1
|
Hua Z. Emotional Support from Care Recipients, Caring Relationship Quality, and Caregiving Self-Efficacy among Family Caregivers of Older Adults. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2024; 67:558-574. [PMID: 38564332 DOI: 10.1080/01634372.2024.2338088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 03/15/2024] [Indexed: 04/04/2024]
Abstract
We analyzed 756 family caregivers (mean age = 62.3 years), investigating how emotional support from older care recipients was linked to caregivers' self-efficacy through caring relationship qualtiy. Results indicate a significant positive association between emotional support and caregivers' self-efficacy (r = 0.207, p < .01). Caring relationship quality positively correlated with emotional support (r = 0.292, p < .01) and caregivers' self-efficacy (r = 0.141, p < .01). Controlling for socialdemographic and care-related factors, relationship quality partially mediated the association between emotional support from care recipients and caregivers' self-efficacy. This suggests that interventions supporting caregivers' self-efficacy may benefit from considering both care recipients and dyadic relationships.
Collapse
Affiliation(s)
- Zhiya Hua
- School of Government, Shanghai University of Political Science and Law, Shanghai, China
| |
Collapse
|
2
|
Matthews M, Reid J, McKeaveney C, Noble H. Knowledge Requirements and Unmet Needs of Informal Caregivers of Patients with End-Stage Kidney Disease (ESKD) Receiving Haemodialysis: A Narrative Review. Healthcare (Basel) 2021; 10:healthcare10010057. [PMID: 35052221 PMCID: PMC8775298 DOI: 10.3390/healthcare10010057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 12/20/2021] [Accepted: 12/26/2021] [Indexed: 11/30/2022] Open
Abstract
Background: Patients with end-stage kidney disease receiving haemodialysis rely heavily on informal caregivers to support them living at home. Informal caregiving may exact a toll on caregivers’ physical, emotional, and social well-being, impacting negatively on their overall quality of life. The aim of this narrative review is to report knowledge requirements and needs of informal caregivers of patients with end stage kidney disease (ESKD) receiving haemodialysis. Methods: The review followed the Preferred Reporting Items for Reporting Systematic Reviews and Meta-analyses (PRISMA). Five electronic databases were searched: Web of Science, PsycINFO, Embase, Medline, and CINAHL to identify the experiences and unmet needs of informal caregivers of patients with end stage kidney disease (ESKD) receiving haemodialysis. Results: Eighteen papers were included in the review and incorporated a range of methodological approaches. There are several gaps in the current literature around knowledge and informational needs and skills required by informal caregivers, such as signs and symptoms of potential complications, dietary requirements, and medication management. Although most research studies in this review illustrate the difficulties and challenges faced by informal caregivers, there is a paucity of information as to which support mechanisms would benefit caregivers. Conclusion: Informal caregivers provide invaluable assistance in supporting people with ESKD undergoing haemodialysis. These informal caregivers however experience multiple unmet needs which has a detrimental effect on their health and negatively influences the extent to which they can adequately care for patients. The development of supportive interventions is essential to ensure that informal caregivers have the requisite knowledge and skills to allow them to carry out their vital role.
Collapse
|
3
|
Bohnet-Joschko S, Bidenko K. [Highly Burdened Groups of Family Caregivers - Results of a Cluster Analysis]. DAS GESUNDHEITSWESEN 2021; 84:510-516. [PMID: 33860485 DOI: 10.1055/a-1378-8897] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
AIM The aim of this study was to explore caregiving situations and to identify highly burdened caregiver groups. METHODOLOGY Survey data was collected from 1,429 family caregivers. Family caregivers were defined as relatives, friends, or neighbors who take care of and look after a person in need of care. Cluster analysis identified groups of family caregivers. Group differences were tested for statistical significance using the chi-squared test and analysis of variance. RESULTS Five groups of family caregivers were identified based on their caregiving tasks. Groups were characterized by the care situation (relationship to the person in need, intensity, and duration of care) and socio-demographic factors (gender, age, and employment). Groups differed in the perception of the care-related burden. While emotional burden was high in almost all groups, caregivers who provided everyday care reported high physical burden and those who provided continuous care over a long period reported high financial burden. CONCLUSIONS Caregivers are not a homogeneous group. They take on different roles and are exposed to various health and financial burdens. Information and services need to be addressed target group specifically. The presented typology supports health insurances and municipalities by enabling effective support approaches for highly burdened groups of family caregivers.
