Stroke, Vol 19, 1243-1249, Copyright © 1988 by American Heart Association
RL Evans, AL Matlock, DS Bishop, S Stranahan and C Pederson
Two interventions for improving stroke caregiver knowledge, stabilizing
family function, promoting patient adjustment, and enlisting the use of
social resources after stroke were compared with routine medical and
nursing care of stroke patients (n = 61) at a 440-bed Veterans
Administration Medical Center. The education intervention (n = 64)
consisted of classroom instruction for caregivers about basic stroke care
principles. The counseling condition (n = 63) consisted of education plus
seven follow-up problem-solving sessions with a social worker (for the
caregiver). Six months and 1 year after the stroke, both interventions
significantly improved caregiver knowledge and stabilized some aspects of
family function better than routine care. Counseling was consistently more
effective than education alone and resulted in better patient adjustment at
1 year. Neither intervention influenced the use of social resources.
ARTICLES
Family intervention after stroke: does counseling or education help?
Veterans Administration Medical Center, Seattle, WA 98108.
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