Effect of transitional care stroke case management interventions on caregiver outcomes: the MISTT randomized trial

This study reports on outcomes for 169 caregivers enrolled in the Michigan Stroke Transitions Trial (MISTT), an RCT of social work case management for stroke patients returning home. A mixed-model approach examined the mean change from 7- to 90-days post-discharge with group-by-time interactions for...

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Bibliographic Details
Published in:Social work in health care 2021-11, Vol.60 (10), p.642-655
Main Authors: Woodward, Amanda T., Fritz, Michele C., Hughes, Anne K., Coursaris, Constantinos K., Swierenga, Sarah J., Freddolino, Paul P., Reeves, Mathew J.
Format: Article
Language:English
Subjects:
acute stroke
care transitions
Caregivers
Caregiving
Case management
Discharge
health information technology
Life changes
Mental depression
Returning home
Social work
Social work case management
Stroke
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Summary:This study reports on outcomes for 169 caregivers enrolled in the Michigan Stroke Transitions Trial (MISTT), an RCT of social work case management for stroke patients returning home. A mixed-model approach examined the mean change from 7- to 90-days post-discharge with group-by-time interactions for differences between treatment groups. Caregivers reported few life changes or depressive symptoms from caregiving. There was no significant change over time or treatment effects. Negative aspects of stroke caregiving may take longer to develop. Focused caregiver assessment at discharge and a better understanding of how caregiving develops over time may improve the type and timing of support.
ISSN:0098-1389
1541-034X
DOI:10.1080/00981389.2021.2009958