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Burden of informal care in stroke survivors and its determinants: a prospective observational study in an Asian setting.

Publication ,  Journal Article
Wang, Y; Tyagi, S; Hoenig, H; Lee, KE; Venketasubramanian, N; Menon, E; De Silva, DA; Yap, P; Tan, BY; Young, SH; Ng, YS; Tu, TM; Ang, YH ...
Published in: BMC public health
October 2021

Informal caregiving is an integral part of post-stroke recovery with strenuous caregiving demands often resulting in caregiving burden, threatening sustainability of caregiving and potentially impacting stroke survivor's outcomes. Our study aimed to examine and quantify objective and subjective informal care burden after stroke; and to explore the factors associated with informal care burden in Singapore.Stroke patients and their informal caregivers were recruited from all five tertiary hospitals in Singapore from December 2010 to September 2013. Informal care comprised of assistance provided by informal caregivers with any of the activities of daily living. Informal care burden was measured by patients' likelihood of requiring informal care, hours of informal care required, and informal caregivers' Zarit's Burden Score. We examined informal care burden at 3-months and 12-months post-stroke. Generalized linear regressions were applied with control variables including patients' and informal caregivers' demographic characteristics, arrangement of informal care, and patients' health status including stroke severity (measured using National Institute of Health Stroke Scale), functional status (measured using Modified Rankin Scale), self-reported depression, and common comorbidities.Three hundred and five patients and 263 patients were examined at 3-months and 12-months. Around 35% were female and 60% were Chinese. Sixty three percent and 49% of the patients required informal care at 3-months and 12-months point, respectively. Among those who required informal care, average hours required per week were 64.3 h at 3-months and 76.6 h at 12-months point. Patients with higher functional dependency were more likely to require informal care at both time points, and required more hours of informal care at 3-months point. Female informal caregivers and those caring for patients with higher functional dependency reported higher Zarit's Burden. While informal caregivers who worked full-time reported higher burden, those caring for married stroke patients reported lower burden at 3-months point. Informal caregivers who co-cared with foreign domestic workers, i.e.: stay-in migrant female waged domestic workers, reported lower burden.Informal care burden remains high up to 12-months post-stroke. Factors such as functional dependency, stroke severity, informal caregiver gender and co-caring with foreign domestic workers were associated with informal care burden.

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Published In

BMC public health

DOI

EISSN

1471-2458

ISSN

1471-2458

Publication Date

October 2021

Volume

21

Issue

1

Start / End Page

1945

Related Subject Headings

  • Survivors
  • Stroke
  • Quality of Life
  • Public Health
  • Patient Care
  • Humans
  • Female
  • Cost of Illness
  • Caregivers
  • Activities of Daily Living
 

Citation

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Wang, Y., Tyagi, S., Hoenig, H., Lee, K. E., Venketasubramanian, N., Menon, E., … Koh, G.-H. (2021). Burden of informal care in stroke survivors and its determinants: a prospective observational study in an Asian setting. BMC Public Health, 21(1), 1945. https://doi.org/10.1186/s12889-021-11991-3
Wang, Yi, Shilpa Tyagi, Helen Hoenig, Kim En Lee, Narayanaswamy Venketasubramanian, Edward Menon, Deidre Anne De Silva, et al. “Burden of informal care in stroke survivors and its determinants: a prospective observational study in an Asian setting.BMC Public Health 21, no. 1 (October 2021): 1945. https://doi.org/10.1186/s12889-021-11991-3.
Wang Y, Tyagi S, Hoenig H, Lee KE, Venketasubramanian N, Menon E, et al. Burden of informal care in stroke survivors and its determinants: a prospective observational study in an Asian setting. BMC public health. 2021 Oct;21(1):1945.
Wang, Yi, et al. “Burden of informal care in stroke survivors and its determinants: a prospective observational study in an Asian setting.BMC Public Health, vol. 21, no. 1, Oct. 2021, p. 1945. Epmc, doi:10.1186/s12889-021-11991-3.
Wang Y, Tyagi S, Hoenig H, Lee KE, Venketasubramanian N, Menon E, De Silva DA, Yap P, Tan BY, Young SH, Ng YS, Tu TM, Ang YH, Kong KH, Singh R, Merchant RA, Chang HM, Ning C, Cheong A, Koh GC-H. Burden of informal care in stroke survivors and its determinants: a prospective observational study in an Asian setting. BMC public health. 2021 Oct;21(1):1945.
Journal cover image

Published In

BMC public health

DOI

EISSN

1471-2458

ISSN

1471-2458

Publication Date

October 2021

Volume

21

Issue

1

Start / End Page

1945

Related Subject Headings

  • Survivors
  • Stroke
  • Quality of Life
  • Public Health
  • Patient Care
  • Humans
  • Female
  • Cost of Illness
  • Caregivers
  • Activities of Daily Living