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Development of an Instrument to Assess Stroke Caregivers' Readiness for the Transition Home
Michelle Camicia1,2, Barbara J Lutz3, Theresa Harvath1
1The Betty Irene Moore School of Nursing, University of California-Davis, Sacramento, CA, USA.
Purpose:
The study purpose was to develop a measure to assess stroke caregivers' commitment and capacity to assume the caregiving role prior to discharge.
Design:
Participants were caregivers of stroke survivors in an inpatient rehabilitation facility.
Methods:
A sequential, multimethod approach, which included item generation from qualitative data, review of items by expert clinicians, cognitive interviews to determine response format (n = 22), and item clarity (n = 20), and an analysis of pilot data were utilized.
Findings:
Cognitive interviewing provided information to improve item clarity.
Conclusion:
This instrument development approach resulted in the Preparedness Assessment for the Transition Home After Stroke (PATH-s), a 26-item self-report instrument. The PATH-s represents the domains of the Model of Caregiver Readiness, upon which the instrument was developed.
Clinical Relevance:
The PATH-s, once further validated, may guide healthcare providers in the development of tailored care plans to address identified gaps and better prepare caregivers for the transition home.