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Family-Centered Care During Constraint-Induced Therapy After Chronic Stroke

A Feasibility Study

Blanton, Sarah PT, DPT1; Scheibe, Deborah Cussen PT, DPT1,2; Rutledge, Ashley Holmes PT, DPT1,3; Regan, Bridget PT, DPT1,4; O’Sullivan, Colleen Schwartz PT, DPT1,5,6; Clark, Patricia C. PhD, RN, FAHA, FAAN7

doi: 10.1097/rnj.0000000000000197

Purpose This feasibility study evaluated a theory-based intervention (CARE-CITE) designed to engage carepartners (CPs) in supporting stroke survivor upper extremity rehabilitation.

Design The study was a one-group design with pre- and posttest and 1 month follow-up (N = 7 dyads).

Methods Feasibility was determined by participant retention, CP and stroke survivor intervention adherence, and CP acceptability of the intervention (exit interview). Measures of CP depressive symptoms, fatigue, and family conflict around stroke recovery and stroke survivor upper extremity function are reported. Data were analyzed using descriptive statistics.

Findings All participants completed the study and adhered to the intervention, and CPs found CARE-CITE helpful. Descriptively, better scores were observed for CP's mental health, family conflict, stroke survivor confidence, and upper extremity tasks performed.

Conclusion These results provide initial evidence that CARE-CITE is feasible after chronic stroke and that CPs and stroke survivors may benefit from family-centered care.

Clinical Relevance Improving CP skills in supporting rehabilitation activities may improve stroke survivor upper extremity function.

1 Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA, USA

2 Real Rehab Sports and Physical Therapy, Seattle, WA, USA

3 CORA Rehabilitation Clinic, Ocoee, FL, USA

4 Your Therapy Source, Austin, TX, USA

5 Inova Loudon Hospital, Leesburg, VA, USA

6 Inova Home Healthcare, Fairfax, VA, USA

7 Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA, USA

Correspondence: Sarah Blanton, PT, DPT, Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University School of Medicine, 1441 Clifton Rd. NE, Room 213, Atlanta, GA 30322. E-mail:

An abstract of this work was presented at Rehabilitation Research at NIH: Moving the Field Forward Conference, May 2016, Bethesda, Maryland and at Combined Sections Meeting of APTA, February 2012, Chicago, Illinois.

Cite this article as: Blanton, S., Scheibe, D. C., Rutledge, A. H., Regan, B., O’Sullivan, C. S., & Clark P. C. (2019). Family-centered care during constraint-induced therapy after chronic stroke: A feasibility study. Rehabilitation Nursing, 44(6), 349–357. doi: 10.1097/rnj.0000000000000197

Online date: November 19, 2018

© 2019 Association of Rehabilitation Nurses.
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