The moderating role of caregiver preparedness on the relationship between depression and stroke-specific quality of life in stroke dyads: a longitudinal study

Author:

Petrizzo Antonello1ORCID,Lyons Karen S2ORCID,Bartoli Davide1ORCID,Simeone Silvio3ORCID,Alvaro Rosaria1ORCID,Lee Christopher S2ORCID,Vellone Ercole1ORCID,Pucciarelli Gianluca1ORCID

Affiliation:

1. Department of Biomedicine and Prevention, University of Rome Tor Vergata , Via Montpellier, 1, Rome 00133 , Italy

2. Boston College, William F. Connell School of Nursing , Boston, MA , USA

3. Department of Clinical and Experimental Medicine, University of Catanzaro Magna Graecia , Catanzaro , Italy

Abstract

Abstract Aims To examine the moderating role of caregiver preparedness on the association between stroke survivors’ depression and stroke-specific quality of life dimensions. Methods and results We used a multilevel modelling approach to analyse trajectories of change in the eight Stroke Impact Scale 3.0 subscales [i.e. strength, communication, mobility, activities of daily living (ADL)/instrumental activities of daily living (IADL), memory, emotion, hand function, participation] using Hierarchical Linear Modeling. Caregiver preparedness significantly moderated the association between survivor depressive symptoms and survivor communication (B = −0.95, P < 0.01), mobility (B = −0.60, P < 0.05), and ADL/IADL (B = −0.73, P < 0.01) at baseline; linear change for strength (B = 0.83, P < 0.05) and communication (B = 0.66, P < 0.05); and quadratic change for strength (B = −0.19, P < 0.01). Although caregiver preparedness did not significantly moderate the association between survivor depressive symptoms and strength at baseline, there was a significant moderating effect for change over time. Higher levels of caregiver preparedness were significantly associated with higher survivor scores of emotion, hand function, and participation at baseline. Conclusions Including immediate caregivers in the care process, through a psycho-educational training, would mean having better-prepared caregivers and consequently more-healthy stroke survivors. Given that preparedness includes coping with stress, responding and managing emergencies, assessing help and information may require tailored interventions aimed at improving the caregivers’ skills and knowledge about stroke survivors’ management.

Funder

Center of Excellence for Nursing Scholarship

Publisher

Oxford University Press (OUP)

Subject

Advanced and Specialized Nursing,Medical–Surgical Nursing,Cardiology and Cardiovascular Medicine

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