Chronic Disease: A Telehealth Transition Assistance Program (TAP) for Veteran Caregivers

2.50
Hdl Handle:
http://hdl.handle.net/10755/151032
Type:
Presentation
Title:
Chronic Disease: A Telehealth Transition Assistance Program (TAP) for Veteran Caregivers
Abstract:
Chronic Disease: A Telehealth Transition Assistance Program (TAP) for Veteran Caregivers
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Anderson, Jane A., PhD
P.I. Institution Name:Michael E. DeBakey VA Medical Center
Title:Associate Director, Stroke Center
Co-Authors:Pamela Willson, RN, PhD, FNP, BC
21st INRC [Evidence-Based Practice Symposium Presentation] Purpose: About 80,000 veterans receiving health care in the Veterans Health Affairs (VHA) are stroke survivors and about 9,000-11,000 veterans are hospitalized annually with a new stroke. Almost 80% of stroke survivors are discharged home and live for at least five years, shifting a large amount of continuing care to informal caregivers. Informal caregivers play a key role in assisting stroke survivors to sustain independent living in their own homes and communities The purpose of this presentation is to report findings of the impact of the TAP on caregiver strain, depression, and satisfaction with the program and changes in veteran's functional status. Methods: The demonstration pilot program was conducted at the Stroke Specialty Rehabilitation Program, VA Caribbean Healthcare System, San Juan, PR and the Michael E. DeBakey VA Stroke Center, Houston, TX. These two centers have the highest volume of stroke treatment in the VHA. The program used our previous research findings on stroke care giving and stroke recovery after discharge home. The Transition Assistance Program (TAP) includes three components to reduce caregiver strain and depression: (1) skill development; (2) education; and (3) supportive problem solving.ÿ Results: A total of 88 dyads participated including 52 from Puerto Rico and 36 from Houston, Texas.ÿ Of these participants, 61 dyads were able to complete the 3 month follow up. Participants were randomly assigned to Control and Treatment Group (videophone). Findings indicate that the TAP reduced depression and caregiver strain.ÿ As caregiver satisfaction with TAP increased, strain, and depression decreased. Conclusion: When coupled with the very high rate of program satisfaction, which was 9.5 out of a maximum of 10, this pattern suggests that TAP participation helped caregivers cope. Veteran motor function was significantly linkedÿ to caregiver satisfaction with TAP suggesting that as satisfaction with TAP increased, so did veteran functional ability.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleChronic Disease: A Telehealth Transition Assistance Program (TAP) for Veteran Caregiversen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151032-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Chronic Disease: A Telehealth Transition Assistance Program (TAP) for Veteran Caregivers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Anderson, Jane A., PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Michael E. DeBakey VA Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Director, Stroke Center</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jane.anderson@va.gov</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Pamela Willson, RN, PhD, FNP, BC</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Symposium Presentation] Purpose: About 80,000 veterans receiving health care in the Veterans Health Affairs (VHA) are stroke survivors and about 9,000-11,000 veterans are hospitalized annually with a new stroke. Almost 80% of stroke survivors are discharged home and live for at least five years, shifting a large amount of continuing care to informal caregivers. Informal caregivers play a key role in assisting stroke survivors to sustain independent living in their own homes and communities The purpose of this presentation is to report findings of the impact of the TAP on caregiver strain, depression, and satisfaction with the program and changes in veteran's functional status. Methods: The demonstration pilot program was conducted at the Stroke Specialty Rehabilitation Program, VA Caribbean Healthcare System, San Juan, PR and the Michael E. DeBakey VA Stroke Center, Houston, TX. These two centers have the highest volume of stroke treatment in the VHA. The program used our previous research findings on stroke care giving and stroke recovery after discharge home. The Transition Assistance Program (TAP) includes three components to reduce caregiver strain and depression: (1) skill development; (2) education; and (3) supportive problem solving.&yuml; Results: A total of 88 dyads participated including 52 from Puerto Rico and 36 from Houston, Texas.&yuml; Of these participants, 61 dyads were able to complete the 3 month follow up. Participants were randomly assigned to Control and Treatment Group (videophone). Findings indicate that the TAP reduced depression and caregiver strain.&yuml; As caregiver satisfaction with TAP increased, strain, and depression decreased. Conclusion: When coupled with the very high rate of program satisfaction, which was 9.5 out of a maximum of 10, this pattern suggests that TAP participation helped caregivers cope. Veteran motor function was significantly linked&yuml; to caregiver satisfaction with TAP suggesting that as satisfaction with TAP increased, so did veteran functional ability.</td></tr></table>en_GB
dc.date.available2011-10-26T10:49:53Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:49:53Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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