TY - JOUR
T1 - Roles of Changing Physical Function and Caregiver Burden on Quality of Life in Stroke
T2 - A Longitudinal Dyadic Analysis
AU - Pucciarelli, Gianluca
AU - Vellone, Ercole
AU - Savini, Serenella
AU - Simeone, Silvio
AU - Ausili, Davide
AU - Alvaro, Rosaria
AU - Lee, Christopher S.
AU - Lyons, Karen S.
N1 - Publisher Copyright:
© 2017 American Heart Association, Inc.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Background and Purpose - The purpose of this study was to examine changes in stroke survivor and caregiver quality of life (QOL) and to determine whether changes in survivor physical functioning and caregiver burden (ie, the impact of the physical, psychological, and social demands of caregiving) influence changes in QOL. Methods - Longitudinal design with 226 stroke survivor-caregiver dyads enrolled at survivor discharge from rehabilitation hospitals. Data collection was performed over 12 months. We measured survivor physical functioning, caregiver burden, and QOL (physical, psychological, social, and environmental) in both survivor and caregiver. Multilevel modeling was used to control for the interdependence of the data. Results - Survivors (50% male sex) and caregivers (66% female sex) were 70.8 (SD=11.9) and 52.4 (SD=13.1) years old, respectively. Over the 12 months, stroke survivor's physical (γ=1.59; P<0.001) and psychological (γ=0.86; P<0.05) QOL significantly improved; social and environmental QOL did not P>0.05. Caregiver QOL, on average, did not significantly change over time P>0.05. Improvements in survivor physical functioning were associated with increases in survivor and caregiver physical and psychological QOL and survivor environmental QOL. Decreases in caregiver burden were significantly associated with improvements in caregiver physical, psychological, and environmental QOL but not with survivor QOL. Conclusions - QOL of stroke survivors and caregivers covaries and is greatly impacted by the physical function changes of the survivor. Dyadic approaches to stroke rehabilitation that acknowledge the interdependence of dyads are needed.
AB - Background and Purpose - The purpose of this study was to examine changes in stroke survivor and caregiver quality of life (QOL) and to determine whether changes in survivor physical functioning and caregiver burden (ie, the impact of the physical, psychological, and social demands of caregiving) influence changes in QOL. Methods - Longitudinal design with 226 stroke survivor-caregiver dyads enrolled at survivor discharge from rehabilitation hospitals. Data collection was performed over 12 months. We measured survivor physical functioning, caregiver burden, and QOL (physical, psychological, social, and environmental) in both survivor and caregiver. Multilevel modeling was used to control for the interdependence of the data. Results - Survivors (50% male sex) and caregivers (66% female sex) were 70.8 (SD=11.9) and 52.4 (SD=13.1) years old, respectively. Over the 12 months, stroke survivor's physical (γ=1.59; P<0.001) and psychological (γ=0.86; P<0.05) QOL significantly improved; social and environmental QOL did not P>0.05. Caregiver QOL, on average, did not significantly change over time P>0.05. Improvements in survivor physical functioning were associated with increases in survivor and caregiver physical and psychological QOL and survivor environmental QOL. Decreases in caregiver burden were significantly associated with improvements in caregiver physical, psychological, and environmental QOL but not with survivor QOL. Conclusions - QOL of stroke survivors and caregivers covaries and is greatly impacted by the physical function changes of the survivor. Dyadic approaches to stroke rehabilitation that acknowledge the interdependence of dyads are needed.
KW - caregiver
KW - quality of life
KW - rehabilitation
KW - stroke
KW - survivor
UR - http://www.scopus.com/inward/record.url?scp=85012909694&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85012909694&partnerID=8YFLogxK
U2 - 10.1161/STROKEAHA.116.014989
DO - 10.1161/STROKEAHA.116.014989
M3 - Article
C2 - 28196939
AN - SCOPUS:85012909694
SN - 0039-2499
VL - 48
SP - 733
EP - 739
JO - Stroke
JF - Stroke
IS - 3
ER -