Effect of progressive muscle relaxation on the caregiver burden and level of depression among caregivers of older patients with a stroke: A randomized controlled trial

Yılmaz, Cemile Kütmeç; Aşiret, Güler Duru; Çetinkaya, Funda; OludaĞ, Gülay; Kapucu, Sevgisun

doi:10.1111/jjns.12234

Cited by 21 publications

(28 citation statements)

References 32 publications

(39 reference statements)

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“…Only 1 study reported significant improvements in caregiver anxiety and depression at 6 and 12 months, 26 although anxiety and depression were not significant at 3 months. 26 Several studies reported nonsignificant between group findings regarding depression, 24,27 depressive symptoms, 19,21 and anxiety. 24…”

Section: Resultsmentioning

confidence: 99%

“…24 Only 1 study reported significant improvements in caregiver anxiety and depression at 6 and 12 months, 26 although anxiety and depression were not significant at 3 months. 26 Several studies reported nonsignificant between group findings regarding depression, 24,27 depressive symptoms, 19,21 and anxiety. 24 Three studies showed significant improvements in quality of life, 20 life satisfaction, 32 and life changes as a result of providing care 22 ; conversely, several studies reported nonsignificant findings regarding several quality of life domains, including perceived physical health.…”

Section: Do Family Caregiver and Dyad Interventions Improve Caregiver...mentioning

confidence: 99%

“…24 Caregiver anxiety and depression were measured in 5 studies using the Hospital Anxiety and Depression Scale. [24][25][26]28,29 Other anxiety and depression measures included the Center for Epidemiological Studies Depression Scale, 19,21,30 Patient-Reported Outcomes Measurement Information System-Depression Short Form 8b, 35 Patient Health Questionnaire-9, 31 Beck Depression Scale, 27 Zung Self-rating Anxiety Scale, 28 and the Zung Self-Rating Depression Scale. 28 Several studies measured caregiver health-related quality of life using the same measures that were used for stroke survivors (ie, Older People's Quality of Life Questionnaire, 35 the Satisfaction with Life Scale, 32 and the EuroQol European Quality of Life EuroQol 24,25 ).…”

Section: Measurement Of Caregiver Outcomesmentioning

confidence: 99%

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Systematic Review of the Evidence for Stroke Family Caregiver and Dyad Interventions

Bakas

McCarthy

Miller

2022

Stroke

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Stroke family caregiver and dyad literature has expanded over the past few years. The purpose of this review was to build upon 2 prior systematic reviews to critique, analyze, and synthesize the evidence pertaining to the impact of family caregiver and dyad interventions on stroke survivor and family caregiver outcomes. CINAHL, PsychINFO, PubMed, and reference lists were searched from December 1, 2016 through March 31, 2021. Using PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), articles were identified that tested outcomes from stroke family caregiver or dyad interventions that targeted the health or well-being of family caregivers. Data from the articles were abstracted into tables for analysis, then compared with recommendations from the 2 prior systematic reviews. A total of 18 articles met inclusion criteria (10 caregiver interventions; 8 dyad interventions) representing sample sizes ranging from 7 to 349 caregivers or dyads. Most were randomized controlled trials (n=13); 2 were cluster randomized trials; and 3 were single-group quasi-experimental designs. Of the 18 studies, 8 had <50 caregivers or dyads and 5 were small feasibility studies that reported data trends rather than testing for significance. Only 6 studies reported significant survivor outcomes. Eleven studies reported significant caregiver outcomes, the most common being burden. A number of survivor and caregiver outcomes were not significant, or only significant for certain subgroups. The limited number of studies, small sample sizes, and conflicting results, made it difficult to draw firm conclusions regarding the impact of these interventions on outcomes. Based on the available evidence from these 18 studies, recommendations from the 2 prior reviews were generally supported. Well-designed and well-powered randomized controlled clinical trials are still needed to confirm efficacy of stroke family caregiver and dyad interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Do Family Caregiver and Dyad Interventions Improve Caregiver...mentioning

confidence: 99%

Section: Measurement Of Caregiver Outcomesmentioning

confidence: 99%

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Systematic Review of the Evidence for Stroke Family Caregiver and Dyad Interventions