Collapse
Affiliation(s)
- Sabine Bohnet-Joschko
- Lehrstuhl für Management und Innovation im Gesundheitswesen, Universität Witten Herdecke, Witten, Deutschland
| | - Katharina Bidenko
- Lehrstuhl für Management und Innovation im Gesundheitswesen, Universität Witten Herdecke, Witten, Deutschland
| |
Collapse
|
4
|
Tsitsi T, Christou A, Christodoulou-Fella M, Beccati S, Boccaletti L, Palermo A, Alves J, Teixeira A, Charalambous A. A Qualitative Focus Group Study for the Exploration of Knowledge and Attitudes of Informal Caregivers Toward Breast Cancer: Perceptions of Informal Caregivers and Healthcare Professionals in Three European Countries. INQUIRY: THE JOURNAL OF HEALTH CARE ORGANIZATION, PROVISION, AND FINANCING 2021; 58:469580211060254. [PMID: 34911397 PMCID: PMC8695740 DOI: 10.1177/00469580211060254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Breast cancer (BC) early screening and detection is a main component for the
outcome of the treatment and overall survival. Informal caregivers (ICGs) are
less likely to initiate early BC screening methods and utilize health services.
The purpose of this study was to explore ICGs’ knowledge and perceptions,
including educational and training opportunities or barriers, in promoting early
detection practices for BC, as well as healthcare professionals’ (HCP)
respective perceptions concerning ICGs in order to identify the need of selected
health literacy interventions. A qualitative focus group study was implemented
in 3 European countries, using a purposive sampling technique. In total, 26 ICGs
and 18 HCPs were involved. The themes that emerged from the focus groups
interviews included knowledge, perceptions, attitudes, and beliefs concerning
BC; motivational factors and barriers that influence early screening practices
and personal involvement. Motivators and barriers concerning BC screening
adherence were linked to knowledge, beliefs and perceptions. Health promotion
strategies and user-friendly tools should be developed, targeting on the
implementation of BC early detection practices among informal caregivers.
Collapse
Affiliation(s)
- Theologia Tsitsi
- School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Andri Christou
- School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | | | | | | | | | | | | | - Andreas Charalambous
- School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
- University of Turku, Turku, Finland
| |
Collapse
|
5
|
Jansen R, Reid M. Communication Technology Use by Caregivers of Adolescents With Mental Health Issues: Systematic Review. JMIR Mhealth Uhealth 2020; 8:e13179. [PMID: 32663143 PMCID: PMC7468639 DOI: 10.2196/13179] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 12/11/2019] [Accepted: 05/14/2020] [Indexed: 11/22/2022] Open
Abstract
Background Caregivers of adolescents with mental health issues experience challenges that may result in the caregivers having a variety of unmet needs. There is a growing need to support these caregivers. Effective support to strengthen positive caregiving behavior in caregivers may address their challenges. Communication technologies offer novel opportunities to assist these caregivers and may contribute to strengthening caregiver behavior. However, little is known about the use of communication technologies among caregivers of adolescents with mental health issues. Objective The study aimed to answer the question: “What is the best evidence available to strengthen positive behavior of caregivers of adolescents with mental health issues using communication technology.” Methods A systematic review of articles published between January 2007 and August 2018 was conducted. Searches included articles of multiple study designs from EBSCO Host and Scopus platforms with prespecified eligibility criteria. Methodological quality was evaluated using the applicable Critical Appraisal Skills Programme and Joanna Briggs Institute assessment tools. Results The search yielded 1746 articles. Altogether, 5 articles met the eligibility criteria and were included in the review for data synthesis. Data analysis and synthesis identified three thematic conclusions reflecting the types of communication technologies used, caregivers as the target population, and strengthening of positive behavior through determinants of the Integrated Model of Behavior Prediction. Conclusions The review reported the usefulness of communication technology by caregivers. Caregivers also demonstrated improvement in self-efficacy, knowledge, parent-child communication, and parental skills reflecting positive behavior. Although the use of communication technology is expanding as a supportive intervention to address caregivers’ needs, the evidence for usefulness among caregivers of adolescents with mental health issues is still scarce. More research and information related to preferred methods of communication delivery among caregivers of adolescents is still needed.
