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||Brereton, L., Carroll, C., & Barnston, S. (2007). Interventions for adult family carers of people who have had a stroke: A systematic review. Clinical Rehabilitation, 21(10), 867-884.
||cerebrovascular, stroke, brain injury, caregivers
||Background: Family caregivers experience many challenges caring for loved ones who have had a stroke. Recovery from stroke is a difficult process and many family caregivers experience social, psychological, and economic challenges. Although numerous caregiver programs exist, it is unclear which program or intervention is most effective.
Objective: To review the effectiveness of interventions for family caregivers of people with stroke.
Search strategy: Electronic databases and grey literature were searched, including ASSIA, BNI, Cochrane Library, CINAHL, EMBASE, MEDLINE, PsycINFO, Social Science Citation Index and the Science Citation Index, HMIC and the National Research Register. Authors of unpublished material were contacted for additional publications. Ancestry searching and citation tracking was performed on included publications.
Selection Criteria: Studies were included that met the following criteria: 1) randomized controlled trials of interventions aimed primarily at adult family carers of people post-stroke; 2) carers as the primary sample; and 3) includes data on primary outcomes for carers.
Data collection and analysis: Two independent reviewers screened titles and abstracts to identify publications and extract data. Quality assessment was performed to weight study findings.
Main results: Eight papers were included in the systematic review. The authors describe six types of interventions: caregiver training; education and counseling; telephone-based social problem-solving partnerships; a psycho-educational telephone support group; a nurse-led support and education program; and a support program, delivered either to groups in hospital or individuals during home visits. Several interventions identified stress-coping theory as an intervention framework. Fifty percent of the studies did not specify a conceptual framework for the intervention.
Conclusions: Each intervention reported some benefits; however, the methodological quality of studies was generally poor.
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|Link to Full Text:||http://cre.sagepub.com/content/21/10/867.short|