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Effects of “Three Good Things” Intervention on Dyadic Coping Among Young and Middle‐Aged Stroke Survivors and Their Spousal Caregivers

Year: 2026

Type: article

Abstract: Aim To evaluate the effectiveness of the “Three Good Things” (TGT) intervention in improving dyadic coping, mutuality, and well‐being among young and middle‐aged stroke survivors and their spousal caregivers. Methods A parallel‐group quasiexperimental design was used. One hundred young and middle‐aged stroke survivors and their spousal caregivers were recruited and assigned to either the intervention ( n = 50) or control group ( n = 50). The intervention group received eight sessions of the TGT intervention plus routine care. Outcomes were assessed at baseline, immediately postintervention, and at one‐ and three‐month follow‐up. Intervention effects over time and role differences were examined using multilevel modeling. Results The intervention group showed significantly higher overall levels of dyadic coping, mutuality, and subjective well‐being than the control group (all p < 0.05). Role differences were observed in delegated dyadic coping ( p < 0.001), with spouses reporting higher levels than patients. Changes over time in delegated dyadic coping differed between patients and spouses ( p = 0.010), and the intervention effect on mutuality was stronger among patients than among spouses ( p = 0.001). Conclusion The TGT intervention was associated with improvements in psychological and relational outcomes in young and middle‐aged stroke survivors and their spousal caregivers.

Source: Nursing Research and Practice

DOI: 10.1155/nrp/2745228