Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, December 26, 2019

Can a couples' intervention reduce unmet needs and caregiver burden after brain injury?

Damn it all, we wouldn't need this secondary problem to be solved if you solved the only goal in stroke, 100% RECOVERY. The stroke strategy, if we had one, would only focus on 100% recovery, not these secondary issues.  We would waste a hell of lot less time and money that way. I never see this improving until we get survivors in charge.

Can a couples' intervention reduce unmet needs and caregiver burden after brain injury?

Graham KM1, Kreutzer JS1, Marwitz JH1, Sima AP2, Hsu NH1.

Author information

1
Department of Physical Medicine and Rehabilitation.
2
Department of Biostatistics.

Abstract

OBJECTIVE:

To examine the effectiveness of the Therapeutic Couples Intervention (TCI) on caregiver needs and burden after brain injury.

RESEARCH METHOD:

Individuals with brain injury and their intimate partners/caregivers (n = 75) participated in a 2-arm, parallel, randomized trial with a waitlist control. The TCI consisted of 5 2-hr sessions, with a sixth optional session for parents. The Family Needs Questionnaire-R (FNQ-R) and the Zarit Burden Interview (ZBI) were secondary outcome measures.

RESULTS:

After adjusting for baseline characteristics, caregivers in the TCI group demonstrated reduction in unmet needs for 5 of the 6 FNQ-R subscales, whereas those in the waitlist control group did not. ZBI scores improved significantly for TCI caregivers but not for controls. At the 3-month follow-up, benefits were maintained for the ZBI and 4 of the 6 FNQ-R subscales (Health Information, Emotional Support, Professional Support, and Community Support Network).

CONCLUSIONS:

The present investigation provided evidence that, following brain injury, a structured couples intervention can reduce unmet needs and burden in caregivers. Future multicenter research examining long-term durability of treatment gains and specific characteristics of positive responders is warranted. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

TRIAL REGISTRATION:

ClinicalTrials.gov NCT01935609.
PMID:
31855018
DOI:
10.1037/rep0000300
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