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Research Objectives
The Preparedness Assessment for the Transition Home (PATH) is a 25-item validated
survey that significantly predicts 30-day and 90-day outcomes on the health-related
quality of life of caregivers of patients in an Inpatient Rehabilitation Facility
(IRF). Originally validated for stroke caregivers, the present study validates the
PATH on a broader IRF population.
Design
A consecutive cohort of family caregivers of IRF patients admitted 10/1/2019 through
7/31/2021 and followed longitudinally up to 90-days post-discharge.
Setting
An IRF in Northern California.
Participants
325 caregivers of IRF patients completed the PATH (Brain Injury, N = 131; Spinal Cord
Injury, N = 103; Orthopedic Conditions/Major Multiple Trauma, N = 56; Neurological
Disorders, N = 35).
Interventions
N/A.
Main Outcome Measures
(1) Internal Consistency Reliability: by computing Cronbach's alpha of the PATH responses
for each caregiver sub-group.
(2) Predictive validity by investigating the correlation between the PATH and 30-day
and 90-day outcomes on caregiver strain and global health.
Results
Overall PATH completion rate was 71.4% (325 caregivers). The 30-day and 90-day attrition
was 34% and 48% respectively. Internal consistency reliability for the PATH was 0.91,
0.88, 0.91, and 0.88 for caregivers of patients with Brain Injury, Spinal Cord Injuries,
Orthopedic/ Major Multiple Trauma, and Neurological Disorders, respectively. The PATH
significantly predicted 30-day and 90-day outcomes in the brain injury and orthopedic
groups, 30-day outcomes in the spinal cord injury group, and 90-day outcomes in the
neurological disorders group.
Conclusions
The PATH demonstrates excellent psychometric properties when administered for a broad
range of IRF caregivers. Future research is needed on the validity of the PATH in
different care settings and regions, as well as its reliability among heterogenous
caregivers.
Author(s) Disclosures
Michelle Camicia is a course instructor for MedBridge Inc.
Barbara Lutz is a consultant and course instructor for MedBridge Inc.
Brian Theodore has no disclosures for conflicts of interest.
Cristine Ray has no disclosures for conflicts of interest.
Keywords
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© 2022 Published by Elsevier Inc.
