The effect of education based on the seven-step (7E) learning cycle on the quality of life of stroke patients and the care burden of their caregivers: a randomized clinical trial.

Introduction: Education deficiency increases caregiver burden, worsening patient's Quality of Life (QoL). The Seven-Step (7E) model enhances critical thinking and problem-solving skills using previous experiences. This study aimed at evaluating the influence of education using 7E model on the stroke...

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Published in:Topics in Stroke Rehabilitation Vol. 32; no. 8; pp. 856 - 872
Main Authors: Sarmadi, Sogand, Sanaie, Neda, Javaheri Tehrani, Fereshteh, Nasiri, Malihe, Shariati, Esmail
Format: research tables/charts randomized controlled trial Journal Article
Published: Taylor & Francis Ltd Dec2025
Online Access:View this record in EBSCOhost
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      dt: Dec2025
      vid: 32
      iid: 8
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/10749357.2025.2496917
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        atl: The effect of education based on the seven-step (7E) learning cycle on the quality of life of stroke patients and the care burden of their caregivers: a randomized clinical trial.
      aug:
        au:
          Sarmadi, Sogand
          Sanaie, Neda
          Javaheri Tehrani, Fereshteh
          Nasiri, Malihe
          Shariati, Esmail
        affil: Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Quality of Life
          Stroke Patients Education
          Caregiver Burden Prevention and Control
          Caregivers Education
          Learning Methods
          Outcomes of Education Evaluation
          Critical Thinking
          Problem Solving
          Human
          Randomized Controlled Trials
          Random Assignment
          Male
          Female
          Adult
          Middle Age
          Aged
          Single-Blind Studies
          Hospitals
          Outpatient Service
          Academic Medical Centers
          Iran
          Patient Attitudes
          Caregiver Attitudes
          Scales
          Questionnaires
          Pretest-Posttest Design
          Physical Mobility
          Self Care
          Comparative Studies
          Teaching Methods
          Survivors
          T-Tests
          Chi Square Test
          Fisher's Exact Test
          Analysis of Covariance
          Paired T-Tests
          Descriptive Statistics
          Data Analysis Software
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Introduction: Education deficiency increases caregiver burden, worsening patient's Quality of Life (QoL). The Seven-Step (7E) model enhances critical thinking and problem-solving skills using previous experiences. This study aimed at evaluating the influence of education using 7E model on the stroke patients' QoL and the caregivers' burden. Methods: Following a single-blind parallel-group randomized controlled trial, 110 patient-caregiver dyads were included in the present study from 10 July 2024 to 15 November 2024. The study was conducted in two hospitals and one clinic affiliated with the Shahid Beheshti University of Medical Sciences. They were randomly divided into two groups: 7E model (n = 55) and routine education (n = 55). Data was collected with the Stroke-Specific Quality of Life Scale and Caregiver Burden Inventory (CBI). In the experimental group, training was conducted based on the 7E model. The questionnaires were completed at the pre-test stage and eight weeks later as post-tests. Results: Before the intervention, the two groups did not have a statistically significant difference in demographic information and the total score of QoL and CBI (p > 0.05). After intervention, the analysis showed that the mean scores were significantly higher in all dimensions except mobility and self-care in the experimental group compared to the control group (p < 0.05). Also, regarding caregiver burden, after removing the effect of age, results showed that the CBI in all dimensions' scores in the experimental group were significantly lower compared to the control group (p = 0.004). Conclusion: Compared to conventional educational approaches, 7E model demonstrated greater efficacy in improving patients' quality of life and reducing caregiver burden.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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