Training informal caregivers to care for older people after stroke: A quasi‐experimental study

Abstract

Findings suggest that our programme improved practical skills, helped reduce burden levels with better scores and improvement regarding general mental health condition of informal caregivers.

Interventions for Psychological Health of Stroke Caregivers: A Systematic Review

“…Significant improvements in burden were reported by studies conducted by psychologists using psychological techniques (King et al, 2012; Mei et al, 2018; Kootker et al, 2019), by studies conducted by operators other than psychologists but still using psychological techniques (Perrin et al, 2010; Graf et al, 2017; Cheng et al, 2018; Mores et al, 2018), or nursing skill training (Araujo et al, 2018), nursing support (Burton and Gibbon, 2005), and psychoeducation (Oupra et al, 2010; Kim et al, 2012; Inci and Temel, 2016). Non-significant results on caregivers' burden and stress were found mostly in studies with non-psychological operators using non-psychological techniques (Grasel et al, 2005; Tilling et al, 2005; Louie et al, 2006; Björkdahl et al, 2007; Forster et al, 2013; Hirsch et al, 2014).…”

“…Non-psychological techniques were aimed at indirectly decrease caregivers' burden by improving nursing skills and caregivers' competencies ( n = 11). Indeed, caregivers often lack preparedness and those practical and basic nursing skills that are required (Kalra et al, 2004; Araújo et al, 2015; Araujo et al, 2018).…”

“…Otherwise, non-significant results in physical improvements were shown by nurse-led studies not using psychological techniques (Louie et al, 2006; Pierce et al, 2009; Araujo et al, 2018), or psychoeducation (Grasel et al, 2005; Torp et al, 2008; Bakas et al, 2009; Forster et al, 2009; Shyu et al, 2010). Nurse-led studies did not find significant improvements even when psychological techniques such as CBT (Johnston et al, 2007) or coping skill training (Cheng et al, 2018) were used.…”

“…Interventions with significant improvements in nursing skills and stroke knowledge were led by nurses and used nurse skill training (Araujo et al, 2018), stroke education (Louie et al, 2006), or psychoeducation (Franzén-Dahlin et al, 2008). However, non-significant results were reported by a similar intervention led by occupational therapists using psychoeducation (Eames et al, 2013).…”

“…Most of these interventions did not significantly reduce caregivers' strain or improve their well-being (Grasel et al, 2005; Larson et al, 2005; Tilling et al, 2005; Björkdahl et al, 2007; Johnston et al, 2007; Bakas et al, 2009, 2015; Forster et al, 2009, 2013; Pierce et al, 2009; Eames et al, 2013; Bishop et al, 2014; Hirsch et al, 2014; Ostwald et al, 2014; Cameron et al, 2015; Robinson-Smith et al, 2016). However, some studies yielded significant results in improving stroke knowledge (Louie et al, 2006; Franzén-Dahlin et al, 2008) and eventually reducing general burden, without any significant result in main psychological outcomes, such as anxiety and depression (Burton and Gibbon, 2005; Oupra et al, 2010; Perrin et al, 2010; Kim et al, 2012; Araujo et al, 2018; Cheng et al, 2018; Mores et al, 2018). Only in one study nurse counseling lowered anxiety symptoms but not the depressive ones (Goudarzian et al, 2018).…”