Farombi, Temitope Hannah (2024) Intermediate Care and Its Impact on The Functional Health and Quality of Life of Older Adult Stroke Survivors in Southwest Nigeria. Doctoral thesis, University of West London.

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Abstract

Background: Stroke is the leading cause of functional disabilities and the second cause of disease morbidity and mortality globally. With the increasing population ageing, there is a rise in the prevalence of stroke across the world.
Objectives: This study aimed to investigate the impact of the intermediate care model on the functional health and quality of life of older adult stroke survivors in southwest Nigeria.
Methods: A systematic review and mixed method (qualitative and quantitative) were to answer research questions. The systematic review followed (Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. Eighteen (18) Informal caregivers of stroke survivors participated in focus group discussions, 8 formal care providers and 8 community gatekeepers participated in key informant interviews. Data was analyzed thematically using NVivo version 12 pro. Older adult stroke survivors and family caregivers (n=58) were recruited at the study’s final phase. The intervention included caregiver training provided at discharge and telephone follow-up for eight weeks. Pre- and post-tests were carried out before the intervention and at the eighth week respectively. Data was obtained on stroke survivors' functional health and quality of life.
Findings: Systematic review revealed that home-based care options include physical therapy, occupational therapy, speech therapy, and meaningful task-specific for training patients. Findings from this qualitative study identified four major themes; experiences in stroke management; community gatekeepers’ perceived social and welfare support needed for older adult stroke patients; strategies that promote interpersonal relationships between formal and informal care providers on home-based care treatment; identification of home-based care needs of older adult stroke patients. There were significant improvements in the Stroke Specific Quality of Life (p<0.001) and functional outcome (p<0.001) across all domains in the post-intervention phase.
Conclusion: This study highlights the need for effective intervention for improving the functional health and quality of life of older adult stroke survivors. Overall, study findings reflect that the delivery of home-based intermediate care model through combining caregivers’ training and telephone follow-up could be effective for continuous stroke care in Nigeria.

Item Type:	Thesis (Doctoral)
Identifier:	10.36828/thesis/12800
Subjects:	Medicine and health > Health promotion and public health
Depositing User:	Marc Forster
Date Deposited:	23 Oct 2024 07:24
Last Modified:	23 Oct 2024 08:00
URI:	https://repository.uwl.ac.uk/id/eprint/12800

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