Cover Image

Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors

This study was aimed to develop, implement and evaluate a psycho-educational intervention program to enhance the psychological well-being (PWB) of daughter and daughter-in-law caregivers of severe ischemic stroke survivors after hospital discharge. The study followed an action research approach, whi...

Full description

Saved in:
Bibliographic Details
Main Author: Gholamzadeh, Sakineh
Format: Thesis
Language:English
Published: 2013
Online Access:http://psasir.upm.edu.my/id/eprint/33145/7/IG%202013%206R.pdf
http://psasir.upm.edu.my/id/eprint/33145/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.upm.eprints.33145
record_format eprints
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description This study was aimed to develop, implement and evaluate a psycho-educational intervention program to enhance the psychological well-being (PWB) of daughter and daughter-in-law caregivers of severe ischemic stroke survivors after hospital discharge. The study followed an action research approach, which employed a collaborative cycle of reflection, re-planning, and taking action. The study includes four following steps: 1) exploration of caregiver needs and coping behaviors, 2)construction of the program, 3) action taking, and 4) randomized evaluation of the program. The data analysis from focused group and face to face interview revealed seven main categories that provided a perspective on daughters and daughters in-law needs and coping behaviors which includes: information and training, financial support, home health care assistance, self-care support, adjusting with the cultural imperative in providing care for a parent in-law, dissatisfaction with the health care system and needs for teaching problem-oriented coping approaches. There was no obvious theme specific to the type of relationship except cultural imperative in providing care for a parent in-law. In addition, content analysis of focus group interview with a panel of clinical and academic nurses revealed two major themes which include preventing burnout and information and training. Based on caregiver needs and nursing panel suggestion at phase І, literature review, and conceptual framework of the study a hospital-home transition program (HHTP) was established,validated, and modified with daughter and daughter in-law caregivers. After construction of the program, it was implemented to ensure acceptability and feasibility in a small sample of three caregivers. In the action research process, an individualized hospital-home based support program which consisted of seven sessions was implemented and evaluated in a larger sample (n=96) through a randomized sampling design. In the randomized study, the relationship between caregivers and stroke survivor’s demographics with PWB was examined at pre-intervention stage on a total sample of 96 caregivers to identify covariate variables. Only positive religious coping significantly affected caregivers’ psychological well-being. About 7.2% of changes in PWB can be explained by positive religious coping. Therefore, pre-intervention of the positive religious coping was used as the covariate in the next analysis. The results of the Mixed-ANCOVA revealed a statistical significant difference in psychological well-being score between intervention and control groups by time [F (1.45, 135.652) =8.53, p<0.01, η2 =0.084)] that showed the effectiveness of the new program. In addition, multi mediation analyses demonstrated that reductions in threat appraisal and increases in perceived preparedness (accounting for other mediators) mediated the effects of the intervention on psychological well-being. Intervention affected psychological well-being indirectly through changes in threat appraisal (β=0.1008 CIBCA=-0.0516–0.1726) and preparedness (β=0.0939 CIBCA=-0.0103–0.2044). The multiple mediator model accounted for 34.28% of the variance in the PWB change (p <0.001). These findings supported the mediating hypothesis for two of five hypothesized mediators. The results of this study would be a good starting point for focusing on the reasons for the success and or failure of intervention program by testing mediating factors in intervention studies.
format Thesis
author Gholamzadeh, Sakineh
spellingShingle Gholamzadeh, Sakineh
Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors
author_facet Gholamzadeh, Sakineh
author_sort Gholamzadeh, Sakineh
title Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors
title_short Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors
title_full Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors
title_fullStr Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors
title_full_unstemmed Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors
title_sort development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors
publishDate 2013
url http://psasir.upm.edu.my/id/eprint/33145/7/IG%202013%206R.pdf
http://psasir.upm.edu.my/id/eprint/33145/
_version_ 1643830793520283648
spelling my.upm.eprints.331452016-01-12T01:59:59Z http://psasir.upm.edu.my/id/eprint/33145/ Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors Gholamzadeh, Sakineh This study was aimed to develop, implement and evaluate a psycho-educational intervention program to enhance the psychological well-being (PWB) of daughter and daughter-in-law caregivers of severe ischemic stroke survivors after hospital discharge. The study followed an action research approach, which employed a collaborative cycle of reflection, re-planning, and taking action. The study includes four following steps: 1) exploration of caregiver needs and coping behaviors, 2)construction of the program, 3) action taking, and 4) randomized evaluation of the program. The data analysis from focused group and face to face interview revealed seven main categories that provided a perspective on daughters and daughters in-law needs and coping behaviors which includes: information and training, financial support, home health care assistance, self-care support, adjusting with the cultural imperative in providing care for a parent in-law, dissatisfaction with the health care system and needs for teaching problem-oriented coping approaches. There was no obvious theme specific to the type of relationship except cultural imperative in providing care for a parent in-law. In addition, content analysis of focus group interview with a panel of clinical and academic nurses revealed two major themes which include preventing burnout and information and training. Based on caregiver needs and nursing panel suggestion at phase І, literature review, and conceptual framework of the study a hospital-home transition program (HHTP) was established,validated, and modified with daughter and daughter in-law caregivers. After construction of the program, it was implemented to ensure acceptability and feasibility in a small sample of three caregivers. In the action research process, an individualized hospital-home based support program which consisted of seven sessions was implemented and evaluated in a larger sample (n=96) through a randomized sampling design. In the randomized study, the relationship between caregivers and stroke survivor’s demographics with PWB was examined at pre-intervention stage on a total sample of 96 caregivers to identify covariate variables. Only positive religious coping significantly affected caregivers’ psychological well-being. About 7.2% of changes in PWB can be explained by positive religious coping. Therefore, pre-intervention of the positive religious coping was used as the covariate in the next analysis. The results of the Mixed-ANCOVA revealed a statistical significant difference in psychological well-being score between intervention and control groups by time [F (1.45, 135.652) =8.53, p<0.01, η2 =0.084)] that showed the effectiveness of the new program. In addition, multi mediation analyses demonstrated that reductions in threat appraisal and increases in perceived preparedness (accounting for other mediators) mediated the effects of the intervention on psychological well-being. Intervention affected psychological well-being indirectly through changes in threat appraisal (β=0.1008 CIBCA=-0.0516–0.1726) and preparedness (β=0.0939 CIBCA=-0.0103–0.2044). The multiple mediator model accounted for 34.28% of the variance in the PWB change (p <0.001). These findings supported the mediating hypothesis for two of five hypothesized mediators. The results of this study would be a good starting point for focusing on the reasons for the success and or failure of intervention program by testing mediating factors in intervention studies. 2013-02 Thesis NonPeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/33145/7/IG%202013%206R.pdf Gholamzadeh, Sakineh (2013) Development and evaluation of a psycho-educational intervention program to enhance the psychological well-being of daughter and daughter-in-law caregivers of stroke survivors. PhD thesis, Universiti Putra Malaysia.
score 13.222552

Similar Items