Long-term effects of a group support program and an individual support program for informal caregivers of stroke patients: which caregivers benefit the most?
In this article, we report the long-term outcomes of an intervention for informal caregivers who are the main provider of stroke survivors' emotional and physical support. Based on the stress-coping theory of Lazarus and Folkman two intervention designs were developed: a group support program and individual home visits. Both designs aimed at an increase in caregivers' active coping and knowledge, reducing caregivers' strain and improving well-being and social support. Caregivers were interviewed before entering the program, and 1 and 6 months after completion of the program. After 6 months, 100 participants remained in the group program, 49 in the home visit program, and 38 in the control group. Multiple stepwise regression analysis was used to determine the effects of the interventions. In the long-term, the interventions (group program and home visits together) contributed to a small to medium increase in confidence in knowledge and the use of an active coping strategy. The amount of social support remained stable in the intervention groups, whereas it decreased in the control group. The same results were found when only the group program was compared with the control group. However, no significant differences between the home visit group and the participants in the group support program were found. Younger female caregivers benefit the most from the interventions. They show greater gains in confidence in knowledge about patient-care and the amount of social support received compared with other caregivers.
Department of General Practice, University of Groningen, Antonius Deusinglaan 4, 9713 AW Groningen, Groningen, The Netherlands.
Elisabeth T P
ET
van den Heuvel
Luc P de
LP
Witte
Roy E
RE
Stewart
Lidwien M
LM
Schure
Robbert
R
Sanderman
Betty
B
Meyboom-de Jong
D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003072:Cognition Disorders / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D011615:Psychotherapy, Group; D012944:Social Support; D020521:Stroke / Q000451:nursing / Q000523:psychology*; D013997:Time Factors