A Novel Rehabilitation Approach: Dyadic Strategy Training for Stroke Survivors and Their Caregivers
Trial Parameters
Brief Summary
The purpose of this study is to examine the efficacy of a newly developed dyad-focused strategy training intervention on enhancing participation of stroke survivors and their caregivers. To address this purpose, a single-blinded, parallel-group randomized controlled trial will be implemented to assess the efficacy of the dyad-focused strategy training intervention in comparison to the control group. An expected sample of 138 stroke survivor-caregiver dyads will be recruited from our collaborative hospitals in Northern Taiwan. Data will be analyzed using multiple linear regression models and mixed-effects regression models. Qualitative in-depth interviews with participants, caregivers, and therapists will be conducted following the intervention. Findings of this study will provide important evidence on whether this newly-developed program has immediate and long-term effect on improving and maintaining participation for both stroke survivors and their caregivers. These findings will together support the application of the dyad-focused strategy training intervention in rehabilitation practice and inform future study development.
Eligibility Criteria
Inclusion Criteria: * Stroke survivors 1. ages 20 years and older; 2. has been diagnosed with a first-time stroke within the past two year; 3. speaks Mandarin; 4. has an identified primary caregiver who provides care or assistance of any kind and taking responsibility for the survivor; 5. is able to provide informed consent. * Family caregivers include that the caregiver 1. ages 20 years and older; 2. speaks Mandarin; 3. is the primary caregiver recognized by the survivor; 4. is available to participate in the intervention sessions with the survivor; 5. is able to provide informed consent. Exclusion Criteria: * The survivor-caregiver dyad will be excluded if any of them: 1. requires significant medical treatment (e.g., chemotherapy, radiation therapy, or hemo/peritoneal dialysis) that may impede them from participating in the study; 2. has severe aphasia; 3. is unable to participate in a 1-hour discussion session; 4. has a diagnosis of dementia, major depressive disorder, substance use