Improving Caregiver Health through Systematic Assessment and a Tailored Plan of Care. (March 2022)

• Record Type: Journal Article
• Authors: Camicia, Michelle; Lutz, Barbara J.; Stram, Douglas; Tucker, Lue-Yen; Ray, Cristine; Theodore, Brian R.
• Other Names: Bakas Tamilyn guest-editor.; Miller Elaine L. guest-editor.
• Is Part Of: Western journal of nursing research. Volume 44:Number 3(2022)
• Page Start: 307
• Page End: 318
• Publication Date: 2022-03
• Subjects: caregiver -- discharge planning -- care transitions -- case management -- family-integrated care; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/01939459211045432
• Languages: English
• ISSNs: 0193-9459

Abstract

Caregivers often experience strain and negative effects on their well-being. We tested the effects of a caregiver assessment and tailored care plan for caregivers of patients transitioning home from an inpatient rehabilitation facility (IRF), a study involving two groups: usual care ( n = 225) (preimplementation) and intervention (postimplementation) ( n = 215). Caregivers in the intervention group were assessed using the 25-item self-reported Preparedness Assessment for the Transition Home during the IRF stay. A tailored care plan was implemented in response to the assessment. Caregivers in both groups completed the Modified Caregiver Strain Index and Global Health Scale at 30- and 90-day postdischarge. After adjusting for baseline and demographics, caregivers in the intervention group reported lower strain ( p < .01) and better overall health ( p < .05) at 30-day post-IRF discharge, relative to usual care. Implementing a systematic caregiver assessment and tailored care plan in the IRF may mitigate the adverse effects of caregiving.