Bakas

McCarthy

Miller

2022

Stroke

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“…Caregiving is a complex and multidimensional activity, the nature and determinants of which evolve over time (19). Another study found that progressive muscular relaxation significantly reduced caregiver burden and depression among the family caregivers of older patients with stroke (16). Moreover, a study found the effectiveness of a multidisciplinary education course in significantly reducing caregiver burden and improving health protection ability among family caregivers (20) and a study reported the significant positive effects of home care for patients with stroke and education for their caregivers on caregiver burden and quality of life (21).…”

Section: Discussionmentioning

confidence: 99%

“…Using the results of a former study (16) and with a confidence level of 0.95, a power of 0.90, and a potential attrition rate of 10%, sample size was calculated to be twenty. Sample size calculation formula was as follows:…”

Section: Participants and Settingmentioning

confidence: 99%

The effects of care-oriented group discussion on burnout among the caregivers of patients with stroke

Sharifian¹,

Mohammadi

Ranjbaran

et al. 2021

J Multidiscip Care

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Background and aims: Patients with chronic illnesses such as stroke have different physical and mental problems and need the care and support of their family members. Family caregivers face many different problems and experience burnout during caregiving to their patients. The aim of this study was to investigate the effects of care-oriented group discussion (GD) on burnout among the caregivers of patients with stroke. Methods: This two-group pretest-posttest quasi-experimental study was conducted in 2019. Participants were forty family caregivers of patients with stroke randomly selected from the neurology and stroke care ward of Sina hospital, Hamadan, Iran. They were randomly allocated to two twenty-person groups. Participants in the control group received routine care services, while participants in the intervention group received routine care services in addition to care-oriented GD in six two-hour sessions. Burnout was assessed before and two weeks after the study intervention and the SPSS program (v. 22.0) was used to analyze the data through the Kolmogorov-Smirnov, paired-sample t, independent-sample t, and Chi-square tests. Results: Groups did not significantly differ from each other respecting the pretest mean scores of burnout and all its dimensions as well as the posttest mean scores of the personal and financial dimensions of burnout (P > 0.05). However, the posttest mean scores of burnout and its social and emotional dimensions in the intervention group were significantly less than the control group (P < 0.05). Conclusion: As an effective strategy, care-oriented GD can be used to reduce burnout among the family caregivers of patients with stroke.

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Effects of physical activity on depressive symptoms in older caregivers: The IMPACCT randomized controlled trial

Loi,

Gaffy,

Malta

et al. 2024

Int J Geriat Psychiatry

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ObjectivesPhysical activity (PA) can reduce depressive symptoms but has not been tested amongst depressed older caregivers and their care‐recipients. The aim of this single‐blind randomized controlled trial was to investigate the effect of a 6‐month tailored PA program on depressive symptoms in older caregivers.MethodCaregivers were included if they had scores of ≥5 on the 15‐item geriatric depression scale (GDS‐15). Care‐recipients could have any type of physical, mental or cognitive condition requiring support. The PA intervention group completed an individualized program based on the Otago‐Plus Exercise Program. The primary outcome was improvement in depressive symptoms in caregivers measured at six and 12 months.ResultsTwo hundred and twelve participants (91 dyads and 30 caregivers only) were randomized using a 3:3:1 ratio to PA intervention, social‐control, and usual‐care control groups. There were no significant differences in depressive symptoms of the caregivers between the three groups at 6 months or 12 months. However, more than 50% of caregivers in all three groups no longer had a GDS‐15 score ≥5 at 6 months. Further analysis revealed that caregivers in the PA group caring for someone with a standardised mini‐mental state examination (SMMSE) score ≥24 had significantly less depressive symptoms than those caring for someone with a SMMSE score <24 compared with social‐control (p < 0.02) and usual‐care groups (p < 0.02).ConclusionsA PA intervention may be beneficial for some caregivers in reducing symptoms of depression but may not be as beneficial to caregivers of people living with cognitive impairment.

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Effect of progressive muscle relaxation on the caregiver burden and level of depression among caregivers of older patients with a stroke: A randomized controlled trial

Cited by 21 publications

References 32 publications

Systematic Review of the Evidence for Stroke Family Caregiver and Dyad Interventions

Systematic Review of the Evidence for Stroke Family Caregiver and Dyad Interventions

The effects of care-oriented group discussion on burnout among the caregivers of patients with stroke

Effects of physical activity on depressive symptoms in older caregivers: The IMPACCT randomized controlled trial

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