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...

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Main Author:	Gholamzadeh, Sakineh
Format:	Thesis
Language:	English
Published:	2013
Subjects:	Educational psychology - Iran Caregivers - Iran - Psychology Cerebrovascular disease
Online Access:	http://psasir.upm.edu.my/id/eprint/33145/7/IG%202013%206R.pdf
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id	my-upm-ir.33145
record_format	uketd_dc
spelling	my-upm-ir.331452016-01-12T01:59:59Z 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 2013-02 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. Educational psychology - Iran Caregivers - Iran - Psychology Cerebrovascular disease 2013-02 Thesis http://psasir.upm.edu.my/id/eprint/33145/ http://psasir.upm.edu.my/id/eprint/33145/7/IG%202013%206R.pdf application/pdf en public phd doctoral Universiti Putra Malaysia Educational psychology - Iran Caregivers - Iran - Psychology Cerebrovascular disease
institution	Universiti Putra Malaysia
collection	PSAS Institutional Repository
language	English
topic	Educational psychology - Iran Caregivers - Iran - Psychology Cerebrovascular disease
spellingShingle	Educational psychology - Iran Caregivers - Iran - Psychology Cerebrovascular disease 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
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
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Gholamzadeh, Sakineh
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
granting_institution	Universiti Putra Malaysia
publishDate	2013
url	http://psasir.upm.edu.my/id/eprint/33145/7/IG%202013%206R.pdf
_version_	1747811689691086848

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

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