Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled Trial
(1) Background: Acquired brain injury (ABI) or spinal cord injury (SCI) constitutes a severe life change for the entire family, often resulting in decreased quality of life (QoL) and increased caregiver burden. The objective of this study was to investigate the effectiveness of a family intervention...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/9/3214 |
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| author | Pernille Langer Soendergaard Juan Carlos Arango-Lasprilla Mia Moth Wolffbrandt Frederik Lehman Dornonville de la Cour Fin Biering-Sørensen Anne Norup |
| author_facet | Pernille Langer Soendergaard Juan Carlos Arango-Lasprilla Mia Moth Wolffbrandt Frederik Lehman Dornonville de la Cour Fin Biering-Sørensen Anne Norup |
| author_sort | Pernille Langer Soendergaard |
| collection | DOAJ |
| description | (1) Background: Acquired brain injury (ABI) or spinal cord injury (SCI) constitutes a severe life change for the entire family, often resulting in decreased quality of life (QoL) and increased caregiver burden. The objective of this study was to investigate the effectiveness of a family intervention in individuals with ABI or SCI and in their family members. (2) Methods: An RCT of a family intervention group (FIG) vs. a psychoeducational group (PEG) (ratio 1:1) was performed. The FIG received an eight-week manual-based family intervention, and the PEG received one psychoeducational session. Self-reported questionnaires on QoL with the Mental Component Summary (MCS) and on caregiver burden with the Caregiver Burden Scale (CBS) were the primary outcomes. The data analysis involved linear mixed-effects regression models. (3) Results: In total, 74 participants were allocated randomly to the FIG and 84 were allocated randomly to the PEG. The FIG had significantly larger improvements on the MCS and significantly larger reductions on the CBS at the two-month follow-up than participants in the PEG (mean differences of 5.64 points on the MCS and −0.26 points on the CBS). At the eight-month follow-up, the between-group difference remained significant (mean difference of 4.59 points) on the MCS, whereas that on the CBS was borderline significant (mean change of −0.14 points). (4) Conclusions: Family intervention was superior to psychoeducation, with larger improvements in QoL and larger reductions in caregiver burden. |
| first_indexed | 2024-03-11T04:15:35Z |
| format | Article |
| id | doaj.art-d2e6909c0c0842839ce6f2b1a45c6bb5 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T04:15:35Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-d2e6909c0c0842839ce6f2b1a45c6bb52023-11-17T23:12:13ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01129321410.3390/jcm12093214Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled TrialPernille Langer Soendergaard0Juan Carlos Arango-Lasprilla1Mia Moth Wolffbrandt2Frederik Lehman Dornonville de la Cour3Fin Biering-Sørensen4Anne Norup5Neurorehabilitation Research and Knowledge Centre, Rigshospitalet, 2600 Glostrup, DenmarkDepartment of Psychology, Virginia Commonwealth University, Richmond, VA 23284, USANeurorehabilitation Research and Knowledge Centre, Rigshospitalet, 2600 Glostrup, DenmarkNeurorehabilitation Research and Knowledge Centre, Rigshospitalet, 2600 Glostrup, DenmarkDepartment of Clinical Medicine, University of Copenhagen, 2200 Copenhagen, DenmarkNeurorehabilitation Research and Knowledge Centre, Rigshospitalet, 2600 Glostrup, Denmark(1) Background: Acquired brain injury (ABI) or spinal cord injury (SCI) constitutes a severe life change for the entire family, often resulting in decreased quality of life (QoL) and increased caregiver burden. The objective of this study was to investigate the effectiveness of a family intervention in individuals with ABI or SCI and in their family members. (2) Methods: An RCT of a family intervention group (FIG) vs. a psychoeducational group (PEG) (ratio 1:1) was performed. The FIG received an eight-week manual-based family intervention, and the PEG received one psychoeducational session. Self-reported questionnaires on QoL with the Mental Component Summary (MCS) and on caregiver burden with the Caregiver Burden Scale (CBS) were the primary outcomes. The data analysis involved linear mixed-effects regression models. (3) Results: In total, 74 participants were allocated randomly to the FIG and 84 were allocated randomly to the PEG. The FIG had significantly larger improvements on the MCS and significantly larger reductions on the CBS at the two-month follow-up than participants in the PEG (mean differences of 5.64 points on the MCS and −0.26 points on the CBS). At the eight-month follow-up, the between-group difference remained significant (mean difference of 4.59 points) on the MCS, whereas that on the CBS was borderline significant (mean change of −0.14 points). (4) Conclusions: Family intervention was superior to psychoeducation, with larger improvements in QoL and larger reductions in caregiver burden.https://www.mdpi.com/2077-0383/12/9/3214acquired brain injuryspinal cord injuryindividual with injurycaregiverfamily interventionquality of life |
| spellingShingle | Pernille Langer Soendergaard Juan Carlos Arango-Lasprilla Mia Moth Wolffbrandt Frederik Lehman Dornonville de la Cour Fin Biering-Sørensen Anne Norup Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled Trial Journal of Clinical Medicine acquired brain injury spinal cord injury individual with injury caregiver family intervention quality of life |
| title | Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled Trial |
| title_full | Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled Trial |
| title_fullStr | Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled Trial |
| title_full_unstemmed | Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled Trial |
| title_short | Investigating the Effectiveness of a Family Intervention after Acquired Brain or Spinal Cord Injury: A Randomized Controlled Trial |
| title_sort | investigating the effectiveness of a family intervention after acquired brain or spinal cord injury a randomized controlled trial |
| topic | acquired brain injury spinal cord injury individual with injury caregiver family intervention quality of life |
| url | https://www.mdpi.com/2077-0383/12/9/3214 |
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