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Effects of Coaching-Based Teleoccupational Guidance for Home-Based Stroke Survivors and Their Family Caregivers: A Pilot Randomised Controlled Trial

Author

Listed:
  • Li Zhang

    (Graduate School, Hebei Medical University, Shijiazhuang 050051, China)

  • Yan-Ning Yan

    (Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China)

  • Zeng-Xin Sun

    (Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China)

  • Dong-Rui Yan

    (Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China)

  • Yuan-Wu Chen

    (Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China)

  • Keh-Chung Lin

    (School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei 10617, Taiwan
    Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei 10055, Taiwan)

  • Xin-Jing Ge

    (Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China)

  • Xiao-Lu Qin

    (Department of Rehabilitation Medicine, Hebei General Hospital, Shijiazhuang 050051, China)

Abstract

The aim of this pilot study was to investigate the feasibility and effectiveness of a 3-month coaching-based teleoccupational guidance (CTG) programme for home-based stroke survivors and their family caregivers. An assessor-blind pilot randomised controlled study was conducted. Twenty-five participant dyads (each dyad consisted of one home-based stroke patient and their caregivers) were randomised to a control group (RTG, n = 12) or an experimental group (CTG, n = 13). Participant dyads in the RTG group received routine teleoccupational guidance. Participant dyads in the CTG group received a six-step procedure: coaching-based teleoccupational guidance over 3 months via WeChat. Participant dyad compliance, the difficulty and suitability of outcome measures, and adverse effects were used to assess feasibility. The Reintegration to Normal Living Index, the Lawton Instructive Activities of Daily Life (Lawton IADL) scale, the Intrinsic Motivation Inventory, the Fugl–Meyer Assessment—Upper Extremity scale, the 6 min walking test, and the Stroke-Specific Quality of Life Scale were used to assess effectiveness outcomes of home-based stroke survivors; the Caregiver Benefit Finding Scale and the Zarit Caregiver Burden Interview were used to assess the effectiveness outcomes of family caregivers. Feasibility measures were assessed at the end of the pilot trial, and effectiveness measures were evaluated pre-intervention and post-intervention (after 3 months). The CTG programme significantly improved home-based stroke survivors’ participation in daily life, IADL score, and intrinsic motivation, and increased caregivers’ perceived benefit, and tended (not significantly) to reduce care burden. CTG has the potential to promote better integration of home-based stroke patients into their families and society, improve their quality of life and family well-being, and provide a reference for home rehabilitation of other clinical chronic diseases. CTG is a safe, effective, and promising intervention for home-based stroke populations and their caregivers and warrants further investigation in a larger randomised controlled trial.

Suggested Citation

  • Li Zhang & Yan-Ning Yan & Zeng-Xin Sun & Dong-Rui Yan & Yuan-Wu Chen & Keh-Chung Lin & Xin-Jing Ge & Xiao-Lu Qin, 2022. "Effects of Coaching-Based Teleoccupational Guidance for Home-Based Stroke Survivors and Their Family Caregivers: A Pilot Randomised Controlled Trial," IJERPH, MDPI, vol. 19(23), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:23:p:16355-:d:995169
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    Cited by:

    1. Tuija Partanen & Riitta Seppänen-Järvelä & Sinikka Hiekkala & Jari Lindh, 2023. "Telerehabilitation in the Finnish Outpatient Rehabilitation Setting from the Perspective of the Socio-Technical Systems Theory," IJERPH, MDPI, vol. 20(15), pages 1-14, August.

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