Promoting Resilience After Stroke in Dyads (ReStoreD): A Supplemental Analysis
Alexandra L Terrill1, Maija Reblin2, Justin J MacKenzie3
1Department of Occupational & Recreational Therapies, University of Utah, Salt Lake City, UT.
Objective:
To examine preliminary effects of ReStoreD (Resilience after Stroke in Dyads) on resilience in couples coping with stroke-related challenges.
Design:
Supplemental analysis of prospective pilot trial with pre-/post-assessments and 3-month follow-up.
Setting:
Community.
Participants:
Thirty-four cohabitating stroke-care partner dyads (N=34); at least 3 months post-stroke.
Interventions:
8-week self-administered dyadic intervention (ReStoreD) consisting of activities completed individually and as a couple.
Main Outcome Measures:
10-item Connor-Davidson Resilience Scale.
Results:
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 (η2=.34), which was maintained at 3-month follow-up. Care partners showed no significant change over time.
Conclusions:
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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