Evaluating the combination of in‐person and electronic social networking services for family caregivers of stroke survivors: A quasi‐experimental analysis

Author:

Kuo Wen‐Yu123ORCID,Chen Chen‐Yin345,Wang Jeng126ORCID,Wang Chin‐Man678,Chen Min‐Chi91011,Chang Ting‐Yu812

Affiliation:

1. School of Nursing Chang Gung University of Science and Technology Taoyuan Taiwan

2. Geriatric and Long‐Term Care Research Center Chang Gung University of Science and Technology Taoyuan Taiwan

3. Department of Physical Therapy Chang Gung Memorial Hospital Taoyuan Taiwan

4. Chang Gung Medical Education Research Centre Chang Gung Memorial Hospital Taoyuan Taiwan

5. Graduate Institution of Rehabilitation, School of Physical Therapy, College of Medicine Chang Gung University Taoyuan Taiwan

6. Department of Nursing Chang Gung Memorial Hospital Taoyuan Taiwan

7. Department of Physical Medicine and Rehabilitation Chang Gung Memorial Hospital Taoyuan Taiwan

8. College of Medicine Chang Gung University Taoyuan Taiwan

9. Biostatistics Consulting Center and Department of Public Health, College of Medicine Chang Gung University Taoyuan Taiwan

10. Department of Obstetrics and Gynecology Chang Gung Memorial Hospital Chiayi Taiwan

11. Department of Public Health and Biostatistics Consulting Center, School of Medicine Chang Gung University Taoyuan Taiwan

12. Department of Neurology, Stroke Section Chang Gung Memorial Hospital Taoyuan Taiwan

Abstract

AbstractIntroductionThe effectiveness of health interventions delivered via a combination of in‐person and electronic social networking services for caregivers of stroke survivors remains uncertain. This study evaluates the feasibility of implementing educational and peer support programs for these caregivers through such platforms.DesignQuasi‐experimental design.MethodsThis study included 105 caregiver–survivor dyads, with 54 dyads allocated to the intervention group and the remaining 51 to the control group. The LINE intervention comprised a combination of in‐person and electronic social networking services including stroke and rehabilitation education, problem‐solving skills training, long‐term care information support, and 24‐h peer and professional support for caregivers. The outcomes were assessed at baseline, after 1 month, and after 3 months, and encompassed caregivers' care burden, depressive symptoms, perceived social support, and quality of life, as well as the rehabilitation adherence and depressive symptoms of stroke survivors. Generalized estimating equations were used to examine group differences. The data were collected between August 2021 and October 2022.ResultsThe average age of the caregivers was 48.3 years. Caregivers in the intervention group reported reduced care burdens and enhanced perceptions of social support and quality of life as compared to those in the control group. Additionally, stroke survivors in the intervention group were less likely to exhibit high‐risk depressive symptoms.ConclusionDelivering a stroke caregiver support intervention via in‐person and electronic social networking services, such as LINE, effectively reduced the care burden for caregivers of stroke survivors. Additionally, it enhanced caregivers' perceived social support and quality of life.Clinical RelevanceThis study demonstrated that caregiver education and peer support programs administered through a combination of in‐person and electronic social networking services can serve as an effective support system for the psychosocial health of stroke caregivers. These findings support the integration of such interventions into standard clinical practice by healthcare providers or governmental bodies.

Funder

National Science and Technology Council

Publisher

Wiley

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