Promoting Resilience After Stroke in Dyads (ReStoreD): A Supplemental Analysis.

Terrill, Alexandra L; Reblin, Maija; MacKenzie, Justin J; Baucom, Brian R W; Einerson, Jackie; Cardell, Beth; Richards, Lorie; Majersik, Jennifer J · Arch Phys Med Rehabil · 2023

prospective_cohort · Level II

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Abstract

To examine preliminary effects of ReStoreD (Resilience after Stroke in Dyads) on resilience in couples coping with stroke-related challenges. Supplemental analysis of prospective pilot trial with pre-/post-assessments and 3-month follow-up. Community. Thirty-four cohabitating stroke-care partner dyads (N=34); at least 3 months post-stroke. 8-week self-administered dyadic intervention (ReStoreD) consisting of activities completed individually and as a couple. 10-item Connor-Davidson Resilience Scale. Care partner baseline resilience scores were significantly higher than persons with stroke scores. Repeated-measures analysis of variance suggest significant pre-post improvement in resilience for persons with stroke (mean difference [I - J]=-2.42, SE=.91, P=.04, 95% CI [-4.75, -0.08]) with a large effect size (η<sup>2</sup>=.34), which was maintained at 3-month follow-up. Care partners showed no significant change over time. This study provides preliminary evidence that ReStoreD improves resilience in persons with stroke. More research is needed to address resilience in care partners. These findings represent a promising first step to address the mental health needs in this population.

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