Dyadic Capability in Stroke Survivors and Their Caregivers: A Systematic Review and Integrated Concept Analysis.
Federico Cortese, Eleonora Lombardi, Rosaria Alvaro et al.
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In 30 seconds
This systematic review and integrated concept analysis examined capability and related constructs in stroke survivors and their caregivers, with the aim of clarifying capability at the dyad level. Searches across seven databases identified 22 studies for inclusion. The analysis described dyadic capability as a multidimensional construct defined by self-efficacy, resilience, and motivation. Potential consequences included greater autonomy and dyadic quality of life, lower caregiver burden, and more effective care management. No validated instruments specifically measuring dyadic capability were identified, leaving the construct underdeveloped for research and clinical application.
Key findings
- The review included 22 studies after screening 2318 records and assessing 373 full-text articles.
- Dyadic capability was characterized by three attributes: self-efficacy, resilience, and motivation.
- Potential consequences included improved autonomy and dyadic quality of life, reduced caregiver burden, and more effective care management.
- No validated instruments specifically measuring dyadic capability were identified.
Why it matters
Preparedness and knowledge do not necessarily translate into effective action after stroke. Clarifying capability as a dyadic construct highlights the survivor-caregiver relationship and contextual factors alongside individual attributes. The review offers a conceptual basis for developing measures and evaluating whether interventions support meaningful action, while the absence of validated instruments limits current assessment.
What to keep in mind
The review found no validated instruments specifically measuring dyadic capability, and the construct remains poorly operationalized in stroke research.