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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.
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.
An IRF in Northern California.
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).
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.
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.
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.
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.
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