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Tenison E, Cullen A, Pendry-Brazier D, Smith MD, Ben-Shlomo Y, Henderson EJ. 1219 INFORMAL CAREGIVERS OF PEOPLE WITH PARKINSONISM IN THE PRIME-UK CROSS-SECTIONAL STUDY. Age Ageing 2023. [DOI: 10.1093/ageing/afac322.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Abstract
Introduction
Many people with parkinsonism require care as the disease progresses with much provided unpaid by family and friends. Caring for someone can have a negative impact on physical and psychosocial wellbeing. Caregiver burden can impact ability to continue this role, which can precipitate hospitalisation or institutionalisation of the recipient.
Methods
In this single-site study, primary, informal caregivers, defined as those providing any care or support, were enrolled alongside the person with parkinsonism or individually. Self-reported questionnaires included the 22-item Zarit Burden Interview (ZBI), which can range from 0-88, with higher scores representing greater burden. Linear regression was used to explore the association between recipient characteristics/need and caregiver burden.
Results
Of 1,032 eligible patients approached, 813 participants indicated whether they had an informal caregiver (708) or not (105). 376 caregivers consented (53.1%), of whom 321 have returned questionnaires, with patient data available for 296. The median age of caregivers was 73.0 (range 27.0- 91.1 years), 237 (73.8%) female. 274 (85.4%) were the spouse/partner of the patient. 215 (67.0%) were the sole caregiver. The median time per week spent caring was 21 hours (interquartile range 7, 41 hours). 18 (5.6%) of caregivers provided 24-hour care daily and 113 (35.2%) had provided support for over 5 years. Median ZBI score was 17, (interquartile range 7-29). The care recipient’s duration of parkinsonism was associated with higher burden score (0.38 increase per year of parkinsonism; 95% CI 0.07, 0.69; p value 0.015), as was the time per week spent caring (0.16 increase for each additional hour; 95% CI 0.11, 0.20; p value <0.0001).
Conclusions
Many informal caregivers in this study were the sole caregiver and many were themselves older adults. Burden increased with increasing duration of parkinsonism and as time spent caring increased. This highlights the ongoing need to improve support for this group.
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Affiliation(s)
- E Tenison
- University of Bristol Department of Population Health Sciences, Bristol Medical School, , Bristol, BS8 1NU, UK
| | - A Cullen
- University of Bristol Department of Population Health Sciences, Bristol Medical School, , Bristol, BS8 1NU, UK
| | - D Pendry-Brazier
- University of Bristol Department of Population Health Sciences, Bristol Medical School, , Bristol, BS8 1NU, UK
| | - M D Smith
- University of Bristol Department of Population Health Sciences, Bristol Medical School, , Bristol, BS8 1NU, UK
| | - Y Ben-Shlomo
- University of Bristol Department of Population Health Sciences, Bristol Medical School, , Bristol, BS8 1NU, UK
| | - E J Henderson
- University of Bristol Department of Population Health Sciences, Bristol Medical School, , Bristol, BS8 1NU, UK
- Royal United Hospitals Bath NHS Foundation Trust Older People’s Unit, , Combe Park, Bath, UK
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Tenison E, Lithander FE, Brazier D, Smith M, Ben-Shlomo Y, Henderson EJ. 697 PATIENTS WITH PARKINSONISM AND THEIR CAREGIVERS: A PROTOCOL FOR THE PRIME-UK CROSS-SECTIONAL STUDY. Age Ageing 2022. [DOI: 10.1093/ageing/afac037.697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
People with parkinsonism (PwP) are a highly heterogeneous group and the condition encompasses a spectrum of motor and nonmotor symptoms which variably emerge and manifest across the disease course, fluctuate over time and negatively impact quality of life. Whilst parkinsonism is not directly the result of ageing, it is a condition that mostly affects older people, who may also be living with frailty and multimorbidity. This study aims to describe a broad range of PwP in relation to their symptomatology, disability, health needs, disease stage, comorbidities and sociodemographics.
Methods
In this cross-sectional study, performed at one site, PwP (excluding those with drug-induced parkinsonism) will be sent a study information pack for themselves and their primary informal caregiver, if relevant. Data are collected via questionnaire, with additional support if required to maximise participation. A specific strategy has been developed to target and proactively recruit patients lacking capacity to consent, including those in residential care settings, with input from a personal consultee prior to completion of a bespoke questionnaire by a representative. Caregivers are also recruited to look at various health outcomes.
Results
Our primary outcome is the frequency of various health outcomes (e.g. depression) and how they cluster together. Linear and logistic regression models will be used to test simple associations and interactions with gender, age group and socio-economic status.
