The effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trial
Abstract Background and purpose Long-term care comes with risks, including caregiver strain. The strain negatively affects caregivers and care quality for the elderly. Enhancing resilience through education can lead to improved health outcomes. This research aimed to evaluate the effect of resilienc...
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BMC
2025-04-01
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| Series: | BMC Nursing |
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| Online Access: | https://doi.org/10.1186/s12912-025-03083-z |
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| author | Fatemeh Qasempoor Tonekaboni Shahzad Pashaeypoor Shima Haghani Nasrin Nikpeyma |
| author_facet | Fatemeh Qasempoor Tonekaboni Shahzad Pashaeypoor Shima Haghani Nasrin Nikpeyma |
| author_sort | Fatemeh Qasempoor Tonekaboni |
| collection | DOAJ |
| description | Abstract Background and purpose Long-term care comes with risks, including caregiver strain. The strain negatively affects caregivers and care quality for the elderly. Enhancing resilience through education can lead to improved health outcomes. This research aimed to evaluate the effect of resilience education on family caregivers’ strain of older people with chronic diseases. Methods This randomized clinical trial was conducted in Amol, Iran from August 2022 to May 2023. Participants were 84 family caregivers of elderly people with chronic diseases. They were selected based on inclusion and exclusion criteria through continuous sampling and randomly allocated to an intervention and a control group using block randomization. Data collected by demographic and Robinson’s Caregiver Strain Index (13 items) questionnaire before, immediately after, and six weeks post-intervention. Resilience education consisted of six sessions delivered in person and electronically (via SMS) to the intervention group over three weeks, based on Henderson’s resilience components training program. Statistical analysis was performed using various tests in SPSS software (v. 16.0) at a significance level of less than 0.05. Results Analysis of variance with repeated measures by groups showed that caregiver strain in the control group did not have a statistically significant difference at any of the different times (p = 0.279). Two-by-two Bonferroni comparison showed that the caregiver strain immediately (18.11 ± 3.12) and six weeks after the intervention (18.78 ± 3.86) had a statistically significant difference compared to before the intervention (20.73 ± 3.51) (p < 0.001). Conclusion The resilience education was found to be effective in significantly reducing family caregivers’ strain of older people with chronic diseases. Therefore, health centers managers and providers can use resilience education to alleviate strain among family caregivers. Trial registration The Thai Clinical Trials Registry TCTR20230424001 prospectively registered on 24 April 2023. |
| format | Article |
| id | doaj-art-e4d0415b51824d19bfa2c76ed1d53e20 |
| institution | OA Journals |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-e4d0415b51824d19bfa2c76ed1d53e202025-08-20T02:30:22ZengBMCBMC Nursing1472-69552025-04-012411910.1186/s12912-025-03083-zThe effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trialFatemeh Qasempoor Tonekaboni0Shahzad Pashaeypoor1Shima Haghani2Nasrin Nikpeyma3Master of Community Health Nursing, Tehran School of Nursing and Midwifery, Tehran University of Medical SciencesDepartment of Community Health and Geriatric Nursing, School of Nursing & Midwifery, Tehran University of Medical SciencesMaster of Biostatistics, School of Nursing & Midwifery, Tehran University of Medical SciencesDepartment of Community Health and Geriatric Nursing, School of Nursing & Midwifery, Tehran University of Medical SciencesAbstract Background and purpose Long-term care comes with risks, including caregiver strain. The strain negatively affects caregivers and care quality for the elderly. Enhancing resilience through education can lead to improved health outcomes. This research aimed to evaluate the effect of resilience education on family caregivers’ strain of older people with chronic diseases. Methods This randomized clinical trial was conducted in Amol, Iran from August 2022 to May 2023. Participants were 84 family caregivers of elderly people with chronic diseases. They were selected based on inclusion and exclusion criteria through continuous sampling and randomly allocated to an intervention and a control group using block randomization. Data collected by demographic and Robinson’s Caregiver Strain Index (13 items) questionnaire before, immediately after, and six weeks post-intervention. Resilience education consisted of six sessions delivered in person and electronically (via SMS) to the intervention group over three weeks, based on Henderson’s resilience components training program. Statistical analysis was performed using various tests in SPSS software (v. 16.0) at a significance level of less than 0.05. Results Analysis of variance with repeated measures by groups showed that caregiver strain in the control group did not have a statistically significant difference at any of the different times (p = 0.279). Two-by-two Bonferroni comparison showed that the caregiver strain immediately (18.11 ± 3.12) and six weeks after the intervention (18.78 ± 3.86) had a statistically significant difference compared to before the intervention (20.73 ± 3.51) (p < 0.001). Conclusion The resilience education was found to be effective in significantly reducing family caregivers’ strain of older people with chronic diseases. Therefore, health centers managers and providers can use resilience education to alleviate strain among family caregivers. Trial registration The Thai Clinical Trials Registry TCTR20230424001 prospectively registered on 24 April 2023.https://doi.org/10.1186/s12912-025-03083-zEducationResilienceFamily caregiversFrail elderlyChronic disease |
| spellingShingle | Fatemeh Qasempoor Tonekaboni Shahzad Pashaeypoor Shima Haghani Nasrin Nikpeyma The effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trial BMC Nursing Education Resilience Family caregivers Frail elderly Chronic disease |
| title | The effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trial |
| title_full | The effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trial |
| title_fullStr | The effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trial |
| title_full_unstemmed | The effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trial |
| title_short | The effect of resilience education on family caregivers’ strain of older people with chronic diseases: a randomized clinical trial |
| title_sort | effect of resilience education on family caregivers strain of older people with chronic diseases a randomized clinical trial |
| topic | Education Resilience Family caregivers Frail elderly Chronic disease |
| url | https://doi.org/10.1186/s12912-025-03083-z |
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