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J Neurol Neurosurg Psychiatry doi:10.1136/jnnp.2008.162966

Alleviation of carer strain during the use of the Neuropage device by people with acquired brain injury.

  1. Thomas W Teasdale (tom.teasdale{at}psy.ku.dk)
  1. University of Copenhagen, Denmark
    1. Hazel Emslie
    1. MRC Cognition and Brain Sciences Unit, University of Cambridge, United Kingdom
      1. Kirsten Quirk
      1. Oliver Zangwill Centre, Princess Diana Hospital, Ely, United Kingdom
        1. Jonathan Evans
        1. Section of Psychological Medicine, Faculty of Medicine, University of Glasgow, United Kingdom
          1. Jessica Fish
          1. MRC Cognition and Brain Sciences Unit, University of Cambridge, United Kingdom
            1. Barbara Wilson (barbara.wilson{at}mrc-cbu.cam.ac.uk)
            1. MRC Cognition and Brain Sciences Unit, University of Cambridge, United Kingdom
              • Published Online First 25 February 2009

              Abstract

              Background: Previous studies have demonstrated the efficacy of a paging system, Neuropage®, in compensating for memory and planning dysfunctions among people with acquired brain injury (ABI, mainly stroke and traumatic brain injury). We here investigated the degree to which this efficacy is accompanied by a reduced experience of strain among their carers.

              Method: In a cross-over design, carers of 99 people with ABI completed a questionnaire concerning strain resulting from the injury at three time-points, before the use of Neuropage®, at the end of a 7 week-period of use, and, for one subgroup, a further seven weeks after withdrawal of Neuropage®.

              Results: There were significant reductions in strain reported by carers following the period of Neuropage® use (Cohen’s d = 0.3 – 0.4). This was true whether the carer was a spouse or a parent. The reduced strain among carers continued even after withdrawal of Neuropage®.

              Conclusion: The efficacy of the paging system for people with ABI appears to result in a reduced strain for their carers.

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