebrovascular accident following discharge from a private rehabilitation unit

Serfontein¹,

Visser²,

Schalkwyk³

et al. 2019

S. Afr. j. occup. ther.

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Introduction: The transition between inpatient rehabilitation and discharge of survivors of stroke from private rehabilitation services in South Africa is often challenging. After the stroke survivor is discharged, caregivers have an important role as an extension of rehabilitation, although the occupation of caregiving is often unplanned. This study investigated the factors associated with the burden of care experienced by patients' caregivers. Methods: A quantitative descriptive study was conducted with 63 patients and 63 caregivers, using a consecutive, non-randomised sampling method. Patients' Functional Independence Measure (FIM) scores upon discharge were obtained. Telephonic interviews were conducted with the caregivers two months after the patients' discharge, using the Modified Caregiver Strain Index (MCSI) and a demographic data questionnaire to obtain their perceived burden of care. Results: Patients' median FIM score at discharge was 86, indicating that they needed minimal assistance. After discharge, caregivers experienced minimal to moderate strain (burden of care) according to the MCSI score. The associated factors that were identified included financial, physical, psychological and social aspects, of which financial strain was encountered most regularly. Caregivers also seemed to have unbalanced occupational profiles. Conclusions: Better caregiver training and support should be provided by private rehabilitation services for better integration of stroke survivors into the community.

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Effect of carer education on functional abilities of patients with stroke

Cited by 19 publications

References 28 publications

The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

The Effect of a Written and Pictorial Home Exercise Prescription on Adherence for People with Stroke

Clients with stroke and non-stroke and their guardians’ views on community reintegration status after in-patient rehabilitation

The perceived burden of care among caregivers of survivors of cerebrovascular accident following discharge from a private rehabilitation unit

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