<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Objective</h3>
<p>Post-stroke disability and psychosocial disorders cause burdens for the families of stroke patients, including physical and financial burdens. The physical and psychological health of family caregivers determines the quality of care they provide to patients. The purpose of this study was to identify the effectiveness of the Caregiver Empowerment Program Based on the Adaptation Model (CEP-BAM) in increasing the family caregiver's coping ability against various problems and reducing their burden while caring for the stroke patient.</p>
</sec>
<sec><h3>Methods</h3>
<p>This research was a quasi-experimental study with pre- and post-test control group design. The intervention group received CEP-BAM, while the control group received a conventional intervention in the form of a discharge planning program for family caregivers in the hospital. The samples were caregivers who care for and facilitate the recovery of stroke patients during their convalescence at home. We selected the samples from the population using the stratified random sampling method. The number of samples completed in the study was 40 in the intervention group and 40 in the control group. Measurement of outcome variables (coping and caregiver burden) was carried out 4 times including pre-test before the intervention, post-test 1 at 4 months after the intervention, post-test 2 at 5 months after the intervention, and post-test 3 at 6 months after the intervention.</p>
</sec>
<sec><h3>Results</h3>
<p>There were significant differences in caregiver's coping (<italic>P</italic> = 0.016) and caregiver's burden (<italic>P</italic> = 0.009) in measurements between the two groups.</p>
</sec>
<sec><h3>Conclusions</h3>
<p>The CEP-BAM interventions were effective in increasing adaptive coping strategies and reducing the burden of caregivers 4 months and continuing 6 months after the intervention.</p>
</sec>
</abstract>

Objective
Post-stroke disability and psychosocial disorders cause burdens for the families of stroke patients, including physical and financial burdens. The physical and psychological health of family caregivers determines the quality of care they provide to patients. The purpose of this study was to identify the effectiveness of the Caregiver Empowerment Program Based on the Adaptation Model (CEP-BAM) in increasing the family caregiver's coping ability against various problems and reducing their burden while caring for the stroke patient.

Methods
This research was a quasi-experimental study with pre- and post-test control group design. The intervention group received CEP-BAM, while the control group received a conventional intervention in the form of a discharge planning program for family caregivers in the hospital. The samples were caregivers who care for and facilitate the recovery of stroke patients during their convalescence at home. We selected the samples from the population using the stratified random sampling method. The number of samples completed in the study was 40 in the intervention group and 40 in the control group. Measurement of outcome variables (coping and caregiver burden) was carried out 4 times including pre-test before the intervention, post-test 1 at 4 months after the intervention, post-test 2 at 5 months after the intervention, and post-test 3 at 6 months after the intervention.

Results
There were significant differences in caregiver's coping (P = 0.016) and caregiver's burden (P = 0.009) in measurements between the two groups.

Conclusions
The CEP-BAM interventions were effective in increasing adaptive coping strategies and reducing the burden of caregivers 4 months and continuing 6 months after the intervention.

Caregiver empowerment program based on the adaptation model increase stroke family caregiver outcome

Frontiers of Nursing

This work is licensed under the Creative Commons Attribution 4.0 International License.

Objective
Post-stroke disability and psychosocial disorders cause burdens for the families of stroke patients, including physical and financial burdens. The...

Measurement	Intervention (n = 40)		Control (n = 40)		t value	P value

	Mean	SD	Mean	SD
Pre-test	35.80	5.44	34.95	5.62	0.687	0.494
Post-test 1	33.75	6.02	35.20	5.48	−1.126	0.264
Post-test 2	33.33	5.95	34.78	6.38	−1.051	0.297
Post-test 3	33.00	4.86	34.70	5.85	−1.413	0.162

Variables	Intervention		Control		χ² or t value	P value

	n	%	n	%
Education level					4.269	0.234
Undergraduate	6	15	8	20
Senior high school	19	47.5	25	62.5
Junior high school	10	25	4	10
Elementary school	5	12.5	3	7.5
Caregiver-patient relationship					1.152	0.765
Husband/wife	15	37.5	18	45
Son/daughter	13	32.5	14	35
Son in law/daughter in law	8	20	5	12.5
Sibling	4	10	3	7.5
Sex					0.060	0.807
Male	13	32.5	11	27.5
Female	27	67.5	29	72.5
Stroke type					0.098	0.754
Non-hemorrhagic	35	87.5	33	82.5
Hemorrhagic	5	12.5	7	17.5
Basic activity assistance provided by the caregiver					0.052	0.819
Minimal	15	37.5	17	42.5
Moderate	25	62.5	23	57.5
Caregiver's age (Mean, SD)	43.38	11.34	41.13	11.50	0.881	0.381

Measurement	Intervention (n = 40)		Control (n = 40)		t value	P value

	Mean	SD	Mean	SD
Pre-test	114.35	9.58	113	9.98	0.617	0.593
Post-test 1	116.13	9.56	112.93	11.60	1.346	0.182
Post-test 2	117.50	9.73	113.10	10.13	1.981	0.051
Post-test 3	119.65	10.36	113.90	10.13	2.510	0.014

Caregiver empowerment program based on the adaptation model increase stroke family caregiver outcome

Article Category: Original article

Pubblicato online: 30 dic 2021

Pagine: 419 - 427

Ricevuto: 22 dic 2020

Accettato: 09 feb 2021

DOI: https://doi.org/10.2478/fon-2021-0042

Parole chiave
E family caregivers, empowerment, coping behavior, stroke rehabilitation

© 2021 Kelana Kusuma Dharma et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1

The caregiver's burden between measurements in both groups (n = 80).

The characteristics of caregivers (n = 80).

The caregiver's coping between measurements in both groups (n = 80).

Caregiver empowerment program based on the adaptation model increase stroke family caregiver outcome

Article Category: Original article

Pubblicato online: 30 dic 2021

Pagine: 419 - 427

Ricevuto: 22 dic 2020

Accettato: 09 feb 2021

DOI: https://doi.org/10.2478/fon-2021-0042

Parole chiaveE family caregivers, empowerment, coping behavior, stroke rehabilitation

© 2021 Kelana Kusuma Dharma et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Figure 1

The caregiver's burden between measurements in both groups (n = 80).

The characteristics of caregivers (n = 80).

The caregiver's coping between measurements in both groups (n = 80).

Parole chiave
E family caregivers, empowerment, coping behavior, stroke rehabilitation