scholarly journals Hope, active coping and well-being in stroke-survivors and caregivers: An actor–partner model analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 810-810
Author(s):  
Esther Chow ◽  
Sai-fu Fung
Keyword(s):  
Structural Equation ◽  
Medical Condition ◽  
Likelihood Estimation ◽  
Well Being ◽  
Stroke Survivor ◽  
Active Coping ◽  
Proactive Coping ◽  
Theoretical Development ◽  
Stroke Survivors ◽  
Stroke Patients

Abstract Purpose Stroke is a medical condition cause of suffering for both patients and their caregivers within the family. This paper aimed to assess the influence of the psychological construct of hope and active coping on hedonic wellbeing in patient with stroke and caregiver dyads by determining the dyadic patterns. Methods A baseline study including 200 stroke-survivor (Age 73.63; SD=7.22) and caregiver (62.49; SD=14.44) dyads with actor–partner interdependence model (APIM) estimated by structural equation modelling with maximum likelihood estimation. Herth Hope Index (HHI), Proactive Coping Inventory (PCI) and Personal Wellbeing Index (PWI) were used to measure hope, proactive coping and wellbeing, respectively. Results The APIM analysis revealed that both stroke patients and caregivers demonstrated double actor-only pattern. As such, stroke-survivors’ hope and active coping excreted an actor effect on their own wellbeing with beta = 0.48 (p < 0.01) and 0.16 (p < 0.01), respectively. Similarly, the caregiver also reported an actor effect between hope and wellbeing (beta = 0.84, p < 0.01) as well as active coping with wellbeing (beta = 0.37, p < 0.01). The overall SEM model also fulfilled the criteria for good model fit (χ2 (5.87), p = > 0.05, CFI = 0.98, TLI = 0.96 and RMSEA = 0.07). Conclusions The results suggest that both stroke patients and caregivers’ hedonic wellbeing are holding actor-oriented pattern with the hope and active coping. The implications for clinical practitioners, research and theoretical development are discussed.

Abstract WP354: Hospitalized Stroke Patient Falls Rates Reduced by 50% after Stroke Survivor Focus Group

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Kimberly Gray
Keyword(s):  
Focus Group ◽  
Stroke Patient ◽  
Fall Prevention ◽  
Stroke Survivor ◽  
Stroke Survivors ◽  
Prevention Strategies ◽  
Stroke Patients ◽  
Caregiver Support ◽  
Patient Falls ◽  
Fall Rates

Stroke survivors are well known to fall both in the hospital and in the community settings. Fall prevention literature recommends the use of a variety of interventions, or fall ’bundles’, to reduce hospitalized patient falls. The organization’s stroke collaborative practice team (SCPT) began monitoring hospitalized stroke patient fall rates in 2010. Even when the hospital’s organizational rates dropped, stroke patient fall rates did not. It was noted that there were no bundle strategies specifically targeting the array of disabilities that can be caused from a stroke, nor what is it clear what they should be. Thus, a falls focus group was conducted with the hospital’s stroke survivor and caregiver support group in 2011. The purpose of the meeting was to discuss their experiences with falls, review fall prevention strategies from our organization, and see if they had any suggestions that may prevent hospitalized stroke patients from falling. Over 20 stroke survivors and caregivers attended a videotaped meeting. All stroke survivors, and several caregivers, indicated with a show of hands, that they fell at home and/or while in the hospital. A robust discussion followed where many verbalized that as a result of their deficits, such as impulsivity, memory changes or aphasia, their felt our current fall bundle would not prevent a stroke patient from falling. They felt having someone in the room was a best practice and if no one could be in the room, they recommended using bed alarms. Based on their feedback, the SCPT created a new practice so all stroke patients would be placed on a bed alarm on admission. This allows everyone time to adjust to limitations cause by any new disabilities. Inpatient rehabilitation also added low beds. Data collected January to June 2011 showed on average 2 stroke patients fell each month. The new practices were implemented over the next several months. Data from November 2011- June 2012 showed fall rates dropped to approximately 1 a month, or a 50% reduction in hospitalized stroke patient falls. The value of the patient and family experience can be a powerful tool in improving performance and outcomes. Incorporating their feedback on fall prevention strategies in our organization has helped reduce hospitalized stroke patient falls.

