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Although patient self-efficacy and caregiver preparedness are recognised as key determinants of post-stroke management, their dyadic associations with self-care-related variables remain insufficiently understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among 198 patient\u2013caregiver dyads recruited from three tertiary hospitals in China. Patient self-efficacy, caregiver preparedness, patient self-care ability and caregiver contribution were assessed using validated instruments. Dyadic associations were analysed using the actor\u2013partner interdependence model within a distinguishable dyad regression framework. Standardised regression coefficients are reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant actor effects were identified for both members of the dyad. Patient self-efficacy was negatively associated with patient self-care ability (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22120.242,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas caregiver preparedness was positively associated with caregiver contribution (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.289,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No significant partner effects were observed. Patient self-efficacy and caregiver preparedness were positively correlated (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.210,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). The model explained 19.4% of the variance in patient self-care ability and 29.3% in caregiver contribution.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this sample, self-care ability and caregiver contribution were associated with individuals\u2019 own psychological resources rather than cross-partner influences. Given the cross-sectional design and the absence of objective functional status measures, these findings should be interpreted as preliminary and hypothesis-generating rather than confirmatory. Intervention strategies should address patients and caregivers separately but concurrently, while recognising their distinct roles in self-care processes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12912-026-05226-2","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T08:04:38Z","timestamp":1786953878000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dyadic associations between patient self-efficacy, caregiver preparedness and self-care outcomes after stroke: a cross-sectional actor\u2013partner interdependence model study"],"prefix":"10.1186","volume":"25","author":[{"given":"Ling","family":"Yuan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunyu","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanmei","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Xie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yurou","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Zhuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"issue":"10","key":"5226_CR1","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","volume":"20","author":"VL Feigin","year":"2021","unstructured":"Feigin VL, Stark BA, Johnson CO, et al. 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All procedures were conducted in accordance with relevant ethical standards and the Declaration of Helsinki. Written informed consent was obtained from all participants prior to data collection.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"836"}}