Evidence map›Paper›PMID 30844137›Full record

Observational studyPM & R : the journal of injury, function, and rehabilitation2019

Relationship Consensus and Caregiver Burden in Adults with Cognitive Impairments 6 Months Following Stroke.

Chao-Yi Wu, Elizabeth R Skidmore, Juleen Rodakowski

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in PM & R : the journal of injury, function, and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A newly designed intensive caregiver education program reduces cognitive impairment, anxiety, and depression in patients with acute ischemic stroke.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Chao-Yi WuDepartment of Occupational Therapy, University of Pittsburgh, 5055 Forbes Tower, Pittsburgh, PA 15260.
Elizabeth R SkidmoreDepartment of Occupational Therapy, Clinical and Translational Institute, Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA.
Juleen RodakowskiDepartment of Occupational Therapy, Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA.

Funding

University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
Closing Gap in Stroke Rehabilitation: Early Intervention for Cognitive DisabilityR01HD074693 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SKIDMORE, ELIZABETH RENEE · 2013 to 2018
$2.6M
Guided Versus Directed Training in Acute Stroke RehabilitationR03HD073770 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SKIDMORE, ELIZABETH RENEE · 2012 to 2013
$148k
NCATS NIH HHS KL2 TR000146NICHD NIH HHS R01 HD074693NICHD NIH HHS R03 HD073770NIH HHS R01 HD074693NIH HHS R03 HD073770
6 · The paper itself

Abstract

backgroundCaregiver burden is commonly experienced in caregivers of adults with cognitive impairment after stroke. This burden can be associated with caregiver-centered factors, including caregiver-perceived relationship quality.

objectiveTo examine the role of caregiver-perceived relationship quality on caregiver burden at 6 months following stroke.

designProspective observational study.

settingCommunity settings.

participantsAdults enrolled in two randomized controlled trials after stroke (n = 60) and their caregivers (n = 60).

methodsThree constructs of relationship quality (relationship consensus, cohesion, and satisfaction) were examined as predictors of caregiver burden (the Abbreviated Dyadic Adjustment Scale). A hierarchical logistic regression and a Poisson regression with robust standard errors were used to examine the effect of relationship quality on caregiver burden while controlling for characteristics of stroke survivors and caregivers. MAIN OUTCOME MEASUREMENTS: Caregiver burden was measured with the abridged version of the Zarit Burden Interview.

resultsPoor relationship consensus (odds ratio [OR] = 1.48; 95% confidence interval [CI] = 1.06-2.07; P = .02) increased the odds of high caregiver burden after controlling for characteristics of stroke survivors (age, comorbidity, cognitive fluency) and caregivers (gender, self-reported health). Relationship cohesion (OR  = 1.03; 95% CI = .84-1.25; P = .81) and relationship satisfaction (OR  = 1.53; 95% CI = .75-3.10; P = .24) did not predict caregiver burden.

conclusionMeaningful and agreeable goals and expectations between dyads are essential to reduce caregiver burden after stroke. Collaborative goal-setting between stroke survivors and their caregivers may be a promising intervention strategy to increase relationship consensus and reduce caregiver burden. LEVEL OF EVIDENCE: III.

Indexed as

Interpersonal RelationsAgedCaregiversCognition DisordersFemaleGoalsHumansMaleMiddle AgedPersonal SatisfactionProspective StudiesStroke

Identifiers

PMID30844137
PMCPMC6541546

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.