Abstract TP373: Advancing Stroke Recovery Through Social and Emotional Support

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Mary Amatangelo ◽  
Janet Prvu Bettger ◽  
Karen J Collins ◽  
Barry Jackson ◽  
Elaine Miller ◽  
...  
Keyword(s):  
Social Support ◽  
Family Caregivers ◽  
Well Being ◽  
Stroke Survivor ◽  
Support Needs ◽  
Stroke Survivors ◽  
Caregiver Depression ◽  
Post Stroke ◽  
Post Stroke Depression ◽  
Health And Well Being

Background: Post-stroke disability often disrupts family roles and responsibilities. Role reversal, in combination with the disabilities, is emotionally taxing and physically fatiguing for both the stroke survivor and the family caregiver. Depression can result and when left undermanaged can lead to poor health outcomes. Research has shown social support is an important factor in recovery, post-stroke and caregiver depression. Studies have indicated high levels of social support are associated with faster functional recovery and more extensive recovery in stroke survivors. Also, that social support is independently associated with the presence and severity of post stroke depression and that positive social interaction is a significant contributor to variance in initial post stroke depression. Purpose: The purpose of this critical review was to examine the research literature on the relationships of social support and coping strategies with health-related outcomes among stroke survivors and their family caregivers. Methods: Twenty-five articles published between 2000 and 2016, identified by key terms related to stroke survivor and caregiver emotional and adjustment support needs, social support, depression and effective interventions, were reviewed. Results: We found overwhelming evidence that attention to stroke survivor and caregiver social network can advance recovery and improve the health and well being of both stroke survivors and caregivers. Knowledge gaps and focus on emotional and adjustment support needs are not being adequately met by community-based health services. This points to an important need for changes in practice to acclimate stroke survivors and their family caregivers to their new life roles, but also the need for more rigorous studies. Conclusions: In addition to more research, there is a critical need for changes in facilitating transitions of care to meet the emotional and adjustment needs in the stroke population. Encouraging health professionals to screen for social network presence and size and promoting support-seeking behavior may help advance recovery and improve the health and well being of stroke survivors and family caregivers.

Abstract TMP49: Depressive Symptoms After Stroke are Linked Longitudinally between Stroke Survivors and Their Family Caregivers

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
David L Roth ◽  
Orla C Sheehan ◽  
Jin Huang ◽  
J. D Rhodes ◽  
Suzanne E Judd ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Depressive Symptoms ◽  
Family Caregivers ◽  
Short Form ◽  
Well Being ◽  
Stroke Survivor ◽  
Stroke Survivors ◽  
Post Stroke ◽  
Clinically Significant

Background: Multiple previous investigations have documented persistent elevations in depressive symptoms after stroke for stroke survivors and for family caregivers. However, relatively few studies have examined both groups simultaneously, and none have tested for possible predictive linkages in longitudinal analyses. Methods: We collected interview data from 248 stroke survivors and their primary family caregivers who were enrolled in the Caring for Adults Recovering from the Effects of Stroke (CARES) project. CARES is an ancillary study to the national REasons for Geographic and Racial Differences in Stroke (REGARDS) study. Stroke survivors and caregivers were interviewed at 9-, 18-, 27- and 36-months after an adjudicated stroke event. Measures administered to both groups included the 20-item Center for Epidemiological Studies Depression Scale (CESD) and the 12-item Short Form Health Survey (SF-12) of health-related quality of life. Cross-lagged panel analyses were used to investigate linkages between stroke survivors and caregivers over time on these measures. Results: Clinically significant levels of depressive symptoms, as defined by a score of 16 or more on the CESD, were found for 17.0% of the stroke survivors and 13.7% of the caregivers at 9-months after stroke. Longitudinal models revealed that high stroke survivor depressive symptoms at 9-months post-stroke predicted increases in caregiver depressive symptoms at 18-months post-stroke (standardized adjusted regression coefficient = 0.18, p = 0.003). No longitudinal predictive effects were found for caregiver depressive symptoms on stroke survivor outcomes or for the SF-12 measures. Conclusions: Clinically significant levels of depressive symptoms were relatively rare 9-months after stroke in this population-based sample of stroke survivors and family caregivers. Stroke survivor depressive symptoms longitudinally predict caregiver depressive symptoms, but caregiver well-being was not found to longitudinally predict stroke survivor depression or quality of life. Treating elevated depressive symptoms in stroke survivors may also improve caregiver well-being.

