Stroke survivors’ health literacy is not associated with caregiver burden: a cross-sectional study

Abstract Caregivers to stroke survivors often experience a multifaceted strain defined as caregiver burden. Low health literacy among caregivers may contribute to increased caregiver burden but there is limited research specifically examining the association between stroke survivors’ health literacy...

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Main Authors: Andrea Hess Engström, Sebastian Lindblom, Maria Flink, Susanna Söderberg, Lena von Koch, Charlotte Ytterberg
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-89523-x
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author Andrea Hess Engström
Sebastian Lindblom
Maria Flink
Susanna Söderberg
Lena von Koch
Charlotte Ytterberg
author_facet Andrea Hess Engström
Sebastian Lindblom
Maria Flink
Susanna Söderberg
Lena von Koch
Charlotte Ytterberg
author_sort Andrea Hess Engström
collection DOAJ
description Abstract Caregivers to stroke survivors often experience a multifaceted strain defined as caregiver burden. Low health literacy among caregivers may contribute to increased caregiver burden but there is limited research specifically examining the association between stroke survivors’ health literacy and caregiver burden. Therefore, the aim here is to explore if there is an association between stroke survivors’ health literacy and caregiver burden one year after stroke. Participants were 50 caregivers and 50 stroke survivors who were followed up in a longitudinal study on care transitions after stroke. Data were collected one year after the stroke survivors’ discharge from hospital and analysed using ordinal logistic regression. Most of the caregivers, median age 71 years, reported being satisfied with their lives (85%) and a low caregiver burden (74%). Stroke survivors’ health literacy was not associated with caregiver burden. However, lower needs of assistance in daily activities, lower levels of depression, higher levels of participation and increased age in stroke survivors were associated with lower caregiver burden. In conclusion, stroke survivors’ health literacy was not associated with caregiver burden one year after stroke. Future studies with larger samples, focusing on populations with lower functioning after stroke and higher caregiver burden, are recommended.
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spelling doaj-art-545c652c937b4ac382382937748a5c242025-02-09T12:30:20ZengNature PortfolioScientific Reports2045-23222025-02-011511710.1038/s41598-025-89523-xStroke survivors’ health literacy is not associated with caregiver burden: a cross-sectional studyAndrea Hess Engström0Sebastian Lindblom1Maria Flink2Susanna Söderberg3Lena von Koch4Charlotte Ytterberg5Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetDepartment of Neurobiology, Care Sciences and Society, Karolinska InstitutetDepartment of Neurobiology, Care Sciences and Society, Karolinska InstitutetWomen’s Health and Allied Health Professionals Theme, Karolinska University HospitalDepartment of Neurobiology, Care Sciences and Society, Karolinska InstitutetDepartment of Neurobiology, Care Sciences and Society, Karolinska InstitutetAbstract Caregivers to stroke survivors often experience a multifaceted strain defined as caregiver burden. Low health literacy among caregivers may contribute to increased caregiver burden but there is limited research specifically examining the association between stroke survivors’ health literacy and caregiver burden. Therefore, the aim here is to explore if there is an association between stroke survivors’ health literacy and caregiver burden one year after stroke. Participants were 50 caregivers and 50 stroke survivors who were followed up in a longitudinal study on care transitions after stroke. Data were collected one year after the stroke survivors’ discharge from hospital and analysed using ordinal logistic regression. Most of the caregivers, median age 71 years, reported being satisfied with their lives (85%) and a low caregiver burden (74%). Stroke survivors’ health literacy was not associated with caregiver burden. However, lower needs of assistance in daily activities, lower levels of depression, higher levels of participation and increased age in stroke survivors were associated with lower caregiver burden. In conclusion, stroke survivors’ health literacy was not associated with caregiver burden one year after stroke. Future studies with larger samples, focusing on populations with lower functioning after stroke and higher caregiver burden, are recommended.https://doi.org/10.1038/s41598-025-89523-xCaregiversCare recipientSelf-management behavioursCare transitionsCross-sectionalFunctioning
spellingShingle Andrea Hess Engström
Sebastian Lindblom
Maria Flink
Susanna Söderberg
Lena von Koch
Charlotte Ytterberg
Stroke survivors’ health literacy is not associated with caregiver burden: a cross-sectional study
Scientific Reports
Caregivers
Care recipient
Self-management behaviours
Care transitions
Cross-sectional
Functioning
title Stroke survivors’ health literacy is not associated with caregiver burden: a cross-sectional study
title_full Stroke survivors’ health literacy is not associated with caregiver burden: a cross-sectional study
title_fullStr Stroke survivors’ health literacy is not associated with caregiver burden: a cross-sectional study
title_full_unstemmed Stroke survivors’ health literacy is not associated with caregiver burden: a cross-sectional study
title_short Stroke survivors’ health literacy is not associated with caregiver burden: a cross-sectional study
title_sort stroke survivors health literacy is not associated with caregiver burden a cross sectional study
topic Caregivers
Care recipient
Self-management behaviours
Care transitions
Cross-sectional
Functioning
url https://doi.org/10.1038/s41598-025-89523-x
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