title: The impact of a web-based caregiver intervention on the reasons stroke survivors use health care services during the first year post treatment.
abstract: OBJECTIVE
  A Web-based education/support intervention for caregivers of stroke survivors was developed. A prospective, descriptive design was used to identify caregivers' reported reasons for stroke survivors' health care service use (i.e., health care provider and emergency department visits, hospital readmissions) during the first year after initial treatment.
  
  
  METHODS
  Caregivers were recruited in the Midwest and randomized into an experimental (Web users, n=36) or control (non-Web users, n=37) group. Telephone interviews were conducted with the caregivers every 2 weeks. Reported reasons were organized by group and time period in which the service occurred (i.e., Months 1-6 or 7-12; 1-year totals). Content analysis and descriptive statistics were used to analyze these data.
  
  
  RESULTS
  Two themes emerged: wellness- and problem-oriented reasons for health care service use. Web users reported a large percentage of visits for rehabilitations reasons, which may have subsequently contributed to the musculoskeletal issues of this group. Laboratory work and testing was considered by both groups as a primary reason for provider visits. Non-Web users reported that medication adjustment was a common reason for provider visits. They also had more emergency department visits and hospital admissions for cardiology or pulmonology reasons.
  
  
  CONCLUSIONS
  This study informs professionals about the care and needs of stroke survivors and provides direction for education and supportive interactions with caregivers and survivors.
authors: College of Medicine, The University of Toledo, Toledo, Ohio, USA.
authors: Victoria
authors: V
authors: Steiner
authors: Linda L
authors: LL
authors: Pierce
authors: Felicia
authors: F
authors: Windnagel
authors: Kelly
authors: K
authors: Martincin
authors: Rosalyn
authors: R
authors: Pawlak
authors: Diane
authors: D
authors: Salvador
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006266:Health Education; D006301:Health Services Needs and Demand; D006304:Health Status; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D007407:Interviews as Topic / Q000379:methods; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009820:Ohio; D011446:Prospective Studies; D012107:Research Design; D012944:Social Support; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation; D017741:Survivors / Q000523:psychology*; D055815:Young Adult