scholarly journals Qualitative Study of Chinese Stroke Caregivers’ Caregiving Experience During the COVID-19 Pandemic

Stroke ◽  
2021 ◽  
Author(s):  
Jung Jae Lee ◽  
Wing Nga Tsang ◽  
Sook Ching Yang ◽  
Jojo Yan Yan Kwok ◽  
Vivian W.Q. Lou ◽  
...  
Keyword(s):  
Care Service ◽  
Health Care Service ◽  
Well Being ◽  
Stroke Survivor ◽  
Stroke Survivors ◽  
Psychological Well Being ◽  
Telephone Interviews ◽  
Chinese Adult ◽  
Difficult Time ◽  
Caregiving Roles

Background and Purpose: The coronavirus disease 2019 (COVID-19) outbreak has led to disruptions in health care service delivery worldwide, inevitably affecting stroke survivors requiring ongoing rehabilitation and chronic illness management. To date, no published research has been found on stroke caregiving during the COVID-19 pandemic. This study aimed to explore Hong Kong stroke caregivers’ caregiving experiences in the midst of this difficult time. Methods: Individual semistructured interviews were conducted with 25 Chinese adult primary stroke caregivers from May to June 2020 via telephone. Interviews were transcribed verbatim and analyzed using an interpretive description approach and constant comparison strategy. Results: Five themes of the stroke caregiving experience during the COVID-19 pandemic emerged: care service adversities, additional caregiving workload and strain, threatened relationship between caregiver and stroke survivors, threats to caregivers’ physical and psychological well-being, and needs for continuing caregiving roles. Our findings suggested that caregivers have worsened physical and psychological well-being because of increases in care burden with simultaneously reduced formal and informal support. The relationship between caregiver and stroke survivor was subsequently affected, placing some survivors at heightened risk of abuse. Conclusions: Our study provides valuable findings about stroke caregiving experiences and needs during the pandemic. Delivery of psychological support, telemedicine, and household hygiene resources would be useful to mitigate caregivers’ psychological distress during the COVID-19 pandemic.

scholarly journals Student Teachers’ Proactive Strategies and Experienced Learning Environment for Reducing Study-Related Burnout

2017 ◽  
Vol 7 (1) ◽  
pp. 208 ◽  
Author(s):  
Sanna Väisänen ◽  
Janne Pietarinen ◽  
Kirsi Pyhältö ◽  
Auli Toom ◽  
Tiina Soini
Keyword(s):  
Learning Environment ◽  
Student Teachers ◽  
Structural Equation ◽  
Well Being ◽  
Strategy Use ◽  
The Self ◽  
Proactive Coping ◽  
Equation Modeling ◽  
Perceived Fit ◽  
Primary School Student

The study aims to gain a better understanding of the interrelation and the development of student teachers’ proactive coping strategies, i.e., self-regulative and co-regulative strategies, perceived learning environment and study-related burnout. Longitudinal data were utilized with three annual measurements during bachelor studies. Altogether, 270 primary school student teachers completed the survey. The data was analyzed by using Structural Equation Modeling (SEM). Results showed that the self-regulative strategy adopted by student teachers promoted the use of co-regulative strategy. Co-regulative strategy use in turn contributed to the perceived fit between the student teacher and the learning environment, and further, reduced study-related burnout. Moreover, student teachers’ ability to utilize proactive self-regulative strategies to buffer potential stressors in advance, i.e., an ability to manage one’s own study pace in the direction of well-being, was effective in reducing the risk of developing burnout. Results also showed that both the key determinants for reducing study-related burnout, i.e., proactive strategies and experienced learning environment, and the study-related burnout symptoms themselves were relatively stable.

