Reducing depression in stroke survivors and their informal caregivers: a randomized clinical trial of a Web-based intervention.

@article{Smith2012ReducingDI,
  title={Reducing depression in stroke survivors and their informal caregivers: a randomized clinical trial of a Web-based intervention.},
  author={Gregory C. Smith and Nichole Egbert and Mary Dellman-Jenkins and Kevin M. Nanna and P. Palmieri},
  journal={Rehabilitation psychology},
  year={2012},
  volume={57 3},
  pages={
          196-206
        }
}
PURPOSE/OBJECTIVES To develop and test the efficacy of a Web-based intervention for alleviating depression in male stroke survivors (SSs) and their spousal caregivers (CGs) that blends both peer and professional support. DESIGN AND METHODS The research consisted of an intervention protocol evaluated by a focus group of rehabilitation professionals, a "think aloud" session conducted with female stroke CGs, and a usability test of the intervention's online features with 7 female stroke CGs… Expand
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References

SHOWING 1-10 OF 41 REFERENCES
Psychosocial interventions for carers of survivors of stroke: a systematic review of interventions based on psychological principles and theoretical frameworks.
TLDR
There is evidence of good quality to show that stroke patients benefit from a counselling combined with education intervention, and those working with survivors of stroke and their families should consider providing counselling and education interventions to patients in the first instance. Expand
The effect of a Web-based stroke intervention on carers' well-being and survivors' use of healthcare services
TLDR
This Web-based intervention helped new carers make informed decisions about healthcare needs of stroke survivors, thus reducing service use. Expand
Improving the quality of life of caregivers of persons with spinal cord injury: a randomized controlled trial.
TLDR
In follow-up analyses, it is found that a higher proportion of caregivers in the dual-target condition had clinically significant improvements in depression, burden, and health symptoms when compared with the caregiver-only condition. Expand
A Meta-Analysis of Interventions for Informal Stroke Caregivers
TLDR
The results show that overall interventions improved mental health of informal stroke caregivers, limiting the generalizability of results while supporting the need for more research in this area. Expand
Helping caregivers of persons with dementia: which interventions work and how large are their effects?
TLDR
Because most interventions have domain-specific outcomes, clinicians must tailor interventions according to the specific needs of the individual caregivers. Expand
Psychosocial Functioning of Spouses of Patients With Stroke From Initial Inpatient Rehabilitation to 3 Years Poststroke: Course and Relations With Coping Strategies
TLDR
Follow-up of spouses of patients with stroke requires not only assessment of burden, but also other aspects of psychosocial functioning like harmony in the relationship, depression, and social relations, because the results show negative long-term consequences of stroke for these aspects of caregiver quality of life. Expand
Interventions for adult family carers of people who have had a stroke: a systematic review
TLDR
A systematic review of the effectiveness of interventions for adult family carers of people with stroke and an exploratory examination of the relationship between the conceptual basis of these interventions and their effectiveness found some benefits were reported for all interventions. Expand
Development of Complex Interventions in Stroke Care: A Systematic Review
TLDR
Few complex interventions in stroke care have been adequately developed or evaluated, which may explain failures to demonstrate efficacy and greater attention is needed to theoretical development and methodological quality. Expand
Poststroke depression: social workers' role in addressing an underrecognized psychological problem for couples who have experienced stroke.
TLDR
The importance of assessing and treating survivors in the context of their committed relationships is described, and measures for assessing for depression among patients with medical comorbidities such as stroke are described. Expand
Identifying at-risk, ethnically diverse stroke caregivers for counseling: a longitudinal study of mental health.
TLDR
Caregiver mental health and care-recipient functioning may have reciprocal causal influence on each other, so one of the first steps in stroke rehabilitation may be providing counseling to the primary caregiver. Expand
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