Feasibility Study of Problem-Solving Training for Care Partners of Adults With Traumatic Brain Injury, Spinal Cord Injury, Burn Injury, or Stroke During the Inpatient Hospital Stay.
Shannon B Juengst, Candice L Osborne, Radha Holavanahalli and 4 others
PMID 33543049WHAT IT FOUND
Care partners who completed problem-solving training during acute hospital stay reported high satisfaction and confidence after 2.6 sessions, but only 12 of 39 consented and few used app boosters.
Key findings
01Of 39 care partners approached, 12 consented, and 10 completed at least 1 problem-solving session.
02Participants who completed sessions reported high satisfaction, were rated as engaged, and felt confident after 2.6 sessions on average.
03App booster use was limited: 9 profiles were created, and among 8 participants assigned profiles, few completed booster sessions.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
This was a small single-group feasibility study, so it cannot show that problem-solving training improves care partner or patient outcomes. Recruitment was difficult: only 12 of 39 approached care partners consented, and the most common refusal reason was not seeing likely benefit. The sample was not representative: consenting participants were less often women and more often white and non-Hispanic than those approached, and all had at least a high school education. Many care partners did not live with the care recipient, so they may not provide day to day support after discharge. Short lengths of stay prevented completion of all planned sessions. The app was developed mainly for acquired brain injury, not spinal cord injury or burn injury, and very few participants used it.
Declared interests
The supplied text does not report funding or author conflicts of interest. It notes that the CaPPS app content was hosted by ilumivu.
The easy way to misread this
Do not read high satisfaction and confidence as proof that problem-solving training improves care partner or patient outcomes. This was a small single-group feasibility study without a control group or efficacy outcomes.