Stroke Patients and Their Caregivers Clinical Trial
Official title:
Typology of Needs and Quality of Life of Stroke Patients and Their Caregivers
The incidence of Stroke in France is about 150 000 per year. Stroke represents the leading
cause of long-term disability. The specificity of stroke is the sequelae polymorphism that
can occurs: physical disability, cognitive deficit and sensitive trouble. Then this large
extend of sequelae may have a different impact on daily life. Therefore, we have to consider
the individual's own resources and in his whole environment to face the situation. We suppose
that each situation, each post-stroke disability will have a different social impact in
stroke survivors and their caregivers. Nowadays, Barthel Index and Rankin scale are the
standards for the assessment of the stroke impact on survivors' daily life. However, what is
the real impact of an activity limitation in daily life? How consider the psychosocial impact
of stroke only with functional indicators? For this study we will consider handicap and
disability in a societal way. In fact, the WHO developed in 2001 the International
Classification of functioning, disability and health that allows to bring the concept of
participation restriction, this is to say the consequences of a disability in the real life.
The ICF allows to bring a conceptual framework of participation restriction.
Psychosocial consequences of stroke are relatively unknown especially in France. According to
our hypothesis, patients with major disabilities and their caregivers will experience more
psychosocial consequences and participation restriction in terms of emotional health, quality
of life and burden. Also, we hypothesize that stroke severity, the typology of disabilities
(motor, cognitive and sensorial) will have a different impact on patients and proxys' lifes
in terms of psychosocial consequences, participation restriction and quality of life.
TYBRA study is a prospective multicentric cohort study that mixes qualitative and
quantitative approaches. The first aim of the quantitative approach is to explore factors
related to patients and their caregivers at 6 months that predict participation restriction
at 12 months post-stroke. The first aim of the qualitative study is to explore the experience
of stroke in minor stroke patients and their proxys.
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