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Examining the Influence of Social Interactions and Community Resources on Caregivers' Burden in Stroke Settings: A Prospective Cohort Study.

Publication ,  Journal Article
Koh, YS; Koh, GC-H; Matchar, DB; Hong, S-I; Tai, BC
Published in: Int J Environ Res Public Health
November 23, 2021

Since the introduction of the integrated care model, understanding how social interactions and community resources can alleviate caregivers' burden is vital to minimizing negative patients' outcomes. This study (n = 214) examined the associations between these factors and caregivers' burden in stroke settings. It used 3-month and 1-year post-stroke data collected from five tertiary hospitals. Subjective and objective caregivers' burdens were measured using Zarit burden interview and Oberst caregiving burden scale respectively. The independent variables examined were quality of care relationship, care management strategies for managing patients' behaviour, family caregiving conflict, formal service usage and assistance to the caregiver. Significant associations were determined using mixed effect modified Poisson regressions. For both types of burden, the scores were slightly higher at 3 months as compared to 1 year. Poorer care-relationship (relative risk: 0.81, 95% confidence interval (CI): 0.70-0.94) and adopting positive care management strategies (relative risk: 1.05, 95% CI: 1.02-1.07) were independently associated with a high subjective burden. Providing assistance to caregivers (relative risk: 2.45, 95% CI: 1.72-3.29) and adopting positive care management strategies (relative risk: 1.03, 95% CI: 1.02-1.04) were independently associated with a high objective burden. Adopting positive care management strategies at 3 months had a significant indirect effect (standardised β: 0.11, 95% CI: 0.01 to 0.20) on high objective burden at one year. Healthcare providers should be aware that excessive care management strategies and assistance from family members may add to caregivers' burden.

Duke Scholars

Published In

Int J Environ Res Public Health

DOI

EISSN

1660-4601

Publication Date

November 23, 2021

Volume

18

Issue

23

Location

Switzerland

Related Subject Headings

  • Toxicology
  • Stroke
  • Social Interaction
  • Quality of Life
  • Prospective Studies
  • Humans
  • Community Resources
  • Caregivers
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Koh, Y. S., Koh, G.-H., Matchar, D. B., Hong, S.-I., & Tai, B. C. (2021). Examining the Influence of Social Interactions and Community Resources on Caregivers' Burden in Stroke Settings: A Prospective Cohort Study. Int J Environ Res Public Health, 18(23). https://doi.org/10.3390/ijerph182312310
Koh, Yen Sin, Gerald Choon-Huat Koh, David Bruce Matchar, Song-Iee Hong, and Bee Choo Tai. “Examining the Influence of Social Interactions and Community Resources on Caregivers' Burden in Stroke Settings: A Prospective Cohort Study.Int J Environ Res Public Health 18, no. 23 (November 23, 2021). https://doi.org/10.3390/ijerph182312310.
Koh YS, Koh GC-H, Matchar DB, Hong S-I, Tai BC. Examining the Influence of Social Interactions and Community Resources on Caregivers' Burden in Stroke Settings: A Prospective Cohort Study. Int J Environ Res Public Health. 2021 Nov 23;18(23).
Koh, Yen Sin, et al. “Examining the Influence of Social Interactions and Community Resources on Caregivers' Burden in Stroke Settings: A Prospective Cohort Study.Int J Environ Res Public Health, vol. 18, no. 23, Nov. 2021. Pubmed, doi:10.3390/ijerph182312310.
Koh YS, Koh GC-H, Matchar DB, Hong S-I, Tai BC. Examining the Influence of Social Interactions and Community Resources on Caregivers' Burden in Stroke Settings: A Prospective Cohort Study. Int J Environ Res Public Health. 2021 Nov 23;18(23).

Published In

Int J Environ Res Public Health

DOI

EISSN

1660-4601

Publication Date

November 23, 2021

Volume

18

Issue

23

Location

Switzerland

Related Subject Headings

  • Toxicology
  • Stroke
  • Social Interaction
  • Quality of Life
  • Prospective Studies
  • Humans
  • Community Resources
  • Caregivers