Conclusion
It is necessary to consider the multifaceted problems that PwP experience, together with frailty and comorbidities, in order to fully appreciate the clinical complexity as well as the impact on caregiver well-being. This information is necessary to inform the development of a person-centered, individualised multicomponent intervention to target patients and caregivers most at risk of adverse outcomes. We hope that these findings will inform future intervention trials and improve accessibility to research participation.
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Affiliation(s)
- E Tenison
- Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 1NU, United Kingdom
| | - F E Lithander
- Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 1NU, United Kingdom
| | - D Brazier
- Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 1NU, United Kingdom
| | - M Smith
- Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 1NU, United Kingdom
| | - Y Ben-Shlomo
- Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 1NU, United Kingdom
| | - E J Henderson
- Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, BS8 1NU, United Kingdom
- Older People’s Unit, Royal United Hospitals Bath NHS Foundation Trust, Combe Park, Bath, United Kingdom
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Neumann S, Bamford A, Lithander FE, Tenison E, Henderson EJ. Public attitudes to the use of remote data collection in clinical research. Contemp Clin Trials 2021; 111:106595. [PMID: 34653652 PMCID: PMC8511885 DOI: 10.1016/j.cct.2021.106595] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 10/07/2021] [Accepted: 10/07/2021] [Indexed: 11/28/2022]
Abstract
Background/aims Coronavirus Disease 2019 (COVID-19) has presented an unprecedented challenge for delivering clinical research. The use of technology-assisted data collection for clinical research is desirable for many practitioners, but the acceptability of use in the general population has not been assessed. The aim of the study was to assess attitudes towards using technology-assisted remote methods in the delivery of clinical research in the UK and to understand the barriers to taking part in research with respect to both remote assessments and traditional research methods across different age ranges. Methods The study was conducted as an online anonymous survey with a 4-part questionnaire, between August 2020 and December 2020. Participants living in the UK aged 18 years and above were eligible to take part. Results A total 351 completed the survey and are included in the data analysis. In all age groups, participants identified that use of online assignments, video calls and telephone calls would make them more likely to take part in clinical research. Overall, the largest barrier to taking part in research was time commitments and timing of the appointment. COVID-19 has had a small, positive influence on the confidence of using technology in the general population. Conclusions The study found that there is a large interest in taking part in research using online, telephone and video call appointments, which could facilitate research delivery in light of ongoing COVID-19-related restrictions and also improve the accessibility and inclusivity of research.
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Affiliation(s)
- S Neumann
- University of Bristol, Faculty of Health Sciences, Bristol Medical School, Population Health Sciences, Bristol, UK.
| | - A Bamford
- University of Bristol, Faculty of Health Sciences, Bristol Medical School, Population Health Sciences, Bristol, UK
| | - F E Lithander
- University of Bristol, Faculty of Health Sciences, Bristol Medical School, Population Health Sciences, Bristol, UK
| | - E Tenison
- University of Bristol, Faculty of Health Sciences, Bristol Medical School, Population Health Sciences, Bristol, UK; Royal United Hospitals Bath NHS Foundation Trust, Older Peoples Unit, Bath, UK
| | - E J Henderson
- University of Bristol, Faculty of Health Sciences, Bristol Medical School, Population Health Sciences, Bristol, UK; Royal United Hospitals Bath NHS Foundation Trust, Older Peoples Unit, Bath, UK
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Tenison E, Hernandez M, Mazza N, Pommier N, Rush E, Capone G, Testa N, Carr A, Holshue H, Schmid R, Carey K, Grega L. The Effect of COVID-19 Related Stress on the Health and Wellness Behaviors of Faculty and Staff at a Mid-Size University. J Acad Nutr Diet 2021. [DOI: 10.1016/j.jand.2021.06.270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Tenison E, Hernandez M, Mazza N, Testa N, Pommier N, Grega L, Schmid R, Carey K, Capone G, Carr A, Holshue H, Rush E. Implementation of a University Based Wellness Program in Response to Pandemic Related Loss of Community Nutrition Supervised Practice Rotations. J Acad Nutr Diet 2021. [DOI: 10.1016/j.jand.2021.06.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Tenison E, Hernandez M, Mazza N, Pommier N, Holshue H, Carr A, Testa N, Grega L, Schmid R, Carey K, Capone G, Rush E. The Barriers and Enablers to Participation in Wellness Behaviors Post COVID-19 among Faculty and Staff at a Mid-Size University. J Acad Nutr Diet 2021. [DOI: 10.1016/j.jand.2021.06.267] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Mills J, Tenison E, Brown M. Practices of RDNs as Experienced by Individuals with Polycystic Ovarian Syndrome. J Acad Nutr Diet 2018. [DOI: 10.1016/j.jand.2018.08.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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