Spousal Caregiver Confidence and Recovery From Ambulatory Activity Limitations in Stroke Survivors

Abstract

Objective: This study examined whether spousal confidence in care-recipient recovery can predict recovery from activity limitations following stroke and how spousal confidence relates to stroke survivor self-efficacy for recovery. Design: A prospective design was used. Measures were gathered from stroke survivor/spouse dyads at two time points, both postdischarge from the hospital following stroke (N = 109). Main outcome measures: The dependent variable was recovery from ambulatory activity limitations over 6 weeks, as measured by the Functional Limitations Profile. A single spousal confidence item was tailored to an ambulatory behavior that the stroke survivors could not perform at Time 1. Results: Spousal confidence was correlated with ambulation recovery (r = -0.23, p < .05) and stroke survivor self-efficacy for recovery (r = .25, p < .05). Higher spousal confidence was associated with a better recovery and greater stroke survivor self-efficacy for recovery, but not with initial health status or practical support received. Conclusion: The relationship between caregiver confidence, care-recipient self-efficacy for recovery, and recovery outcomes needs further elucidation. © 2008 American Psychological Association.