Feasibility and acceptability of a caregiver training for severe stroke survivors in Peru_quantitative dataset

Background: Stroke incidence and disability in Peru exceed global averages. Post-stroke disease burden is exacerbated by limited access to post-acute care, rehabilitation and caregiver training. To address these gaps, we designed and piloted a hospital-based training intervention to support caregivers of patients discharging home after stroke. Methods: Pilot hybrid implementation study, a convergent mixed-methods design was applied, to collect quantitative and qualitative data from caregivers and stroke nursing staff one-month after discharge. We randomized caregivers to one of two intervention arms (online vs in-person) training, in a tertiary level hospital in Peru. Caregivers of patients with severe Stroke received educational training in nasogastric and Foley tube management, bathing and cleaning, and mobilization. Feasibility and acceptability, fidelity, reach, adoption and implementation outcomes were measured. Results: We recruited 38 caregivers of patients with severe stroke and randomly assigned 19 to each arm. Feasibility and acceptability were over 80% for both groups; adoption (the percentage of caregivers who completed training) was 100% for in-person versus 57.9% for virtual arm (p=0.001). Barriers to participation included caregiver burden, stressful family dynamics and limited technological literacy. Conclusions: While both in-person and online caregiver trainings were feasible and acceptable, in-person training was preferred and showed superior adoption.