Aspirational Rehabilitation Coaching for Holistic Health (ARCH): A Pilot Pre-Post Experimental Study
Aspirational Rehabilitation Coaching for Holistic Health (ARCH): A Pilot Pre-Post Evaluation of Psychosocial Recovery in First-Time Stroke Survivors and Family Caregivers
Nanyang Technological University
60 participants
Mar 1, 2024
INTERVENTIONAL
Conditions
Summary
The ARCH programme is a novel, strength-based, dyadic, multicomponent psychosocial intervention that blends together psychoeducation, psychosocial support and self-compassion practices to aid first-time stroke survivors and their family caregivers with their psycho-socio-emotional and spiritual challenges following discharge from in-patient care. A pre-post experimental design with a feasibility and acceptability assessment is adopted to evaluate and refine the ARCH intervention in promoting wellbeing, self-compassion, independence, quality of life, hope, resilience, self-efficacy and dyadic mutuality.
Eligibility
Inclusion Criteria6
- Aged 21 years and above
- Recovering from their first stroke at mild to moderate degree of severity
- Discharged from inpatient care at no later than 3 months,
- Clinically assessed to have cognitive capacities to engage in and complete the research study,
- Language capabilities in English or Mandarin, and
- One identified primary family caregiver aged 21 years and above with similar language capabilities.
Exclusion Criteria4
- Families with survivors suffering from aphasia,
- Being too ill to participate,
- Experiencing moderate to severe cognitive impairment, and
- With family caregivers who are not interested to participate.
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Interventions
Stroke dyads, consisting of a survivor and primary family caregiver, will engage in a 4 weekly, 1.5 hour experiential dyadic sessions, totalling 6 hours of participation. In Week 1, dyads acknowledge the losses occurring after the stroke to normalize feelings of grief and sadness and find comfort within the familial space. In Week 2, dyads interpret their post-stroke losses within the framework of their existing knowledge for managing adversities (strengths, resources, and values) and identify changes that are most meaningful to them. In Week 3, dyads set specific, measurable, and achievable goals to actualize the meaningful changes identified in Week 2. Finally in Week 4, dyads bring together their individually derived strengths from the previous sessions to culminate into strengthened dyadic bonds. The exercise will also encourage participants to expand beyond the dyadic space to seek support from their communities, social networks and care services that are available to them.
Locations(1)
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NCT06596551