A transformative perspective of financial services for the unbanked

2019 ◽  
Vol 34 (2) ◽  
pp. 193-205
Author(s):  
Juan Bustamante ◽  
Adriana Amaya
Keyword(s):  
Financial Services ◽  
Structural Equation ◽  
Likelihood Estimation ◽  
Well Being ◽  
Equation Model ◽  
Customer Participation ◽  
Estimation Model ◽  
Content Type ◽  
Positive Effects ◽  
Major Factors

Purpose This paper aims to examine the factors that affect financial services design of and their effect on the improvement of the unbanked customer well-being. Design/methodology/approach The authors use a path analysis to examine customer well-being integration in the activities of service organizations. The theoretical estimation model was conducted using a structural equation model with maximum likelihood estimation. To build a more robust model that explains customer well-being, direct and indirect effects are used in the estimation of the research model. Findings Perceived customer support and interaction with the storekeeper are two major factors that, positively, influence trust and customer participation (CP). In addition, CP plays a key role in enhancing financial empowerment and thereby in the production of greater customer well-being. Originality/value This study sheds light on the positive effects that the design of services has on customer well-being and exposes the underlying mechanisms that contribute to customer well-being through CP. It also provides a unique financial service format and specific strategies for managing trust and CP to enhance individual well-being in the unbanked population in a developing country.

scholarly journals Validation of the PANAS: A Measure of Positive and Negative Affect for Use with Cross-National Older Adults

2017 ◽  
Vol 9 (2) ◽  
pp. 10 ◽  
Author(s):  
Sofia von Humboldt ◽  
Ana Monteiro ◽  
Isabel Leal
Keyword(s):  
Older Adults ◽  
Negative Affect ◽  
Structural Equation ◽  
Likelihood Estimation ◽  
Well Being ◽  
National Sample ◽  
Community Dwelling ◽  
Positive And Negative Affect ◽  
Internal Reliability ◽  
Cross National

Objectives: Positive and negative affect is a relevant facet of well-being for community-dwelling older adults. This article reports the validation of the Positive And Negative Affect Scale (PANAS), by means of confirmatory analysis.Methods: A community-dwelling cross-national sample of 1291 older adults aged 75 years-old and older voluntarily completed the PANAS. The relations between variables in the model were evaluated using structural equation based on maximum likelihood estimation. The distributional properties, cross-sample stability, internal reliability, and convergent, external and criterion-related validities of the PANAS were analyzed and found to be psychometrically acceptable.Results: Our results outcomes support for the hypothesis that the PANAS is valid and reliable in the two 10-item mood scales, hence fit for use with older adults, within a culturally diverse view of well-being.Conclusions: The psychometric properties of the PANAS are satisfactory in this older sample, and according to those of its early version. Taken together, these results substantiate the validity of this measure when applied to an older community cross-national population.

scholarly journals Resilience as the Mediating Factor in the Relationship Between Sleep Disturbance and Post-stroke Depression of Stroke Patients in China: A Structural Equation Modeling Analysis

2021 ◽  
Vol 12 ◽  
Author(s):  
Lina Zhao ◽  
Fengzhi Yang ◽  
Kristin K. Sznajder ◽  
Changqing Zou ◽  
Yajing Jia ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Structural Equation ◽  
Well Being ◽  
Mediating Effect ◽  
Equation Modeling ◽  
Stroke Patients ◽  
Post Stroke ◽  
Increased Risk ◽  
Post Stroke Depression ◽  
The Relationship

