Development and Effect of Video-based Education to Knowledge and Skill in Hemiplegia Stroke Patient for Caregivers

Abstract

Background: Musculoskeletal problems in post-stroke patient are common complication that cause disability and pain. The use of video-based educational has potential benefits in increasing the efficiency of knowledge transfer and improving the caregiver skills. Therefore, the educational video to transfer the knowledge and practical skills on the post-stroke care and prevention of the musculoskeletal complications was created but its efficacy has not yet been tested.
Objective: The purpose of this study was to assess the effect of video-based educational intervention associated with improved stroke literacy and practical skill of post-stroke hemiplegic care among caregivers prior to the patient’s discharge from the hospital. The study also aimed to investigate the caregiver’s satisfaction and suggestions to improve the educational video.
Methods: One-group pretest-posttest design intervention research was conducted between 1^st June – 31^st August 2020 and 15^th March – 22^nd April 2021. The participants were tested on stroke literacy and practical skill of post-stroke hemiplegic care before and after viewing the 7.53 minutes educational video containing knowledge and practical skill in Hemiplegia stroke patient care for caregivers. The practical skill was assessed by the rehabilitation physician. The McNemar’s test was used to compare the categorical variables and the dependent t-test was used for normal distributed continuous variables.
Results: A total of 110 participants joined the study. Most of the participants were female (78.2%) and the patients’ son/daughter(54.6%) with the mean age of 43 years. The mean scores of knowledge during pre and post intervention were (mean±SD)8.6 (±0.2)and 9.5 (±0.1) respectively(p-value <0.001).The mean scores of bed positioning and performing range of motion exercises for the prevention of joints contractures during pre and post interventions were(mean±SD) 0.04 (±0.03) and 6.8 (±0.2); and (mean±SD) 0.8(±0.1) and 6.0(±0.2) respectively(p-value <0.001).The education level was a factor related to the ability of caregivers in performing the proper practice skill(p-value = 0.002). Most of the participants were satisfied with video media and would like to watch the video again via YouTube channel. The informative document with large and clear images was also required.
Conclusion: The video-based educational intervention significantly enhances the caregivers’ knowledge and practical skill in providing care for the post-stroke hemiplegic patients.