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The influence of caregiver preparedness, perceived social support and general self-efficacy on self-contribution among stroke caregivers

A cross-sectional study

Bibliographic Data

ID22078202
AuthorsHui Teng (0000-0001-7825-202X, Huaihua University, corresponding author), Zhou Tan (0000-0003-0235-0306, Huaihua University), Mengni Zhen (Huaihua University), Qingxia Shu (0000-0003-0584-6622, Huaihua University, corresponding author)
Year2025
Volume13
Pages1679532-1679532
Publication date2025-10-16
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1679532
PMID41179786
OpenAlexW4415234472
LanguageEN
References cited25

Background: Caregivers' self-care contributions are crucial for enhancing stroke patients' self-care capabilities, and patients receiving family support often demonstrate higher treatment adherence. Although it is widely recognized that caregivers' preparedness to provide care positively influences self-care contributions, the underlying mechanisms of this association remain unclear. This study aims to explore the mechanisms through which caregiver preparedness, perceived social support, and general self-efficacy influence caregiver readiness and self-care contribution among stroke caregivers in the contemporary Chinese context. Aim: Based on the Individual and Family Self-Management Theory (IFSMT) model, this study examined the effects of caregivers' caregiving preparedness, perceived social support, and general self-efficacy on their self-care contribution among stroke caregivers. Design: A cross-sectional study. Methods: Using convenience sampling, 277 stroke caregivers from four tertiary Grade A hospitals in Xiangxi, Hunan Province, China were surveyed with paper-based questionnaires during outpatient follow-up visits in July 2024. Data were analyzed using SPSS/AMOS for descriptive statistics, Pearson correlation, multiple regression, and structural equation modeling with bootstrapping to test hypothesized relationships and mediation effects. Results: The self-care contribution was at a moderate level, showing significant positive correlations with caregiving preparedness, perceived social support, and general self-efficacy. Both perceived social support and general self-efficacy demonstrated partial mediating effects between caregiving preparedness and self-care contribution. Conclusion: Improving caregivers' self-care contribution requires focused attention on enhancing caregiving preparedness, perceived social support, and general self-efficacy. The study highlights the bridging role of perceived social support and general self-efficacy between preparedness and contribution. Clinical interventions should: 1 strengthen preparedness through standardized training, 2 build social support networks for psychological empowerment, and 3 employ motivational interviewing to boost self-efficacy, thereby establishing a virtuous cycle of "knowledge-resources-confidence"

Interview · Preparedness · Psychological intervention · Social support · Acute Ischemic Stroke Management · Nursing care and research · Stroke Rehabilitation and Recovery

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