Journal of Rehabilitation Research & Development (JRRD)

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Volume 47 Number 7, 2010
   Pages 605 — 616

Abstract???????A culturally sensitive Transition Assistance Program for stroke caregivers: Examining caregiver mental health and stroke rehabilitation

Paul B. Perrin, MS;1-2* Andrew Johnston, MPH;1 Bruce Vogel, PhD;1,3 Martin Heesacker, PhD;1-2 Mercedes Vega-Trujillo, BSOT;4 Jane Anderson, PhD, ARNP;5-7 Maude Rittman, PhD, RN1,8

1Department of Veterans Affairs (VA), Rehabilitation Outcomes Research Center Research Enhancement Award Program, North Florida/South Georgia Veterans Health System, Gainesville, FL; 2Department of Psychology, University of Florida, Gainesville, FL; 3Department of Epidemiology and Health Policy Research, Health Science Center, College of Medicine, University of Florida, Gainesville, FL; 4VA, Physical Medicine and Rehabilitation Service, Caribbean Healthcare System, San Juan, Puerto Rico; 5Michael E. DeBakey VA Medical Center, Stroke Center, Houston, TX; 6Baylor College of Medicine, Houston, TX; 7Prairie View A&M, College of Nursing, Houston, TX; 8College of Nursing, University of Florida, Gainesville, FL

Abstract???????This study developed and implemented the Transition Assistance Program (TAP) for stroke caregivers. The program is composed of (1) skill development, (2) education, and (3) supportive problem solving. Sixty-one dyads (n = 122) participated: thirty-nine from Puerto Rico and twenty-two from Texas. Participants were randomly assigned to the TAP treatment or a control group. As caregiver satisfaction with the TAP increased, strain and depression decreased, and caregivers reported a very high rate of program satisfaction (9.5 out of 10). The TAP effectively reduced caregiver strain at the 3-month follow-up. When controlling for baseline differences, we found that the treatment group had lower depression (p = 0.07) than the control group at follow-up and that the TAP may have had a preventative effect on depression for caregivers who had not been depressed at discharge, although this visual trend did not reach statistical significance. Among veterans with low functioning at baseline, veterans whose caregivers had received the TAP improved in functioning more than did veterans whose caregivers had been in the control group, although this visual trend was not significant. Functioning in veterans with stroke was also significantly linked to caregiver satisfaction with the TAP. The findings from the current study warrant further evaluation of the TAP intervention.

Key words: burden, caregivers, cultural sensitivity, depression, functional status, home care, strain, stroke, support, transition.

View HTML  ¦  View PDF  ¦  Contents Vol. 47, No. 7
This article and any supplementary material should be cited as follows:

Perrin PB, Johnston A, Vogel B, Heesacker M, Vega-Trujillo M, Anderson J, Rittman M. A culturally sensitive Transition Assistance Program for stroke caregivers: Examining caregiver mental health and stroke rehabilitation. J Rehabil Res Dev. 2010:47(7):605-16.


Last Reviewed or Updated  Thursday, October 7, 2010 9:48 AM

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