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Understanding and alleviating informal caregiver burden through the development and validation of a caregiver strain index-based model in Taiwan.
Chien, Shuo-Chen; Chang, Yu-Hung; Yen, Chia-Ming; Chen, Ying-Erh; Liu, Chia-Chun; Hsiao, Yu-Ping; Yang, Ping-Yen; Lin, Hong-Ming; Yang, Tsung-En; Lu, Xing-Hua; Wu, I-Chien; Hsu, Chih-Cheng; Chiou, Hung-Yi; Chung, Ren-Hua.
Afiliação
  • Chien SC; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Chang YH; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Yen CM; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Yunlin County, 632, Taiwan.
  • Chen YE; Graduate Institute of Biomedical Sciences, China Medical University, Taichung City, 404, Taiwan.
  • Liu CC; Department of Risk Management and Insurance, Tamkang University, New Taipei City, 251, Taiwan.
  • Hsiao YP; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Yang PY; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Lin HM; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Yang TE; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Lu XH; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Wu IC; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Hsu CC; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Chiou HY; Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, 350, Taiwan.
  • Chung RH; National Center for Geriatrics and Welfare Research, National Health Research Institutes, Yunlin County, 632, Taiwan.
BMC Geriatr ; 24(1): 558, 2024 Jun 26.
Article em En | MEDLINE | ID: mdl-38918715
ABSTRACT

BACKGROUND:

Quantifying the informal caregiver burden is important for understanding the risk factors associated with caregiver overload and for evaluating the effectiveness of services provided in Long-term Care (LTC).

OBJECTIVE:

This study aimed to develop and validate a Caregiver Strain Index (CSI)-based score for quantifying the informal caregiver burden, while the original dataset did not fully cover evaluation items commonly included in international assessments. Subsequently, we utilized the CSI-based score to pinpoint key caregiver burden risk factors, examine the initial timing of LTC services adoption, and assess the impact of LTC services on reducing caregiver burden.

METHODS:

The study analyzed over 28,000 LTC cases in Southern Taiwan from August 2019 to December 2022. Through multiple regression analysis, we identified significant risk factors associated with caregiver burden and examined changes in this burden after utilizing various services. Survival analysis was employed to explore the relationship between adopting the first LTC services and varying levels of caregiver burden.

RESULTS:

We identified 126 significant risk factors for caregiver burden. The most critical factors included caregiving for other disabled family members or children under the age of three (ß = 0.74, p < 0.001), the employment status of the caregiver (ß = 0.30-0.53, p < 0.001), the frailty of the care recipient (ß = 0.28-0.31, p < 0.001), and the behavioral symptoms of dementia in care recipients (ß = 0.28-2.60, p < 0.05). Generally, caregivers facing higher burdens sought LTC services earlier, and providing home care services alleviated the caregiver's burden.

CONCLUSION:

This comprehensive study suggests policy refinements to recognize high-risk caregivers better early and provide timely support to improve the overall well-being of both informal caregivers and care recipients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidadores / Assistência de Longa Duração / Sobrecarga do Cuidador Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: BMC Geriatr Assunto da revista: GERIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Taiwan

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidadores / Assistência de Longa Duração / Sobrecarga do Cuidador Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Asia Idioma: En Revista: BMC Geriatr Assunto da revista: GERIATRIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Taiwan