|
學院 |
醫學院 |
|
系所 |
職能治療學系 |
|
題名 |
Effects of coaching-based teleoccupational guidance for home-based stroke survivors and their family caregivers: A pilot randomised controlled trial. |
|
作者 |
Zhang, L., Yan, Y-N. *, Sun, Z-X., Yan, D-R., Chen, Y-W., Lin, K-C., Ge, X-J., & Qin, X-L. |
|
期刊名稱 |
International Journal of Environmental Research and Public Health |
|
發表日期 |
2022 |
|
著作性質 |
原著 |
|
語文 |
英文 |
|
關鍵字 |
coaching; home-based stroke rehabilitation;
occupational therapy; stroke; telerehabilitation |
|
摘要 |
Abstract: The aim of this pilot
study was to investigate the feasibility and effectiveness of a 3-month coaching-based
teleoccupational guidance (CTG) programme
for home-based stroke survivors and their family caregivers. An
assessor-blind pilot randomised controlled study
was conducted. Twentyfive participant dyads (each
dyad consisted of one home-based stroke patient and their caregivers) were randomised to a control group (RTG, n = 12) or an
experimental group (CTG, n = 13). Participant dyads in the RTG group received
routine teleoccupational guidance. Participant
dyads in the CTG group received a six-step procedure: coaching-based teleoccupational guidance over 3 months via WeChat.
Participant dyad compliance, the difficulty and suitability of outcome
measures, and adverse effects were used to assess feasibility. The
Reintegration to Normal Living Index, the Lawton Instructive Activities of
Daily Life (Lawton IADL) scale, the Intrinsic Motivation Inventory, the Fugl–Meyer Assessment—Upper Extremity scale, the 6 min
walking test, and the Stroke-Specific Quality of Life Scale were used to
assess effectiveness outcomes of home-based stroke survivors; the Caregiver
Benefit Finding Scale and the Zarit Caregiver
Burden Interview were used to assess the effectiveness outcomes of family
caregivers. Feasibility measures were assessed at the end of the pilot trial,
and effectiveness measures were evaluated pre-intervention and post-intervention
(after 3 months). The CTG programme significantly
improved home-based stroke survivors’ participation in daily life, IADL
score, and intrinsic motivation, and increased caregivers’ perceived benefit,
and tended (not significantly) to reduce care burden. CTG has the potential
to promote better integration of home-based stroke patients into their
families and society, improve their quality of life and family well-being,
and provide a reference for home rehabilitation of other clinical chronic diseases.
CTG is a safe, effective, and promising intervention for home-based stroke
populations and their caregivers and warrants further investigation in a
larger randomised controlled trial. |