Promoting Resilience After Stroke in Dyads (ReStoreD): A Supplemental Analysis.
Alexandra L Terrill, Maija Reblin, Justin J MacKenzie and 5 others
PMID 37075965WHAT IT FOUND
Resilience scores improved significantly in people with stroke after a 8-week dyadic activity programme.
Care partners showed no significant change. The waitlist control group dropped out, so the analysis was single-arm and cannot confirm the programme caused the improvement.
Key findings
01People with stroke showed a significant improvement in resilience scores from baseline to post-intervention and to 3-month follow-up, with gains maintained over time.
02Care partners showed no significant change in resilience scores during or after the intervention.
03Higher care partner resilience immediately after the intervention predicted greater resilience in the person with stroke at follow-up.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study was a pilot and not powered to prove efficacy. High dropout in the waitlist group meant the analysis became single-arm, so it is impossible to know if the improvement was due to the intervention or natural recovery over time. The sample was predominantly white, well-educated, and higher-functioning, so results may not apply to more diverse or severely impaired populations. The resilience measure used has no established minimal clinically important difference, so it is unclear if the statistical improvements were meaningful to patients. The self-administered nature of the intervention may have inadvertently increased the burden on care partners, who did not show resilience gains.
Declared interests
The study was supported by the National Institutes of Health (N.I.H., Extramural). No other conflicts of interest are reported in the provided text.
The easy way to misread this
Do not assume the intervention caused the improvement in resilience. Because the waitlist control group dropped out, the study switched to a single-arm analysis. This means there was no comparison group to account for natural recovery or the passage of time.