Title: Care participation and burden among informal caregivers of older adults with care needs and associations with dementia
year: 2016
Journal: Int Psychogeriatr
Volume: 28
Issue: 2
Pages: 221-31
Epubdate: 20/10/2015
date: Feb
Alternate Journal: International psychogeriatrics
ISSN: 1041-6102
Legal note: PMC4720142
Article Number: 26478530
Keywords: Activities of Daily Living *Adaptation, Psychological Adult Aged Aged, 80 and over Caregivers/*psychology *Cost of Illness Cross-Sectional Studies Dementia/*nursing/psychology Female Humans Male Middle Aged *Quality of Life Severity of Illness Index Singapore Socioeconomic Factors Stress, Psychological/*psychology Surveys and Questionnaires Zarit Burden Interview behavioral and psychological symptoms of dementia care need correlates of care burden
Abstract: BACKGROUND: Few studies have estimated care burden in large, representative, multi-ethnic Asian population-based informal caregivers of older adults with care needs. This study describes informal caregivers' care participation for a population-based sample of older adults with care needs in Singapore, investigates differences by dementia status, and examines correlates of caregivers' burden. METHODS: Data collected from 693 pairs of older adults, aged 60 to 100 years, having any care needs, and their informal caregivers, who were aged 21 to 88 years, closely involved in their care and "knew the older resident best," and were interviewed during a cross-sectional national survey, were used. Clinical characteristics of older adults, including behavioral and psychological symptoms of dementia (BPSD) and dementia diagnosis, care needs, and socio-demographic characteristics of participants were obtained. Care burden was assessed with the Zarit Burden Interview. RESULTS: Informal caregivers' participation was highest in activities related to communication (35.1%), feeding (32%), and bathing (21.1%). Among the older adults with any care need, 356 (51.4%) had dementia. Care burden was significantly associated with married caregivers (odds ratio (OR) 2.4 vs. never married), when their relative belonged to a younger cohort (OR 2.5 vs. >84 years), needed care much of the time (OR 2.5 vs. no care needed), exhibited BPSD (OR 3.5 vs. no BPSD), and had dementia (OR 2.52 vs. no dementia). CONCLUSIONS: Factors related to older adults--more care needs, presence of BPSD, and dementia--were significant contributors to informal caregivers' burden, and these should be considered while planning interventions to alleviate care burden.
Notes: 1741-203x Vaingankar, Janhavi Ajit Chong, Siow Ann Abdin, Edimansyah Picco, Louisa Jeyagurunathan, Anitha Zhang, YunJue Sambasivam, Rajeswari Chua, Boon Yiang Ng, Li Ling Prince, Martin Subramaniam, Mythily Journal Article Research Support, Non-U.S. Gov't England Int Psychogeriatr. 2016 Feb;28(2):221-31. doi: 10.1017/S104161021500160X. Epub 2015 Oct 19.
URL: https://www.cambridge.org/core/services/aop-cambridge-core/content/view/48C5F08318FE80AD0BE044E5766748A7/S104161021500160Xa.pdf/div-class-title-care-participation-and-burden-among-informal-caregivers-of-older-adults-with-care-needs-and-associations-with-dementia-div.pdf
URI: https://open-access.imh.com.sg/handle/123456789/5052
Authors Address: Research Division,Institute of Mental Health,10 Buangkok View,Singapore. Changi General Hospital,2 Simei Street 3,Singapore. King's College London,Strand,London,UK.
Database Provider: NLM
language: eng
Appears in Collections:2016




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