Collapse
Affiliation(s)
- Ronelle Jansen
- School of Nursing, Faculty of Health Science, University of the Free State, Bloemfontein, South Africa
| | - Marianne Reid
- School of Nursing, Faculty of Health Science, University of the Free State, Bloemfontein, South Africa
| |
Collapse
|
6
|
Peters M, Rand S, Fitzpatrick R. Enhancing primary care support for informal carers: A scoping study with professional stakeholders. HEALTH & SOCIAL CARE IN THE COMMUNITY 2020; 28:642-650. [PMID: 31770820 PMCID: PMC7027470 DOI: 10.1111/hsc.12898] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2019] [Revised: 10/21/2019] [Accepted: 11/07/2019] [Indexed: 06/10/2023]
Abstract
Informal carers (i.e. people who provide unpaid care to family and/or friends) are crucial in supporting people with long-term conditions. Caring negatively impacts on carers' health and experiences of health services. Internationally and nationally, policies, legislation, professional guidance and research advocate for health and care services to do more to support carers. This study explored the views of health and social care providers, commissioners and policy makers about the role and scope for strengthening health service support for carers. Twenty-four semi-structured interviews, with 25 participants were conducted, audio-recorded, transcribed verbatim and analysed by thematic analysis. Three main themes emerged: (a) identifying carers, (b) carer support, and (c) assessing and addressing carer needs. Primary care, and other services, were seen as not doing enough for carers but having an important role in identifying and supporting carers. Two issues with carer identification were described, first people not self-identifying as carers and second most services not being proactive in identifying carers. Participants thought that carer needs should be supported by primary care in collaboration with other health services, social care and the voluntary sector. Concerns were raised about primary care, which is under enormous strain, being asked to take on yet another task. There was a clear message that it was only useful to involve primary care in identifying carers and their needs, if benefit could be achieved through direct benefits such as better provision of support to the carer or indirect benefit such as better recognition of the carer role. This study highlights that more could be done to address carers' needs through primary care in close collaboration with other health and care services. The findings indicate the need for pilots and experiments to develop the evidence base. Given the crucial importance of carers, such studies should be a high priority.
Collapse
Affiliation(s)
- Michele Peters
- Health Services Research UnitNuffield Department of Population HealthUniversity of OxfordOxfordUK
| | - Stacey Rand
- Personal Social Services Research UnitSchool of Social Policy, Sociology and Social ResearchUniversity of KentCanterburyUK
| | - Ray Fitzpatrick
- Health Services Research UnitNuffield Department of Population HealthUniversity of OxfordOxfordUK
| |
Collapse
|
7
|
Lambert SD, Duncan LR, Kapellas S, Bruson AM, Myrand M, Santa Mina D, Culos-Reed N, Lambrou A. A Descriptive Systematic Review of Physical Activity Interventions for Caregivers: Effects on Caregivers' and Care Recipients' Psychosocial Outcomes, Physical Activity Levels, and Physical Health. Ann Behav Med 2017; 50:907-919. [PMID: 27439530 DOI: 10.1007/s12160-016-9819-3] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Caregiving can adversely impact individuals' psychosocial and physical well-being. An important task in health research is to find effective ways to enhance caregivers' health and functioning. PURPOSE To provide a systematic review of the efficacy of physical activity (PA) interventions for caregivers on their and the care recipients' psychosocial outcomes, PA levels, and physical health. METHODS Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist, a descriptive systematic review of studies examining the effects of PA interventions for caregivers on their outcomes and those of the care recipients was conducted. Studies were primarily identified through searching electronic databases. RESULTS Fourteen studies were reviewed. PA interventions significantly decreased caregivers' distress and increased their well-being, quality of life, sleep quality, PA levels, self-efficacy for caregiving or exercise, and readiness for exercise. Most PA interventions targeted the caregiver alone. Two studies examined the impact of the intervention on the care recipient and found no significant effect. CONCLUSIONS PA interventions hold promise in improving caregivers' outcomes. However, more high quality trials are needed before definitive conclusions can be drawn.
