Please use this identifier to cite or link to this item: https://doi.org/10.1136/bmjopen-2019-036631
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dc.titleDyadic approach to supervised community rehabilitation participation in an Asian setting post-stroke: Exploring the role of caregiver and patient characteristics in a prospective cohort study
dc.contributor.authorTyagi, S.
dc.contributor.authorKoh, G.C.-H.
dc.contributor.authorLuo, N.
dc.contributor.authorTan, K.B.
dc.contributor.authorHoenig, H.
dc.contributor.authorMatchar, D.B.
dc.contributor.authorYoong, J.
dc.contributor.authorChan, A.
dc.contributor.authorLee, K.E.
dc.contributor.authorVenketasubramanian, N.
dc.contributor.authorMenon, E.
dc.contributor.authorChan, K.M.
dc.contributor.authorDe Silva, D.A.
dc.contributor.authorYap, P.
dc.contributor.authorTan, B.Y.
dc.contributor.authorChew, E.
dc.contributor.authorYoung, S.H.
dc.contributor.authorNg, Y.S.
dc.contributor.authorTu, T.M.
dc.contributor.authorAng, Y.H.
dc.contributor.authorKong, K.H.
dc.contributor.authorSingh, R.
dc.contributor.authorMerchant, R.A.
dc.contributor.authorChang, H.M.
dc.contributor.authorYeo, T.T.
dc.contributor.authorNing, C.
dc.contributor.authorCheong, A.
dc.contributor.authorTan, C.S.
dc.date.accessioned2021-08-12T00:44:36Z
dc.date.available2021-08-12T00:44:36Z
dc.date.issued2020
dc.identifier.citationTyagi, S., Koh, G.C.-H., Luo, N., Tan, K.B., Hoenig, H., Matchar, D.B., Yoong, J., Chan, A., Lee, K.E., Venketasubramanian, N., Menon, E., Chan, K.M., De Silva, D.A., Yap, P., Tan, B.Y., Chew, E., Young, S.H., Ng, Y.S., Tu, T.M., Ang, Y.H., Kong, K.H., Singh, R., Merchant, R.A., Chang, H.M., Yeo, T.T., Ning, C., Cheong, A., Tan, C.S. (2020). Dyadic approach to supervised community rehabilitation participation in an Asian setting post-stroke: Exploring the role of caregiver and patient characteristics in a prospective cohort study. BMJ Open 10 (4) : e036631. ScholarBank@NUS Repository. https://doi.org/10.1136/bmjopen-2019-036631
dc.identifier.issn20446055
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/196677
dc.description.abstractObjective To study the association of caregiver factors and stroke survivor factors with supervised community rehabilitation (SCR) participation over the first 3 months and subsequent 3 to 12 months post-stroke in an Asian setting. Design Prospective cohort study. Setting Community setting. Participants We recruited stroke survivors and their caregivers into our yearlong cohort. Caregiver and stroke survivor variables were collected over 3-monthly intervals. We performed logistic regression with the outcome variable being SCR participation post-stroke. Outcome measures SCR participation over the first 3 months and subsequent 3 to 12 months post-stroke Results 251 stroke survivor-caregiver dyads were available for the current analysis. The mean age of caregivers was 50.1 years, with the majority being female, married and co-residing with the stroke survivor. There were 61%, 28%, 4% and 7% of spousal, adult-child, sibling and other caregivers. The odds of SCR participation decreased by about 15% for every unit increase in caregiver-reported stroke survivor's disruptive behaviour score (OR: 0.845; 95% CI: 0.769 to 0.929). For every 1-unit increase in the caregiver's positive management strategy score, the odds of using SCR service increased by about 4% (OR: 1.039; 95% CI: 1.011 to 1.068). Conclusion We established that SCR participation is jointly determined by both caregiver and stroke survivor factors, with factors varying over the early and late post-stroke period. Our results support the adoption of a dyadic or more inclusive approach for studying the utilisation of community rehabilitation services, giving due consideration to both the stroke survivors and their caregivers. Adopting a stroke survivor-caregiver dyadic approach in practice settings should include promotion of positive care management strategies, comprehensive caregiving training including both physical and behavioural dimensions, active engagement of caregivers in rehabilitation journey and conducting regular caregiver needs assessments in the community. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
dc.publisherBMJ Publishing Group
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourceScopus OA2020
dc.subjectorganisation of health services
dc.subjectpublic health
dc.subjectrehabilitation medicine
dc.subjectsocial medicine
dc.subjectstroke
dc.typeArticle
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.contributor.departmentDUKE-NUS MEDICAL SCHOOL
dc.contributor.departmentMEDICINE
dc.description.doi10.1136/bmjopen-2019-036631
dc.description.sourcetitleBMJ Open
dc.description.volume10
dc.description.issue4
dc.description.pagee036631
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