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Identification of stroke carers 'at risk': a preliminary study of the predictors of carers' psychological well-being at one year post stroke

Stroke Research Unit, Neurosciences Directorate, Frenchay Hospital, Bristol

Victorine A Wood

Stroke Research Unit, Neurosciences Directorate, Frenchay Hospital, Bristol

Richard Langton-Hewer

Stroke Research Unit, Neurosciences Directorate, Frenchay Hospital, Bristol

Background: A third of carers of people who have had a stroke experience poor psychological health. Early prediction of carers' later well-being would allow interventions to be targeted at carers most at risk of a poor outcome.

Aim: To develop a predictive model for the identification of stroke carers at risk of developing poor psychological well-being in the first year post stroke.

Method: Fifty consecutive one-year survivors of a stroke and their carers were assessed on a range of demographic, environmental and psychosocial variables at three months post stroke. The carers' psychological well-being at 12 months post stroke was assessed using the General Well-Being Index (GWBI). Multiple regression analysis was performed to identify the best early predictors of carers' later well-being.

Results: The regression analysis identified three significant predictors of carers' well-being: carers' appraisal of caregiving stress; carers' physical health; and carers' satisfaction with service provision (r² = 0.53). Using this model, 72% of carers' predicted well-being scores fell within nine points of their actual 12-month GWBI score.

Conclusion: Findings from this preliminary study indicate that it may be possible to identify carers most likely to experience poor psychological well- being. In order to develop a clinically usable 'carer risk prediction instrument' further research to test this model is essential.

Clinical Rehabilitation, Vol. 10, No. 4, 337-346 (1996)
DOI: 10.1177/026921559601000413


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