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Randomized clinical trial of the timing it right stroke family support program: research protocol

BACKGROUND: Family caregivers provide invaluable support to stroke survivors during their recovery, rehabilitation, and community re-integration. Unfortunately, it is not standard clinical practice to prepare and support caregivers in this role and, as a result, many experience stress and poor healt...

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Autores principales: Cameron, Jill I, Naglie, Gary, Gignac, Monique A M, Bayley, Mark, Warner, Grace, Green, Theresa, Czerwonka, Anna, Huijbregts, Maria, Silver, Frank L, Phillips, Steve J, Cheung, Angela M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3898562/
https://www.ncbi.nlm.nih.gov/pubmed/24433234
http://dx.doi.org/10.1186/1472-6963-14-18
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author Cameron, Jill I
Naglie, Gary
Gignac, Monique A M
Bayley, Mark
Warner, Grace
Green, Theresa
Czerwonka, Anna
Huijbregts, Maria
Silver, Frank L
Phillips, Steve J
Cheung, Angela M
author_facet Cameron, Jill I
Naglie, Gary
Gignac, Monique A M
Bayley, Mark
Warner, Grace
Green, Theresa
Czerwonka, Anna
Huijbregts, Maria
Silver, Frank L
Phillips, Steve J
Cheung, Angela M
author_sort Cameron, Jill I
collection PubMed
description BACKGROUND: Family caregivers provide invaluable support to stroke survivors during their recovery, rehabilitation, and community re-integration. Unfortunately, it is not standard clinical practice to prepare and support caregivers in this role and, as a result, many experience stress and poor health that can compromise stroke survivor recovery and threaten the sustainability of keeping the stroke survivor at home. We developed the Timing it Right Stroke Family Support Program (TIRSFSP) to guide the timing of delivering specific types of education and support to meet caregivers’ evolving needs. The objective of this multi-site randomized controlled trial is to determine if delivering the TIRSFSP across the stroke care continuum improves caregivers’ sense of being supported and emotional well-being. METHODS/DESIGN: Our multi-site single-blinded randomized controlled trial will recruit 300 family caregivers of stroke survivors from urban and rural acute care hospitals. After completing a baseline assessment, participants will be randomly allocated to one of three groups: 1) TIRSFSP guided by a stroke support person (health care professional with stroke care experience), delivered in-person during acute care and by telephone for approximately the first six to 12 months post-stroke, 2) caregiver self-directed TIRSFSP with an initial introduction to the program by a stroke support person, or 3) standard care receiving the educational resource “Let’s Talk about Stroke” prepared by the Heart and Stroke Foundation. Participants will complete three follow-up quantitative assessments 3, 6, and 12-months post-stroke. These include assessments of depression, social support, psychological well-being, stroke knowledge, mastery (sense of control over life), caregiving assistance provided, caregiving impact on everyday life, and indicators of stroke severity and disability. Qualitative methods will also be used to obtain information about caregivers’ experiences with the education and support received and the impact on caregivers’ perception of being supported and emotional well-being. DISCUSSION: This research will determine if the TIRSFSP benefits family caregivers by improving their perception of being supported and emotional well-being. If proven effective, it could be recommended as a model of stroke family education and support that meets the Canadian Stroke Best Practice Guideline recommendation for providing timely education and support to families through transitions. TRIAL REGISTRATION: ClinicalTrials.gov: NCT00958607.
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spelling pubmed-38985622014-01-23 Randomized clinical trial of the timing it right stroke family support program: research protocol Cameron, Jill I Naglie, Gary Gignac, Monique A M Bayley, Mark Warner, Grace Green, Theresa Czerwonka, Anna Huijbregts, Maria Silver, Frank L Phillips, Steve J Cheung, Angela M BMC Health Serv Res Study Protocol BACKGROUND: Family caregivers provide invaluable support to stroke survivors during their recovery, rehabilitation, and community re-integration. Unfortunately, it is not standard clinical practice to prepare and support caregivers in this role and, as a result, many experience stress and poor health that can compromise stroke survivor recovery and threaten the sustainability of keeping the stroke survivor at home. We developed the Timing it Right Stroke Family Support Program (TIRSFSP) to guide the timing of delivering specific types of education and support to meet caregivers’ evolving needs. The objective of this multi-site randomized controlled trial is to determine if delivering the TIRSFSP across the stroke care continuum improves caregivers’ sense of being supported and emotional well-being. METHODS/DESIGN: Our multi-site single-blinded randomized controlled trial will recruit 300 family caregivers of stroke survivors from urban and rural acute care hospitals. After completing a baseline assessment, participants will be randomly allocated to one of three groups: 1) TIRSFSP guided by a stroke support person (health care professional with stroke care experience), delivered in-person during acute care and by telephone for approximately the first six to 12 months post-stroke, 2) caregiver self-directed TIRSFSP with an initial introduction to the program by a stroke support person, or 3) standard care receiving the educational resource “Let’s Talk about Stroke” prepared by the Heart and Stroke Foundation. Participants will complete three follow-up quantitative assessments 3, 6, and 12-months post-stroke. These include assessments of depression, social support, psychological well-being, stroke knowledge, mastery (sense of control over life), caregiving assistance provided, caregiving impact on everyday life, and indicators of stroke severity and disability. Qualitative methods will also be used to obtain information about caregivers’ experiences with the education and support received and the impact on caregivers’ perception of being supported and emotional well-being. DISCUSSION: This research will determine if the TIRSFSP benefits family caregivers by improving their perception of being supported and emotional well-being. If proven effective, it could be recommended as a model of stroke family education and support that meets the Canadian Stroke Best Practice Guideline recommendation for providing timely education and support to families through transitions. TRIAL REGISTRATION: ClinicalTrials.gov: NCT00958607. BioMed Central 2014-01-17 /pmc/articles/PMC3898562/ /pubmed/24433234 http://dx.doi.org/10.1186/1472-6963-14-18 Text en Copyright © 2014 Cameron et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Cameron, Jill I
Naglie, Gary
Gignac, Monique A M
Bayley, Mark
Warner, Grace
Green, Theresa
Czerwonka, Anna
Huijbregts, Maria
Silver, Frank L
Phillips, Steve J
Cheung, Angela M
Randomized clinical trial of the timing it right stroke family support program: research protocol
title Randomized clinical trial of the timing it right stroke family support program: research protocol
title_full Randomized clinical trial of the timing it right stroke family support program: research protocol
title_fullStr Randomized clinical trial of the timing it right stroke family support program: research protocol
title_full_unstemmed Randomized clinical trial of the timing it right stroke family support program: research protocol
title_short Randomized clinical trial of the timing it right stroke family support program: research protocol
title_sort randomized clinical trial of the timing it right stroke family support program: research protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3898562/
https://www.ncbi.nlm.nih.gov/pubmed/24433234
http://dx.doi.org/10.1186/1472-6963-14-18
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