Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial
Objective: To examine the effectiveness of a family-based program for post-stroke patients and their families. Methods: A cluster randomized controlled trial design was used. Participants were randomly selected in the experimental group (3 districts) and the comparison group (3 districts), with 62 f...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | International Journal of Nursing Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S235201322300114X |
| _version_ | 1797634004427472896 |
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| author | Saisunee Deepradit Arpaporn Powwattana Sunee Lagampan Weena Thiangtham |
| author_facet | Saisunee Deepradit Arpaporn Powwattana Sunee Lagampan Weena Thiangtham |
| author_sort | Saisunee Deepradit |
| collection | DOAJ |
| description | Objective: To examine the effectiveness of a family-based program for post-stroke patients and their families. Methods: A cluster randomized controlled trial design was used. Participants were randomly selected in the experimental group (3 districts) and the comparison group (3 districts), with 62 families recruited. Sixty-two persons with new stroke and families (family caregivers and family members) who met the inclusion criteria were assigned to two groups, 31 in each group. Using the Neuman System Model as a framework, we implemented the stressors assessment and family-based intervention into the program. Participants in the comparison group received usual care, and those in the experimental group underwent a stressors assessment and received the family-based program. Measurement of functional status, depression, and complications in post-stroke patients and family function in family caregivers and family members, as well as caregiver burden and caregiver stress in family caregivers, were assessed at baseline, 4 weeks, and 12 weeks after enrollment. Data analysis included descriptive statistics, the chi-square test, Bonferroni test, and repeated measures analysis of variance. Results: After participating in a 12-week family-based program, post-stroke patients in the experimental group showed statistically significant improvements in their functional status and decreased depression compared to the comparison group (P < 0.05). The family function of the experimental group was significantly improved, and caregivers’ burden and stress were decreased compared to the comparison group (P < 0.05). Three patients in the experimental group and seven in the comparison group experienced complications. Conclusions: The study findings suggest that the present family-based program improved family function in family caregivers and family members and decreased caregiver burden and stress in family caregivers. The program also improved functional status and reduced depression in post-stroke patients. It is suggested the duration of the program be extended to assess its sustainable effectiveness. |
| first_indexed | 2024-03-11T12:01:44Z |
| format | Article |
| id | doaj.art-75e95459fc6f4ed8a6a4fbbed942afcb |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-03-11T12:01:44Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-75e95459fc6f4ed8a6a4fbbed942afcb2023-11-08T04:08:53ZengElsevierInternational Journal of Nursing Sciences2352-01322023-10-01104446455Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trialSaisunee Deepradit0Arpaporn Powwattana1Sunee Lagampan2Weena Thiangtham3Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand; Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, ThailandDepartment of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand; Corresponding author. 420/1, Ratchawithi Rd., Ratchathewi, Bangkok, 10400, Thailand.Department of Public Health Nursing, Faculty of Public Health, Mahidol University, ThailandDepartment of Public Health Nursing, Faculty of Public Health, Mahidol University, ThailandObjective: To examine the effectiveness of a family-based program for post-stroke patients and their families. Methods: A cluster randomized controlled trial design was used. Participants were randomly selected in the experimental group (3 districts) and the comparison group (3 districts), with 62 families recruited. Sixty-two persons with new stroke and families (family caregivers and family members) who met the inclusion criteria were assigned to two groups, 31 in each group. Using the Neuman System Model as a framework, we implemented the stressors assessment and family-based intervention into the program. Participants in the comparison group received usual care, and those in the experimental group underwent a stressors assessment and received the family-based program. Measurement of functional status, depression, and complications in post-stroke patients and family function in family caregivers and family members, as well as caregiver burden and caregiver stress in family caregivers, were assessed at baseline, 4 weeks, and 12 weeks after enrollment. Data analysis included descriptive statistics, the chi-square test, Bonferroni test, and repeated measures analysis of variance. Results: After participating in a 12-week family-based program, post-stroke patients in the experimental group showed statistically significant improvements in their functional status and decreased depression compared to the comparison group (P < 0.05). The family function of the experimental group was significantly improved, and caregivers’ burden and stress were decreased compared to the comparison group (P < 0.05). Three patients in the experimental group and seven in the comparison group experienced complications. Conclusions: The study findings suggest that the present family-based program improved family function in family caregivers and family members and decreased caregiver burden and stress in family caregivers. The program also improved functional status and reduced depression in post-stroke patients. It is suggested the duration of the program be extended to assess its sustainable effectiveness.http://www.sciencedirect.com/science/article/pii/S235201322300114XCaregiversCaregiver burdenDepressionEmpowermentFamilyFamily function |
| spellingShingle | Saisunee Deepradit Arpaporn Powwattana Sunee Lagampan Weena Thiangtham Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial International Journal of Nursing Sciences Caregivers Caregiver burden Depression Empowerment Family Family function |
| title | Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial |
| title_full | Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial |
| title_fullStr | Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial |
| title_full_unstemmed | Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial |
| title_short | Effectiveness of a family-based program for post-stroke patients and families: A cluster randomized controlled trial |
| title_sort | effectiveness of a family based program for post stroke patients and families a cluster randomized controlled trial |
| topic | Caregivers Caregiver burden Depression Empowerment Family Family function |
| url | http://www.sciencedirect.com/science/article/pii/S235201322300114X |
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