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International Stroke Conference Moderated Poster Abstracts
Session Title: Nursing and Vascular Biology in Health and Disease Moderated Poster Tour

Abstract WMP111: Assessing Caregiver Commitment and Capacity

Originally publishedhttps://doi.org/10.1161/str.49.suppl_1.WMP111Stroke. 2018;49:AWMP111

    Care transitions for individuals with disabling conditions, such as stroke, are often ineffective and inefficient, resulting in unmet patient and caregiver (CG) needs, increased safety risks, high rates of preventable readmissions, and increased health care costs. This is particularly problematic for stroke patients transitioning from an inpatient rehabilitation facility (IRF) to home. There is no assessment instrument specifically designed to evaluate a family member’s commitment and capacity to assume the caregiving role following a stroke survivor (SS) discharge from an IRF or sub-acute facility. This is critically needed to facilitate the development of tailored care plans and interventions to mitigate risks associated with the crisis of stroke and the associated health effects on the CG and SS. The purpose of this study is determine the psychometric properties of the Preparedness Assessment for the Transition Home after Stroke (PATH-s) instrument. The PATH-s instrument is a 25-item, 4-point scale based on the foundational work of B. Lutz (Co-Investigator). A prospective cohort study was conducted to establish the psychometric properties of the PATH-s instrument using a convenience sample of 184 SSs and their family caregivers during IRF admission. Data collection from SSs and CGs at IRF admission was conducted to determine the quality of the items, internal consistency, reliability, construct validity, and criterion-related validity. We will describe the characteristics of CG responses on the PATH-s instrument during IRF in addition to correlation with other measures (general health, perceived stress, depression). This novel instrument can support a primary prevention strategy to identify gaps in preparedness for stroke survivor-caregiver dyads following the complex transition from IRF to home, with the long-range goal to mitigate the effects of suboptimal preparation and the associated adverse effects associated with this transition on the health of CGs and SSs. Once gaps are identified, care plans can be tailored to address gaps and better prepare caregivers for the transition home.

    Footnotes

    Author Disclosures: M. Camicia: Research Grant; Modest; The Gordon and Betty Moore Foundation, The Rehabilitation Nursing Foundation. Consultant/Advisory Board; Modest; National Institutes for Health, National Advisory Board for Medical Rehabiltiation Research. B. Lutz: Honoraria; Modest; Medbridge. Employment; Significant; Faculty, UNCW School of Nursing. Research Grant; Significant; PCORI grant, NIH grant. C. Drake: None. K.K. Kim: None. T. Harvath: None. J.G. Joseph: None.

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