Evidence map›Paper›PMID 31402719›Full record

ArticleDisability and rehabilitation2021

Association of formal and informal care with health-related quality of life and depressive symptoms: findings from the Caring for Adults Recovering from the Effects of Stroke study.

Chelsea Liu, Janet Prvu-Bettger, Orla C Sheehan, Jin Huang, David L Roth

Abstract read
In one paragraph

Article in Disability and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

5 authors.

Chelsea LiuJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0001-9942-9955
Janet Prvu-BettgerDuke Clinical Research Institute, Duke University, Durham, NC, USA.
Orla C SheehanCenter on Aging and Health, Johns Hopkins University, Baltimore, MD, USA.
Jin HuangCenter on Aging and Health, Johns Hopkins University, Baltimore, MD, USA.
David L RothCenter on Aging and Health, Johns Hopkins University, Baltimore, MD, USA.

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
Caregiving and Health Care Utilization after Stroke among Medicare BeneficiariesR01NS075047 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ROTH, DAVID L · 2011 to 2015
$2.0M
NINDS NIH HHS R01 NS075047NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

aimTo investigate the association between informal and formal care and stroke participants' self-reported health-related quality of life and depressive symptoms one year after the stroke event.

methodsWe examined a national population-based sample of 123 stroke participants. Care received was defined as formal (outpatient therapy, care from home health aides, nurses, or therapists), informal (family caregiver), or shared (formal and informal). Hours of care were extracted from Medicare claims and caregiver self-report. A general linear model was used to compare health-related quality of life and depressive symptoms one year after the stroke for those who received shared care, only informal care or only formal care to those with no post-stroke care.

resultsAmong stroke participants, 12.2% received only formal care, 35.0% only informal care, 38.2% shared care, and 14.6% no care. Those with only informal care had greater self-reported depressive symptoms than those who received no care at all.

conclusionsShared care was the most common care configuration for stroke participants, but no significant associations were found between shared care and self-reported outcomes after adjusting for stroke participant characteristics. Further research is needed on the dose of informal and formal care and their coordination to better understand relationships with recovery.IMPLICATIONS FOR REHABILITATIONStroke is one of the leading causes of disability for adults in the USA and ongoing care is needed for survivors.Informal caregivers such as family members play an important role in recovery in addition to formal care provided by home health aides, nurses and therapists.This study showed that survivors with informal care had more severe depressive symptoms, while shared care provided by formal and informal caregivers may prevent further decline in patients with worse baseline health.

Indexed as

Quality of LifeStrokeAdultAgedCaregiversDepressionHumansMedicarePatient CareUnited StatescaregiversdepressionMedicarequality of liferehabilitationStroke

Identifiers

PMID31402719
PMCPMC7564010

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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.