title: A cluster randomized controlled trial of a client-centred, activities of daily living intervention for people with stroke: one year follow-up of caregivers.
abstract: OBJECTIVE
  Compare caregiver burden, provision of informal care, participation in everyday occupations and life satisfaction of caregivers to people with stroke, who either had received a client-centred, activities of daily living intervention or usual activities of daily living interventions.
  
  
  METHODS
  A multicentre cluster randomized controlled trial in which 16 rehabilitation units were randomly assigned to deliver a client-centred, activities of daily living intervention or usual activities of daily living interventions. Caregiver outcomes were compared cross-sectionally at 12 months and changes in outcomes between three and 12 months after people with stroke were included in the study.
  
  
  METHODS
  Inpatient and outpatient rehabilitation.
  
  
  METHODS
  Caregivers of people with stroke enrolled in the trial.
  
  
  METHODS
  A client-centred, activities of daily living intervention aiming to increase agency in daily activities and participation in everyday life for people after stroke.
  
  
  METHODS
  Caregiver Burden Scale, Occupational Gaps Questionnaire, LiSat-11.
  
  
  RESULTS
  There were no differences in outcomes between caregivers in the client-centred, activities of daily living (n = 88) and the usual activities of daily living (n = 95) group at 12 months. The caregiver burden score was 42.7 vs. 41.8, p = 0.75, mean occupational gaps were 3.5 vs. 4.0, p = 0.52 and satisfaction with life was 53% vs. 50%, p = 0.87. There were no differences in changes between three and 12 months. However, within groups there were significant differences in caregiver burden, factor general strain, for caregivers in the client-centred, activities of daily living group, and in provision of informal care for the usual activities of daily living group.
  
  
  CONCLUSIONS
  The client-centred intervention did not bring about any difference between caregiver-groups, but within groups some difference was found for caregiver burden and informal care.
authors.affiliation: Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden ann-sofie.bertilsson@ki.se.
authors.forename: Ann-Sofie
authors.initials: AS
authors.lastname: Bertilsson
authors.affiliation: Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden Department of Neuroscience, Rehabilitation Medicine, Uppsala University, Uppsala, Sweden.
authors.forename: Gunilla
authors.initials: G
authors.lastname: Eriksson
authors.affiliation: Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden Department of Health Sciences, Lund University, Lund, Sweden Department of Occupational Therapy, Karolinska University Hospital, Huddinge, Sweden.
authors.forename: Lisa
authors.initials: L
authors.lastname: Ekstam
authors.affiliation: Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden Department of Occupational Therapy, Karolinska University Hospital, Huddinge, Sweden.
authors.forename: Kerstin
authors.initials: K
authors.lastname: Tham
authors.affiliation: Department of Clinical Neuroscience, Karolinska Institutet, Solna, Sweden Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Magnus
authors.initials: M
authors.lastname: Andersson
authors.affiliation: Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden Department of Neurology, Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Lena
authors.initials: L
authors.lastname: von Koch
authors.affiliation: Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden Centre for Research & Development, Uppsala University/Region Gävleborg, Sweden.
authors.forename: Ulla
authors.initials: U
authors.lastname: Johansson
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D017028:Caregivers; D016000:Cluster Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care; D010549:Personal Satisfaction; D020521:Stroke / Q000150:complications / Q000503:physiopathology* / Q000523:psychology; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome
keywords: Stroke; activities of daily living; carers; patient-centred care; rehabilitation