Collapse
Affiliation(s)
- Sylvie D Lambert
- Ingram School of Nursing, Wilson Hall, 3506 University Street, Montreal, Quebec, H3A 2A7, Canada. .,St. Mary's Research Centre, 3830 Avenue Lacombe, Hayes Pavilion, Montreal, Quebec, H3T 1M5, Canada.
| | - Lindsay R Duncan
- Department of Kinesiology and Physical Education, 475 Pine Ave West, Montreal, Quebec, H2W 1S4, Canada
| | - Sophia Kapellas
- Ingram School of Nursing, Wilson Hall, 3506 University Street, Montreal, Quebec, H3A 2A7, Canada
| | - Anne-Marie Bruson
- Ingram School of Nursing, Wilson Hall, 3506 University Street, Montreal, Quebec, H3A 2A7, Canada
| | - Melanie Myrand
- Ingram School of Nursing, Wilson Hall, 3506 University Street, Montreal, Quebec, H3A 2A7, Canada
| | - Daniel Santa Mina
- Faculty of Kinesiology and Physical Education, University of Toronto, 55 Harbord St., Toronto, Ontario, M5S 2W6, Canada.,Princess Margaret Cancer Centre, ELLICSR-Cancer Survivorship Centre, 585 University Avenue, Munk Building, B PMB 130, Toronto, Ontario, M5G 2C4, Canada
| | - Nicole Culos-Reed
- Faculty of Kinesiology, University of Calgary, 2500 University Drive NW, Calgary, Alberta, KNB 240, Canada
| | - Angella Lambrou
- Schulich Library of Science and Engineering, Macdonald-Stewart Library Building, 809 Sherbrooke Street West, Montreal, Quebec, H3A 0C1, Canada
| |
Collapse
|
8
|
Wharton T, Zivin K. Relationships Among Caregiving, Income, Gender, and Health: A Cross-Sectional Examination of a Representative Sample of Older Americans. JOURNAL OF SOCIAL SERVICE RESEARCH 2016; 43:141-148. [PMID: 28553004 PMCID: PMC5441305 DOI: 10.1080/01488376.2016.1239597] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Although there is substantial evidence to support the impact of burden on caregivers, few studies have compared caregivers to their non-caregiving counterparts on the basis of health and wellbeing outcomes. This study examines the relationship between caregiving and health, and whether other factors may have stronger influence on well-being measures. Using a nationally representative sample of older adults in the United States (N=3,005), this study examines relationships between caregiving status, gender, and income, and nine outcomes (self-rated physical and mental health, time since seeing a doctor, time since most recent pap smear or prostate-specific antigen [PSA] test, depression, loneliness, stress, anxiety), using logistic and linear regression models. Results support that paradoxically, caregiving was associated with increased likelihood of PSA test in male caregivers, although data also indicated higher levels of anxiety and stress, as might be expected. Income was associated with eight of nine outcomes, and gender predicted depression, anxiety, stress, and self-rated mental health. The study highlighted the importance of psychosocial stressors, such as income and gender on the health outcomes of older adults who may be caregiving. Considering complexity of unique experience is necessary to accurately assess vulnerability to poor mental health or health related outcomes.
Collapse
Affiliation(s)
- Tracy Wharton
- School of Social Work, College of Health & Public Affairs, University of Central Florida
| | - Kara Zivin
- Department of Veterans Affairs, Center for Clinical Management Research, Ann Arbor, MI
- University of Michigan Medical School, Ann Arbor, MI
| |
Collapse
|