A Telehealth Approach to Caregiver Self-Management Following Traumatic Brain Injury
| Autor: | Kathleen R. Bell, Robert T. Fraser, Nancy R. Temkin, Jo Ann Brockway, Janet M. Powell |
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| Rok vydání: | 2016 |
| Předmět: |
Male
030506 rehabilitation Coping (psychology) medicine.medical_specialty Telemedicine Traumatic brain injury MEDLINE Physical Therapy Sports Therapy and Rehabilitation Telehealth law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Adaptation Psychological medicine Humans Problem Solving Self-management business.industry Self-Management Rehabilitation Trauma center Middle Aged medicine.disease Caregivers Brain Injuries Quality of Life Physical therapy Female Neurology (clinical) 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Head Trauma Rehabilitation. 31:180-190 |
| ISSN: | 0885-9701 |
| DOI: | 10.1097/htr.0000000000000167 |
| Popis: | Objective To determine whether a telephone-based, individualized education and mentored problem-solving intervention would improve outcomes for caregivers of persons with traumatic brain injury (TBI). Design Parallel group, randomized controlled trial with blinded outcome assessment. Setting General community. Participants A total of 153 caregivers (mean age = 49.7 years; 82% female; 54% spouses/partners, 35% parents) of persons with moderate to severe TBI who received acute and/or rehabilitation care at a level I trauma center. Eighty-two percent of participants were evaluated at 6-month follow-up. Intervention Individualized education and mentored problem-solving intervention focused on caregivers' primary concerns delivered via up to 10 telephone calls at 2-week intervals. Main outcome measures Composite of Bakas Caregiving Outcomes Scale (BCOS) and Brief Symptom Inventory (BSI-18) at 6 months post-TBI survivor discharge. Secondary measures included the Brief COPE. Results Caregivers in the treatment arm scored higher on the BCOS-BSI composite (P = .032), with more active coping (P = .020) and less emotional venting (P = .028) as measured by the Brief COPE. Conclusions An individualized education and mentored problem-solving approach delivered via telephone in the first few months following community discharge of the TBI survivor resulted in better caregiver outcomes than usual care. Consideration should be given to using this approach to augment the limited support typically offered to caregivers. |
| Databáze: | OpenAIRE |
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