Author Year Country | Design (D) Setting (S) Sample size (SZ) | Target patient population | Intervention (I) Duration (D) Frequency (F) | Outcomes (O) Measure point (MP) |
---|---|---|---|---|
Everink et al. 2018 The Netherlands | D: Prospective cohort study S: Hospital, geriatric rehabilitation facility, community SZ: 149 patients 54 caregivers | Geriatric patients (>  65 years and complex health problems)Admitted to a geriatric rehabilitation facilityCommunity-dwelling prior to hospital admission | I: Integrated Care Pathway: Process of care during the trajectory of hospital admission, discharge to geriatric rehabilitation and discharge back to community. Patients and their caregiver are actively involved in the triage decision. D: Period of hospitalization (acute and rehabilitation) until discharge. F: Not stated | O: Patients:Basic functional performance (KI, FAI)Psychological well-being (CSAL)Caregivers:Psychological well-being (SRCB, CSAL) Others (Discharge location) MP: Admission geriatric rehabilitation, 3, 6 and 9 months |
Forster et al. 2013 UK | D: Multicentre cluster RCT S: 36 stroke units in four geographical regions. SZ: 928 patients 928 caregivers | Patient with stroke Medically stable Likely to return home | I: London Stroke Carers Training Course:Assessment of competencies in knowledge or skills essential for day-to-day management of disabled survivors of stroke (14 components). Intervention manual and caregiver training record. D: Period of hospitalization F: Not stated | O: Patients:Basic functional performance (NEADL, BI) Psychological well-being (HADS, EQ-5D) Caregivers: Psychological well-being (CBS, HADS, EQ-5D)Others (initial stroke admission cost) MP: Measured at: Baseline, 6 and 12 months |
Galvin et al. 2011 Ireland | D: RCT S: 6 acute hospitals SZ: 40 patients 40 caregivers | Patient with strokeNo cognitive impairment Participate in a physiotherapy program | I: Family-Mediated Exercise Intervention:Training the family member/friend with the skills necessary to carry out the exercise-training programme with the patient.Lower limb exercises designed to patient’s ability. Emphasis on achieving stability, gait velocity and strength D: 8 weeks F: Training the caregiver on a weekly basisExercises patient-caregiver 35 min daily | O: Patients:Basic functional performance (NEADL, BI, RNLI) Extended functional performance (LL-FMA, MAS, BBS, 6MWT)Caregivers:Psychological well-being (CSI) MP: Measured at: Baseline, 8 weeks and 3 months |
Gräsel et al. 2005 Germany | D: Non-randomized controlled trialS: 2 study wards of a rehabilitation clinic SZ: 71 patients 71 caregivers | Patient with strokeFunctional deficit Required treatment in rehabilitation clinic | I: Intensified Transition Concept:Psycho-educational seminar for family carers.Individual training course on bedside skills.Therapeutic weekend care, accompanied and monitored by an outpatient care service.Telephone counselling to assess the home situation D: Duration of hospitalization plus 3 months after discharge F: 1-h psycho-educational seminar3 times 45–60 min individual training course1 therapeutic weekend1 telephone counselling after 3 months | O: Patients:Basic functional performance (BI, FIM)Extended functional performance (TUG, ASS, FAT) Caregivers:Psychological well-being (BSFC, ZDS, GSL)Others (discharge readmission) MP: Measured at: After intervention, 4 weeks and 6 months |
Harris et al. 2010 Canada | D: Subgroup analysis of a RCT S: Multi-site SZ: 50 patients 50 caregivers | Patient with strokeActive scapular elevationFM scale 10–57 | I: Graded Repetitive Arm Supplementary Program with Caregiver Support:A self-administered upper-limb exercise program, using an exercise booklet and a kit tailored to motor impairment level.Exercises included range of motion, strengthening, and fine motor and goal-directed activities. D: 4 weeks F: Explanation of the program 1 hExercises 60 min a day, 6 days per weekCaregiver involvement > 2 times/week | O: Patients:Extended functional performance (CAAI, MAL, GS) MP: Measured at: Baseline and 4 weeks |
Hebel et al. 2014 Poland | D: Prospective pre-post study S: Hospital SZ: 243 patients 243 caregivers | Patient with stroke | I: Voluntary Health Education Program for Carers:Education on stroke and secondary prevention, proper patient positioning in bed and position changing techniques. D: During hospitalization F: One two-hour meeting | O: Patients:Basic functional performance (NEADL, BI, MRS) MP: Measured at: After intervention, 3 and 12 months |
Kalra et al. Patel et al. 2004UK | D: RCTblock randomisation S: Hospital, home setting SZ: 300 patients 300 caregivers | Patient with strokeIndependent in ADL before strokeMedically stableExpected to return home | I: Training Caregivers of Stroke Patients:Instructions on common stroke related problems, hands-on training in lifting and handling techniques, facilitation of mobility and transfers, tailored to the needs of individual patients. D: During hospitalizationF: 3–5 session of 30–45 min1 follow through session at home | O: Patients:Basic functional performance (BI, MRS, FAI) Psychological well-being (HADS, EQ VAS) Caregivers:Psychological well-being (CBS, HADS, EQ VAS)Others (length of stay, cost, readmission, mortality, discharge destination) MP: Measured at: Baseline, 1, 3, 6 and 12 months |
van den Berg et al. 2016 Australia | D: RCTS: Three hospitals and home setting SZ: 63 patients 63 caregivers | Patient with stroke Early rehabilitationMobility problemsNo cognitive problems No depression | I: Caregiver-Mediated Exercises:A customized exercise app (37 exercises) on a i-pad was provided to the patient and carer.Tele-rehabilitation services after discharge and weekly home visits. D: 8 weeks (hospital and home) F: ≥5 times per week 30 minweekly evaluation session with PT | O: Patients:Basic functional performance (NEADL, BI, MRS) Extended functional performance (SISmob, RMI, LL-FMA, MI, TUG, BBS) Psychological well-being (HADS)Caregivers:Psychological well-being (CSI, HADS) Others (Length of stay, Hospital readmission) MP: Measured at: Baseline, 8 weeks and 12 weeks |