Family Intervention: Telephone Tracking (FITT): A Pilot Stroke Outcome Study

Bishop, Duane S.; Miller, Ivan W.; Weiner, Daniel N.; Guilmette, Thomas J.; Mukand, Jon; Feldmann, Edward; Keitner, Gabor I.; Springate, Beth

doi:10.1310/tsr21s1-s63

Cited by 48 publications

(150 citation statements)

References 45 publications

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“…Based on our PRISMA flow diagram in Figure 1, 5 we identified 10 studies 9–18 that met our inclusion criteria (5 caregiver intervention studies; 9–13 5 dyad intervention studies 14–18 ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Update on the State of the Evidence for Stroke Family Caregiver and Dyad Interventions

Bakas¹,

McCarthy

Miller

2017

Stroke

154

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Section: Resultsmentioning

confidence: 99%

“…9,10,13,14,17,18 One large study used cluster randomization by unit. 11 The remaining three studies were quasi-experimental (e.g., non-random assignment to condition 12,16 or single group 15 ).…”

Section: Resultsmentioning

confidence: 99%

Update on the State of the Evidence for Stroke Family Caregiver and Dyad Interventions

Bakas¹,

McCarthy

Miller

2017

Stroke

154

View full text Add to dashboard Cite

“…6,11,15,16 Empirical data that support these skills can be taught by nurses via the telephone, in conjunction with written materials. 17 Counseling to address caregivers' feelings and strategies to address their own personal care needs is also useful.…”

Section: Common Caregiver Issues and Nursing Interventionsmentioning

confidence: 99%

“…3,12 Empirical data support the value of these contacts being offered more intensively initially, followed by routine follow-up over time. 17 Caregivers also suggest the importance of navigating patient care services, including medical benefits and insurance claims. 2 Many caregivers are technology savvy, so information about how to access support resources via both the telephone and the Internet is important.…”

Section: Organizational Issues and Nursing Interventionsmentioning

confidence: 99%

“…Nursing intervention programs based on empirical literature and stroke rehabilitation patient care guidelines that address these stroke caregiver issues are essential in improving caregivers' well-being and quality of life. 17,21 Furthermore, intervention programs that span time and include core skills of providing stroke-related information, caregiver skill training, stress-coping strategies, and problem-solving seem valuable.…”

Section: Grant Et Al Common Caregiver Issues E153mentioning

confidence: 99%

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Common Caregiver Issues and Nursing Interventions After a Stroke

Grant

Hunt

Steadman

2014

Stroke

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A fter rehabilitation, most stroke survivors return to the community and continue with their daily lives, despite stroke-related functional, cognitive, and behavioral changes.1 Caregivers are the primary support system for these survivors after discharge and an integral part of the healthcare team that contributes to survivors' rehabilitation and recovery.2,3 However, caregiving is stressful, and caregivers often experience a variety of interrelated individual, interpersonal, and organizational issues in managing stroke-related deficits. These issues and potential nursing interventions for addressing them will be discussed in this article. Individual Issues and Nursing InterventionsIndividual caregiver issues commonly relate to insufficient knowledge and skills to understand and manage stroke survivors' physical, cognitive, emotional, and behavioral problems. 4 Initially, caregivers request information about the stroke diagnosis, prognosis, complications, and predicted recovery. 5 As stroke survivors begin the transition to home care, caregivers require information about assuring their safety, including fall prevention, medications, and prescriptions; adequate nutrition; and management of physical, instrumental, psychological, and behavioral problems. Empirical data support caregivers who also require information and support about how to manage complex feelings and interactions with stroke survivors who experience memory problems, depression, anxiety, frustration, withdrawal, and are argumentative. [6][7][8] Empirical literature also indicates that caregivers feel uncertain and unprepared in the caregiving role.9 Caregivers need open and honest communication about their role and stroke survivors' abilities, 3,10 while also offering hope. Conducting a comprehensive predischarge nursing assessment of caregiver physical and psychological health and social, financial, and spiritual needs initially and during follow-up is essential. 11This assessment is vital to understand how caregivers' skills, abilities, and resources match stroke survivors' needs for follow-up care better. On the basis of this assessment, nurses should develop a highly individualized case management plan to help caregivers attain skills and services necessary to facilitate success and seamless postdischarge transition. 2Although nurses provide important information, stroke-and caregiving-related information commonly is not remembered by overwhelmed caregivers. Therefore, basic information should be provided throughout acute and chronic care in both oral and written formats, with frequent reinforcement of specific information in the caregiving trajectory.12 Caregivers also request that more extensive services be offered during rehabilitation, especially on weekends 13 because competing work and other responsibilities (family, home, and church) make attending rehabilitation therapy difficult during the week. 4 Furthermore, although guidelines exist, some resources suggest there is no consensus about what caregivers need in rehabilitation and the gu...

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Information provision for stroke survivors and their carers

Crocker

Brown

Lam

et al. 2021

Cochrane Database of Systematic Reviews

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Background The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year.Methods For this analysis, we constructed burden-weighted dose-response relative risk curves across 22 health outcomes to estimate the theoretical minimum risk exposure level (TMREL) and non-drinker equivalence (NDE), the consumption level at which the health risk is equivalent to that of a non-drinker, using disease rates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020 for 21 regions, including 204 countries and territories, by 5-year age group, sex, and year for individuals aged 15-95 years and older from 1990 to 2020. Based on the NDE, we quantified the population consuming harmful amounts of alcohol. Findings The burden-weighted relative risk curves for alcohol use varied by region and age. Among individuals aged 15-39 years in 2020, the TMREL varied between 0 (95% uncertainty interval 0-0) and 0•603 (0•400-1•00) standard drinks per day, and the NDE varied between 0•002 (0-0) and 1•75 (0•698-4•30) standard drinks per day. Among individuals aged 40 years and older, the burden-weighted relative risk curve was J-shaped for all regions, with a 2020 TMREL that ranged from 0•114 (0-0•403) to 1•87 (0•500-3•30) standard drinks per day and an NDE that ranged between 0•193 (0-0•900) and 6•94 (3•40-8•30) standard drinks per day. Among individuals consuming harmful amounts of alcohol in 2020, 59•1% (54•3-65•4) were aged 15-39 years and 76•9% (73•0-81•3) were male. Interpretation There is strong evidence to support recommendations on alcohol consumption varying by age and location. Stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial global health loss attributable to alcohol. Funding Bill & Melinda Gates Foundation.

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Family Intervention: Telephone Tracking (FITT): A Pilot Stroke Outcome Study

Abstract: Findings suggest that the model has the potential to decrease health care utilization and improve quality of life for stroke survivors and their caregivers. Further study is warranted.

Cited by 48 publications

References 45 publications

Update on the State of the Evidence for Stroke Family Caregiver and Dyad Interventions

Update on the State of the Evidence for Stroke Family Caregiver and Dyad Interventions

Common Caregiver Issues and Nursing Interventions After a Stroke

Information provision for stroke survivors and their carers

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