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The effect of family-centered approach on participation for persons with stroke
Due to the progress of medical technology, the mortality has reduced significantly in stroke patients recently. However, there were still lots of stroke patients cannot live independently in community. health professions started focusing on the issues of patients’ participation since the International Classification of Functioning, Disability, and Health (ICF) issued. Most of the interventions which enhancing the participation of stroke patients focused on the patients themselves, rare of them focused on their family. This study intended to enhancing social and community participation in stroke patients through family-centered approach. This study used a quasi-experimental pre-posttest research design. Participants were divided into experimental and control groups based on the caregivers’ willingness to joined the intervention or not. Nine were in the experimental group and eight were in the control group. Patients in both groups received one or two 90-120-minute treatment sessions a week, with a total of eight sessions. Patients in experimental group received family-centered approach in which both the patients and their family members attended the treatment sessions, and those in control group received client-centered intervention in which only the stroke patients attended the treatment sessions. Data was analyzed by descriptive statistics, Wilcoxin rank sum test, and Wilcoxin signed ranks test. There was no statistically significant difference between the experimental and control groups in all variables, although the trends of the depression reducing, the diversity of social participation increasing, the desire to change in social/community participation and the difficulty of community participation decreasing in the experimental group were found. In the one-month follow up, there was still no statistically significant difference between the experimental and control groups in all variables, although there was an increasing trend in community participation diversity and participation frequency. This study does not indicate that family-centered approach is better than client-centered approach. However, there are positive trends in community participation diversity and participation frequency. Further studies could recruit more participants and implement intervention early in the onset and longer intervention duration.
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