Improving Resilience and Quality of Life of Stroke Patients

Study Overview
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Brief Summary
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This study aims to (1) test the effect of Family System Care and Theme Care Action Module on resilience, family function, self-efficacy, and quality of life for stroke patients and their families and caregivers; and (2) interview stroke survivors (experimental group) using a semi-structured questionnaire to achieve a mix of qualitative and quantitative methodologies.

Detailed Description
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A randomized control-group pretest-posttest design was adopted. We also used a semi-structured questionnaire to qualitatively interview stroke survivors. The National Institute of Health Stroke Scale (NIHSS), Chronic Disease Self-Efficacy scales, Resilience Scale, McMaster Family Assessment Device, and Quality of Life Scale were used to test the intervention effects. Further, complex scientific concepts will be used to analyze the transition experience of stroke survivors. Expected outcomes: The Family System Care and Theme Care Action Module can improve family function, resilience, self-efficacy, and quality of life for stroke patients and their caregivers.

Official Title
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Improving Resilience and Quality of Life of Stroke Patients: A Mixed Method Study

Conditions
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Stroke Patient, Caregiver

Intervention / Treatment
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* Other: To integrate Family System Care and Theme Care Action Module


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: stroke patient: Those who can use language expression, over 20 years old. Within 1-6 months of new onset; (c) Patients willing to participate. Family caregivers family members or relatives and friends over 20 years of age who provide the care recipients' personal needs, financial, psychological, emotional care, etc. Exclusion Criteria: Aphasia

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: To integrate Family System Care and Theme Care Action Module to improve resilience, family function, self-efficacy, and quality of life for stroke patients and their caregivers. First, understand the care needs of patients and caregivers, and apply The Specific Thematic Nursing Care Action Modules (STNC-AM) platform for education and training. The Specific Thematic Nursing Care Action Modules (STNC-AM) platform that we present here is an educational program that integrates education and coaching. STNC-AM has six key aspects: stroke prevention, management of emotions, management of fatigue, physical activity, caregiver training, and integrative resources. Each scope contains detailed care guidance.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: control group<br>The control group received no intervention, except for the regular care followed by the nurses in general in the rehabilitation ward. | |
| Experimental: Intervention group<br>To integrate Family System Care and Theme Care Action Module to improve resilience, family function, self-efficacy, and quality of life for stroke patients and their caregivers. First, understand the care needs of patients and caregivers, and apply The Specific Thematic Nursing Care Action Modules (STNC-AM) platform for education and training. The Specific Thematic Nursing Care Action Modules (STNC-AM) platform that we present here is an educational program that integrates education and coaching. STNC-AM has six key aspects: stroke prevention, management of emotions, management of fatigue, physical activity, caregiver training, and integrative resources. Each scope contains detailed care guidance. | Other: To integrate Family System Care and Theme Care Action Module<br>* First, understand the care needs of patients and caregivers, and apply The Specific Thematic Nursing Care Action Modules (STNC-AM) platform for education and training. The Specific Thematic Nursing Care Action Modules (STNC-AM) platform that we present here is an educational program that integrates education and coaching. STNC-AM has six key aspects: stroke prevention, management of emotions, management of fatigue, physical activity, caregiver training, and integrative resources. Each scope contains detailed care guidance.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| resilience_change is being assessed | Investigators use the Resilience Scale to evaluate the resilience for stroke patients. Total scores ranged from 25 to 175, with higher scores as indicating greater resilience. | 3rd day after admission (T1). 2-3 weeks after admission (Time 2). 2-3 days before discharge (Time 3). | 
| family function_change is being assessed | Investigators use the McMaster family assessment device to evaluate the family function for stroke patients and their caregiver. Total scores ranged from 12 to 48, with higher scores as indicating greater family function. | 3rd day after admission (T1). 2-3 weeks after admission (Time 2). 2-3 days before discharge (Time 3). | 
| self-efficacy_change is being assessed | Investigators use the Chronic Disease Self-efficacy Scale to evaluate the self-efficacy for stroke patients. Total scores ranged from 6 to 60, with higher scores as indicating greater self-efficacy. | 3rd day after admission (T1). 2-3 weeks after admission (Time 2). 2-3 days before discharge (Time 3). | 
| quality of life_change is being assessed | Investigators use the SF-12 Health Survey Version 2(SF-12v2) to evaluate the quality of life for stroke patients and their caregiver. Total scores ranged from 0 to 100, with higher scores as indicating greater quality of life. | 3rd day after admission (T1). 2-3 weeks after admission (Time 2). 2-3 days before discharge (Time 3). | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Resilience, Family system nursing, Self-efficacy, Quality of life, Complexity science, Transition theory, Caregiver, Stroke.