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An exploration looking at the impact of domiciliary and day hospital delivery of stroke rehabilitation on informal carers

An exploration looking at the impact of domiciliary and day hospital delivery of stroke rehabilitation on informal carers
An exploration looking at the impact of domiciliary and day hospital delivery of stroke rehabilitation on informal carers
Objectives: To explore the impact of two methods of post-hospital stroke rehabilitation on both carers' perceptions of the health services offered and their quality of life.
Setting: East Dorset Health Authority.
Subjects: Forty-six informal carers were recruited from a sample of 106, initially identified from stroke patients participating in a larger randomized controlled trial.
Design: Qualitative methods.
Methods: Semi-structured interviews were used at baseline and six months to explore carers' perception of a good therapy, the advantages and disadvantages of the different services and their fulfilment with the services. In-depth thematic analysis was carried out to explore the impact of the two different methods of service delivery on carers' quality of life.
Results: Day hospitals provided carers with respite opportunities, whilst domiciliary stroke teams provided carers with better educational opportunities to be involved in therapy. No qualitative difference was found in the impact that the different services had on carers' quality of life, which were influenced by factors such as the degree of disruption that caring had on their lives, the loss of a shared life and the availability of social support. Ultimately, carers saw the services as providing benefit for survivors and not themselves.
Conclusions: Domiciliary stroke teams provided informal stroke carers with skills that could help improve postdischarge stroke rehabilitation amongst stroke survivors. Informal carers also benefited from the respite elements of day hospital. A mixed model using both domiciliary care and day hospital care, could provide carers with the benefits of education, convenience and respite.
analysis, perception, social support, hospitals, stroke, london, education, male, quality of life, delivery, interviews, patients, methods, hospital-based, design, health, day care, psychology
0269-2155
776-784
Low, J.T.S.
bea5e542-4840-4e22-b97d-d896afb81cbd
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Payne, Sheila
d7c97f41-ec69-4157-9339-ca07c521fbcc
Low, J.T.S.
bea5e542-4840-4e22-b97d-d896afb81cbd
Roderick, Paul
dbb3cd11-4c51-4844-982b-0eb30ad5085a
Payne, Sheila
d7c97f41-ec69-4157-9339-ca07c521fbcc

Low, J.T.S., Roderick, Paul and Payne, Sheila (2004) An exploration looking at the impact of domiciliary and day hospital delivery of stroke rehabilitation on informal carers. Clinical Rehabilitation, 18 (7), 776-784. (doi:10.1191/0269215504cr748oa).

Record type: Article

Abstract

Objectives: To explore the impact of two methods of post-hospital stroke rehabilitation on both carers' perceptions of the health services offered and their quality of life.
Setting: East Dorset Health Authority.
Subjects: Forty-six informal carers were recruited from a sample of 106, initially identified from stroke patients participating in a larger randomized controlled trial.
Design: Qualitative methods.
Methods: Semi-structured interviews were used at baseline and six months to explore carers' perception of a good therapy, the advantages and disadvantages of the different services and their fulfilment with the services. In-depth thematic analysis was carried out to explore the impact of the two different methods of service delivery on carers' quality of life.
Results: Day hospitals provided carers with respite opportunities, whilst domiciliary stroke teams provided carers with better educational opportunities to be involved in therapy. No qualitative difference was found in the impact that the different services had on carers' quality of life, which were influenced by factors such as the degree of disruption that caring had on their lives, the loss of a shared life and the availability of social support. Ultimately, carers saw the services as providing benefit for survivors and not themselves.
Conclusions: Domiciliary stroke teams provided informal stroke carers with skills that could help improve postdischarge stroke rehabilitation amongst stroke survivors. Informal carers also benefited from the respite elements of day hospital. A mixed model using both domiciliary care and day hospital care, could provide carers with the benefits of education, convenience and respite.

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More information

Published date: July 2004
Keywords: analysis, perception, social support, hospitals, stroke, london, education, male, quality of life, delivery, interviews, patients, methods, hospital-based, design, health, day care, psychology

Identifiers

Local EPrints ID: 61971
URI: http://eprints.soton.ac.uk/id/eprint/61971
ISSN: 0269-2155
PURE UUID: 81675e6b-702b-4461-9e75-c65fd734bbef
ORCID for Paul Roderick: ORCID iD orcid.org/0000-0001-9475-6850

Catalogue record

Date deposited: 09 Sep 2008
Last modified: 09 Jan 2022 02:47

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Contributors

Author: J.T.S. Low
Author: Paul Roderick ORCID iD
Author: Sheila Payne

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