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Table 1 Family-focused dyadic psychoeducational intervention (FDPEI) programme

From: Effects of a family-focused dyadic psychoeducational intervention for stroke survivors and their family caregivers: a pilot study

Session

Goal

Content / Activities

Components/strategies

Part I (Structured face-to-face education)

Session 1

To provide the overview of stroke for stroke dyads in order to lay the knowledge foundation

Getting to know stroke

Content

1) Providing dyads with information about stroke, including its aetiology, classifications, signs and symptoms, risk factors, recovery process, and post-stroke health management

2) Informing dyads about how to prevent recurrence of stroke and keep healthy lifestyle in the future

3) Encouraging dyads to express their ideas and views about stroke recovery and post-stroke life, and modifying their inappropriate belief and perceptions

Delivery mode: Face to face/dyad

Duration: 1 h

Format: 45-min individualised teaching activity + 15-min discussion activity

1) Dyad’s resources and perception (information provision)

Session 2

To foster dyads’ coping ability for living in present daily life and normalising the situation in activities by providing information and skill training

Adaptation for care or selfcare in activities of daily life

1) Providing dyads with information about stroke rehabilitation techniques for recovery, care/selfcare techniques in terms of their basic activities (e.g., dressing, personal hygiene, and mobility) and post-stroke complications, and the relevant coping strategies (effectively communication, actively listening, and goal setting) to help dyads implement care/selfcare and rehabilitation activities smoothly

2) Demonstration and return demonstration of the learnt care/selfcare and rehabilitation skills

3) Encouraging dyads to express or share their views or difficulties on care/selfcare and stroke rehabilitation activities, clarifying their relevant misunderstanding, and discussing the potential coping strategies to address these difficulties

Delivery mode: Face to face/dyad

Duration: 1 h

Format: 30-min individualised teaching activity + 30-min skill-training activity

1) Dyads’ perception (information provision)

2) Dyads’ resources (information provision, behavioural regulation)

Session 3

To introduce the information about psychosocial disturbances after stroke and introduce some coping strategies for dyads to adapt these disturbances

Psychosocial adjustment and stress management

1) Providing dyads with information about the psychosocial disturbances that they probably encountered in post-stroke lives, e.g. depression, frustration or uncertainty about future

2) Introducing some possible coping strategies to address these negative emotions (e.g. deep breathing and progressive muscle relaxation) and enhance dyads’ reciprocal relationship (e.g. expression of concern and appreciation)

3) Demonstration and return demonstration of the learnt coping techniques

4) Encouraging dyads to express and share their experience and views about psychosocial disturbances, providing psychological support, and discussing the potential strategies that they can adopt to cope with

Delivery mode: Face to face/dyad

Duration: 1 h

Format: 30-min individualised teaching activity + 15-min technique-training activity + 15-min discussion activity

1) Dyads’ perception (information provision, psychological support)

2) Dyads’ resources (information provision, emotional and behavioural regulation)

Part II (Follow-up telephone counselling)

 

To provide stroke dyads with continuing support in their post-discharge daily lives and reinforce the in-hospital intervention effects

1) Helping dyads identify the stressful issues or psychosocial disturbances that they experienced in the past one week

2) Discussing with stroke dyads about the influence of the perceived issues in their daily lives, and discussing the potential methods to cope with the identified issues

3) Helping dyads identify the appropriate action plan, and encouraging them to implement it in the following week

4) Providing information of professional knowledge and community services links when necessary

Delivery mode: Telephone/dyad

Duration: 4 weeks

Frequency and sessions: 4 contacts, with 30 min/contact

1) Dyads’ perception (information provision, psychological support)

2) Dyads’ resources (information provision, emotional and behavioural regulation)