Abstract 4139838: The Role of Tele-Training And Tele-Support During Transitional Care From Hospital To Home In The Caregivers of Stroke Survivors : A Longitudinal Moderation Analysis

INTRODUCTION: Stroke is the most common cause of adult disability and has a significant impact on the quality of life(QOL) of survivors and caregivers.It is important to implement a tailored intervention that could improve caregiver preparedness for the transition home after a stroke.A patient-and caregiver-centred educational approach,which directly involves caregivers,may have better long-term results.In the light of a recent review,it was identified that it improves dyadic QOL if teletraining and telesupport interventions are developed simultaneously and early in the transition of care from hospital to home. AIM: Is to investigate whether, from 0 to 3 months after hospital discharge, preparation by video-training and telesupport moderates the QOL over time of caregivers of stroke survivors. METHODS: A multicentre longitudinal study was carried out in 6 Italian centres, with video-training before discharge and supported by care transition nurses.Data were collected through interviews starting in January 2024.The WHOQOL-BRIEF was used for QOL and the Caregiver Preparedness Scale and Preparedness Assessment For The Transition Home for preparedness, the care problems of the family nucleus were investigated Caregiver Strain Index,the Multidimensional Scale of Perceived Social Support was used for perceived social support,burden was investigated with the Caregiver Burden Inventory and finally mutuality between caregiver and stroke survivor was investigated with the Mutuality Scale.The structural equation modeling was estimated using the Maximum Likelihood with robust standard method with NLMINB optimization used by Mplus. RESULT A total of 27 dyads were enroled,88% of the caregivers were female.The model showed a good fit to the data(X 2 (84)=90.5,p=.295,SRMR = .096,RMSEA=.031,CFI=.996,TLI= .995).Support had a significant positive effect on QOL(β= .4304,p < .001), while evolution showed a significant negative effect on QOL(β = -.3258,p = .001).The perceived burden did not have a significant effect on QOL(β = .0258, p = .707).Support had a significant negative effect on evolution(β =-.2407,p = .036),whereas perceived burden showed a nonsignificant effect on evolution(β = .1483,p= .111). DISCUSSION: The model describes how teletrainig and telesupport improves caregivers' QOL as early as 3 months after hospital discharge,compared with previous studies where QOL with traditional supportive interventions or training improves but not significantly or with longer time frames.