Dyadic approach to supervised community rehabilitation participation in an Asian setting post-stroke: exploring the role of caregiver and patient characteristics in a prospective cohort study.
Shilpa TyagiGerald Choon-Huat KohNan LuoKelvin Bryan TanHelen HoenigDavid Bruce MatcharJoanne YoongAngelique ChanKim En LeeNarayanaswamy VenketasubramanianEdward MenonKin Ming ChanDeidre Anne De SilvaPhilip YapBoon Yeow TanEffie ChewSherry H YoungYee Sien NgTian Ming TuYan Hoon AngKeng He KongRajinder SinghReshma A MerchantHui Meng ChangTseng Tsai YeoChou NingAngela CheongChuen Seng TanPublished in: BMJ open (2020)
We established that SCR participation is jointly determined by both caregiver and stroke survivor factors, with factors varying over the early and late post-stroke period. Our results support the adoption of a dyadic or more inclusive approach for studying the utilisation of community rehabilitation services, giving due consideration to both the stroke survivors and their caregivers. Adopting a stroke survivor-caregiver dyadic approach in practice settings should include promotion of positive care management strategies, comprehensive caregiving training including both physical and behavioural dimensions, active engagement of caregivers in rehabilitation journey and conducting regular caregiver needs assessments in the community.