Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay
Objective: To determine the feasibility of delivering an evidence-based self-management intervention, problem-solving training (PST), to care partners of individuals with traumatic brain injury (TBI), spinal cord injury (SCI), burn injury, or stroke during the inpatient hospital stay. Design: In thi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-12-01
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| Series: | Archives of Rehabilitation Research and Clinical Translation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590109519300084 |
| _version_ | 1819144267335991296 |
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| author | Shannon B. Juengst, PhD, CRC Candice L. Osborne, PhD, OTR Radha Holavanahalli, PhD Valeria Silva, BS Chung Lin Kew, BA Andrew Nabasny, MS Kathleen R. Bell, MD |
| author_facet | Shannon B. Juengst, PhD, CRC Candice L. Osborne, PhD, OTR Radha Holavanahalli, PhD Valeria Silva, BS Chung Lin Kew, BA Andrew Nabasny, MS Kathleen R. Bell, MD |
| author_sort | Shannon B. Juengst, PhD, CRC |
| collection | DOAJ |
| description | Objective: To determine the feasibility of delivering an evidence-based self-management intervention, problem-solving training (PST), to care partners of individuals with traumatic brain injury (TBI), spinal cord injury (SCI), burn injury, or stroke during the inpatient hospital stay. Design: In this single group pre-post intervention pilot feasibility study. Setting: Inpatient rehabilitation or acute care and community. Participants: Care partners (spouse or partner, family member, friend who is in any way responsible for the health or well-being of the care recipient) of individuals with TBI, SCI, burn injury, or stroke (N=39). Intervention: PST is a metacognitive self-management intervention that teaches individuals a global strategy for addressing self-selected problems. Participants received up to 6 sessions of PST in person or via telephone during their care recipient’s inpatient stay. Main Outcome Measures: We measured feasibility of recruitment, intervention delivery, and postintervention use of a smartphone app (Care Partner Problem Solving [CaPPS]) and participant satisfaction (Client Satisfaction Questionnaire [CSQ]) and engagement (Pittsburgh Rehabilitation Participation Scale [PRPS]) with the intervention. Results: Of 39 care partners approached, n=10 (25.6%) were ineligible. Of n=29 (74.4%) who were eligible, n=17 (58.6%) refused, and n=12 (41.4%) consented, of whom n=8 (66.7%) completed ≥3 PST sessions. Not perceiving any benefit was the most common reason for refusal, followed by no interest in research. Participants were very satisfied with PST (CSQ mean=3.35, SD=0.60), reported strong working alliance (Working Alliance Inventory mean=6.8, SD=3.1), and demonstrated very good engagement (PRPS mean=4.75, SD=1.41). CaPPS was downloaded and used by only n=3 participants. Conclusions: Delivering a self-management intervention to care partners during the care recipient’s acute hospital stay is feasible for a subset of potential participants. Short lengths of stay, language fluency, and perceiving no potential benefit were noted barriers. Boosters via smartphone app have potential, but several barriers must first be overcome. Keywords: Brain injury, Burns, Caregiver, Rehabilitation, Self-management, Spinal cord injury, Stroke |
| first_indexed | 2024-12-22T12:39:25Z |
| format | Article |
| id | doaj.art-61f2d2fea8344a869adfbec65d779e3e |
| institution | Directory Open Access Journal |
| issn | 2590-1095 |
| language | English |
| last_indexed | 2024-12-22T12:39:25Z |
| publishDate | 2019-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Rehabilitation Research and Clinical Translation |
| spelling | doaj.art-61f2d2fea8344a869adfbec65d779e3e2022-12-21T18:25:28ZengElsevierArchives of Rehabilitation Research and Clinical Translation2590-10952019-12-0113Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital StayShannon B. Juengst, PhD, CRC0Candice L. Osborne, PhD, OTR1Radha Holavanahalli, PhD2Valeria Silva, BS3Chung Lin Kew, BA4Andrew Nabasny, MS5Kathleen R. Bell, MD6Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Rehabilitation Counseling, University of Texas Southwestern Medical Center, Dallas, Texas; Corresponding author Shannon B. Juengst, PhD, CRC, Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9055.Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TexasDepartment of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TexasDepartment of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TexasDepartment of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Rehabilitation Counseling, University of Texas Southwestern Medical Center, Dallas, TexasDepartment of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Rehabilitation Counseling, University of Texas Southwestern Medical Center, Dallas, TexasDepartment of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TexasObjective: To determine the feasibility of delivering an evidence-based self-management intervention, problem-solving training (PST), to care partners of individuals with traumatic brain injury (TBI), spinal cord injury (SCI), burn injury, or stroke during the inpatient hospital stay. Design: In this single group pre-post intervention pilot feasibility study. Setting: Inpatient rehabilitation or acute care and community. Participants: Care partners (spouse or partner, family member, friend who is in any way responsible for the health or well-being of the care recipient) of individuals with TBI, SCI, burn injury, or stroke (N=39). Intervention: PST is a metacognitive self-management intervention that teaches individuals a global strategy for addressing self-selected problems. Participants received up to 6 sessions of PST in person or via telephone during their care recipient’s inpatient stay. Main Outcome Measures: We measured feasibility of recruitment, intervention delivery, and postintervention use of a smartphone app (Care Partner Problem Solving [CaPPS]) and participant satisfaction (Client Satisfaction Questionnaire [CSQ]) and engagement (Pittsburgh Rehabilitation Participation Scale [PRPS]) with the intervention. Results: Of 39 care partners approached, n=10 (25.6%) were ineligible. Of n=29 (74.4%) who were eligible, n=17 (58.6%) refused, and n=12 (41.4%) consented, of whom n=8 (66.7%) completed ≥3 PST sessions. Not perceiving any benefit was the most common reason for refusal, followed by no interest in research. Participants were very satisfied with PST (CSQ mean=3.35, SD=0.60), reported strong working alliance (Working Alliance Inventory mean=6.8, SD=3.1), and demonstrated very good engagement (PRPS mean=4.75, SD=1.41). CaPPS was downloaded and used by only n=3 participants. Conclusions: Delivering a self-management intervention to care partners during the care recipient’s acute hospital stay is feasible for a subset of potential participants. Short lengths of stay, language fluency, and perceiving no potential benefit were noted barriers. Boosters via smartphone app have potential, but several barriers must first be overcome. Keywords: Brain injury, Burns, Caregiver, Rehabilitation, Self-management, Spinal cord injury, Strokehttp://www.sciencedirect.com/science/article/pii/S2590109519300084 |
| spellingShingle | Shannon B. Juengst, PhD, CRC Candice L. Osborne, PhD, OTR Radha Holavanahalli, PhD Valeria Silva, BS Chung Lin Kew, BA Andrew Nabasny, MS Kathleen R. Bell, MD Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay Archives of Rehabilitation Research and Clinical Translation |
| title | Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay |
| title_full | Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay |
| title_fullStr | Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay |
| title_full_unstemmed | Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay |
| title_short | Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay |
| title_sort | feasibility study of problem solving training for care partners of adults with traumatic brain injury spinal cord injury burn injury or stroke during the inpatient hospital stay |
| url | http://www.sciencedirect.com/science/article/pii/S2590109519300084 |
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