Abstract:BACKGROUND: Stroke family caregivers were already struggling with unmet needs and changes in their own lives from providing care. The COVID-19 pandemic added further stress and disruption to their lives. The purpose of this study was to describe life changes in 17 stroke family caregivers specifically resulting from the COVID-19 pandemic. METHODS: This study was conducted as a secondary data analysis from an ongoing randomized controlled clinical trial testing feasibility of the Telehealth Assessment and Skill… Show more
“…Strokes develop with lifestyle-related diseases or atrial fibrillation as significant risk factors and have been found to have a high recurrence rate, 1 especially in the early stage of onset. 2 Stroke patients develop more severe diseases because of recurrence, [3][4][5] it is crucial to control their risk factors with self-management to prevent recurrence. 6 However, in Japan only a low percentage of stroke patients receive adequate educational intervention to help control risk factors with self-management.…”
BACKGROUND: Stroke patients must review their previous lifestyle and take daily actions to control risk factors for recurrence. METHODS: A nonblind, randomized controlled trial was conducted in stroke patients to determine whether an education program intervention would alter behavior concerning home blood pressure measurements. This prospective, randomized controlled trial recruited 48 inpatients with stroke randomly assigned to an intervention group (n = 24) or a usual care group (n = 24). The intervention involved 5 face-to-face support or telephone support sessions over 6 months to provide information regarding home blood pressure measurements and to confirm patient behavior using a textbook, a blood pressure recording form, and a blood pressure measurement device. RESULTS: There were no significant differences at baseline between the intervention and usual care groups. The median rate of performing home blood pressure measurements at 12 months was significantly higher in the intervention group (100.0% [99.1%-100.0%], n = 24) than the control group (62.5% [27.7%-87.5%], n = 24) ( P < .001). The rates of home blood pressure measurements (at 1, 3, and 7 months after registration) were also significantly higher in the intervention group. Seven months after registration, home blood pressure values (systolic blood pressure) were significantly lower in the intervention group than the control group ( P = .025). In contrast, there was no significant difference at 1, 3, or 12 months after registration. CONCLUSION: Our results suggest that although the rate of home blood pressure measurements in both groups decreased, the rate was higher in the intervention group compared with the usual care group, indicating that the intervention was effective.
“…Strokes develop with lifestyle-related diseases or atrial fibrillation as significant risk factors and have been found to have a high recurrence rate, 1 especially in the early stage of onset. 2 Stroke patients develop more severe diseases because of recurrence, [3][4][5] it is crucial to control their risk factors with self-management to prevent recurrence. 6 However, in Japan only a low percentage of stroke patients receive adequate educational intervention to help control risk factors with self-management.…”
BACKGROUND: Stroke patients must review their previous lifestyle and take daily actions to control risk factors for recurrence. METHODS: A nonblind, randomized controlled trial was conducted in stroke patients to determine whether an education program intervention would alter behavior concerning home blood pressure measurements. This prospective, randomized controlled trial recruited 48 inpatients with stroke randomly assigned to an intervention group (n = 24) or a usual care group (n = 24). The intervention involved 5 face-to-face support or telephone support sessions over 6 months to provide information regarding home blood pressure measurements and to confirm patient behavior using a textbook, a blood pressure recording form, and a blood pressure measurement device. RESULTS: There were no significant differences at baseline between the intervention and usual care groups. The median rate of performing home blood pressure measurements at 12 months was significantly higher in the intervention group (100.0% [99.1%-100.0%], n = 24) than the control group (62.5% [27.7%-87.5%], n = 24) ( P < .001). The rates of home blood pressure measurements (at 1, 3, and 7 months after registration) were also significantly higher in the intervention group. Seven months after registration, home blood pressure values (systolic blood pressure) were significantly lower in the intervention group than the control group ( P = .025). In contrast, there was no significant difference at 1, 3, or 12 months after registration. CONCLUSION: Our results suggest that although the rate of home blood pressure measurements in both groups decreased, the rate was higher in the intervention group compared with the usual care group, indicating that the intervention was effective.
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