Background: Stroke patients may suffer from a variety of symptoms which can result in sleep disturbance and post-stroke depression (PSD). Whereas, resilience can alleviate sleep disturbance and help maintain well-being after stroke.Objective: The aim of this study is to explore whether resilience plays a mediating role in the relationship between sleep disturbance and PSD of stroke patients in China.Methods: A cross-sectional study with a multi-stage sampling was carried out in Liaoning Rehabilitation Center and the Third People's Hospital of Chongqing in China from May to September 2019. A total of 353 stroke patients were enrolled in this study. Structural equation model (SEM) was used to test the mediating effect of resilience on the relationship between sleep disturbance and PSD.Results: The prevalence of PSD of stroke patients was 34.56%. Sleep disturbance contributed most to the variance of PSD and had a significantly positive association with PSD among stroke patients (P < 0.01). Resilience was negatively associated with PSD, and acted as a mediator between sleep disturbance and PSD (a * b = 0.201, BCa 95% CI: 0.156~0.254).Conclusions: The prevalence of PSD was high among the Chinese stroke patients. Sleep disturbance was highly associated with PSD, resulting in the increased risk of PSD. Furthermore, resilience has a mediating effect on the relationship between sleep disturbance and PSD, and could reduce the negative effect of sleep disturbance on the development of PSD.

A Cautionary Note on Incremental Fit Indices Reported by LISREL

Methodology ◽  
2005 ◽  
Vol 1 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Stefan C. Schmukle ◽  
Jochen Hardt
Keyword(s):  
Factor Analysis ◽  
Maximum Likelihood ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Null Model ◽  
Likelihood Estimation ◽  
Parameter Estimates ◽  
Fit Indices ◽  
Cautionary Note ◽  
Confirmatory Factor

Abstract. Incremental fit indices (IFIs) are regularly used when assessing the fit of structural equation models. IFIs are based on the comparison of the fit of a target model with that of a null model. For maximum-likelihood estimation, IFIs are usually computed by using the χ2 statistics of the maximum-likelihood fitting function (ML-χ2). However, LISREL recently changed the computation of IFIs. Since version 8.52, IFIs reported by LISREL are based on the χ2 statistics of the reweighted least squares fitting function (RLS-χ2). Although both functions lead to the same maximum-likelihood parameter estimates, the two χ2 statistics reach different values. Because these differences are especially large for null models, IFIs are affected in particular. Consequently, RLS-χ2 based IFIs in combination with conventional cut-off values explored for ML-χ2 based IFIs may lead to a wrong acceptance of models. We demonstrate this point by a confirmatory factor analysis in a sample of 2449 subjects.

Relationships Between Bidirectional Work-Family Interactions and Psychological Well-Being

2014 ◽  
Vol 13 (2) ◽  
pp. 87-96 ◽  
Author(s):  
Xi-Chao Zhang ◽  
Oi Ling Siu ◽  
Jing Hu ◽  
Weiwei Zhang
Keyword(s):  
Family Conflict ◽  
Structural Equation ◽  
Time Lag ◽  
Well Being ◽  
Equation Modeling ◽  
Family Interactions ◽  
Work Family Conflict ◽  
Psychological Well Being ◽  
Direct Model ◽  
Work Family

This study investigated the direct, reversed, and reciprocal relationships between bidirectional work-family conflict/work-family facilitation and psychological well-being (PWB). We administered a three-wave questionnaire survey to 260 married Chinese employees using a time lag of one month. Cross-lagged structural equation modeling analysis was conducted and demonstrated that the direct model was better than the reversed causal or the reciprocal model. Specifically, work-to-family conflict at Time 1 negatively predicted PWB at Time 2, and work-to-family conflict at Time 2 negatively predicted PWB at Time 3; further, work-to-family facilitation at Time 1 positively predicted PWB at Time 2. In addition, family-to-work facilitation at Time 1 positively predicted PWB at Time 2, and family-to-work conflict at Time 2 negatively predicted PWB at Time 3.

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