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A cluster randomize...
A cluster randomized controlled trial of a client-centred, activities of daily living intervention for people with stroke : One year follow-up of caregivers
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- Bertilsson, Ann Sofie (author)
- Karolinska Institute,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
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- Eriksson, Gunilla (author)
- Karolinska Institutet,Uppsala universitet,Uppsala University,Karolinska Institute,Rehabiliteringsmedicin,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
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- Ekstam, Lisa (author)
- Lund University,Lunds universitet,Uppsala University,Karolinska Institute,Institutionen för hälsovetenskaper,Medicinska fakulteten,Hållbar vardag och hälsa i ett livsperspektiv,Forskargrupper vid Lunds universitet,Department of Health Sciences,Faculty of Medicine,Sustainable occupations and health in a life course perspective,Lund University Research Groups,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.; Lund Univ, Dept Hlth Sci, Lund, Sweden.; Karolinska Univ Hosp, Dept Occupat Therapy, Huddinge, Sweden
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- Tham, Kerstin (author)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.; Karolinska Univ Hosp, Dept Occupat Therapy, Huddinge, Sweden
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- Andersson, Magnus (author)
- Karolinska Institute,Karolinska University Hospital,Karolinska Inst, Dept Clin Neurosci, Solna, Sweden.; Karolinska Univ Hosp, Dept Neurol, Stockholm, Sweden
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- Von Koch, Lena (author)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.; Karolinska Univ Hosp, Dept Neurol, Stockholm, Sweden
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- Johansson, Ulla (author)
- Uppsala universitet,Uppsala University,Karolinska Institute,Centrum för klinisk forskning, Gävleborg,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
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(creator_code:org_t)
- 2016-07-11
- 2016
- English 11 s.
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In: Clinical Rehabilitation. - : SAGE Publications. - 0269-2155 .- 1477-0873. ; 30:8, s. 765-775
- Related links:
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https://doi.org/10.1...
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Abstract
Subject headings
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- Objective: Compare caregiver burden, provision of informal care, participation in everyday occupations and life satisfaction of caregivers to people with stroke, who either had received a client-centred, activities of daily living intervention or usual activities of daily living interventions. Design: A multicentre cluster randomized controlled trial in which 16 rehabilitation units were randomly assigned to deliver a client-centred, activities of daily living intervention or usual activities of daily living interventions. Caregiver outcomes were compared cross-sectionally at 12 months and changes in outcomes between three and 12 months after people with stroke were included in the study. Setting: Inpatient and outpatient rehabilitation. Participants: Caregivers of people with stroke enrolled in the trial. Intervention: A client-centred, activities of daily living intervention aiming to increase agency in daily activities and participation in everyday life for people after stroke. Main measures: Caregiver Burden Scale, Occupational Gaps Questionnaire, LiSat-11. Results: There were no differences in outcomes between caregivers in the client-centred, activities of daily living (n = 88) and the usual activities of daily living (n = 95) group at 12 months. The caregiver burden score was 42.7 vs. 41.8, p = 0.75, mean occupational gaps were 3.5 vs. 4.0, p = 0.52 and satisfaction with life was 53% vs. 50%, p = 0.87. There were no differences in changes between three and 12 months. However, within groups there were significant differences in caregiver burden, factor general strain, for caregivers in the client-centred, activities of daily living group, and in provision of informal care for the usual activities of daily living group. Conclusion: The client-centred intervention did not bring about any difference between caregiver-groups, but within groups some difference was found for caregiver burden and informal care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsterapi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Therapy (hsv//eng)
Keyword
- activities of daily living
- carers
- patient-centred care
- rehabilitation
- Stroke
- Stroke; activities of daily living; carers; patient-centred care; rehabilitation
- Vårdvetenskap
Publication and Content Type
- art (subject category)
- ref (subject category)
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