Difficulty Assisting with Health Care Tasks Among Caregivers of Multimorbid Older Adults
Journal of General Internal MedicinePublished 26 August 2011Open access
Erin R. Giovannetti, Jennifer L. Wolff, Qian‐Li Xue, Carlos O. Weiss, Bruce Leff, Chad Boult
Citations77
SJR quartileQ1
SJR score1.99
SNIP1.71
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
It is demonstrated that greater HCTD is associated with increased strain and depression among caregivers of multimorbid older adults, and that caregiver self-efficacy was strongly associated with HCTd suggests health-system-based educational and empowering interventions might improve caregiver well-being.
Abstract
This study demonstrates that greater HCTD is associated with increased strain and depression among caregivers of multimorbid older adults. That caregiver self-efficacy was strongly associated with HCTD suggests health-system-based educational and empowering interventions might improve caregiver well-being.
Keywords
PsychologyMedicineHealth Professions
Biological reviews/Biological reviews of the Cambridge Philosophical SocietyEffect size, confidence interval and statistical significance: a practical guide for biologists
3,817 Citations2007Shinichi Nakagawa, Innes C. Cuthill
This article extensively discusses two dimensionless (and thus standardised) classes of effect size statistics: d statistics (standardised mean difference) and r statistics (correlation coefficient), because these can be calculated from almost all study designs and also because their calculations are essential for meta‐analysis.
JAMAClinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases
2,475 Citations2005Cynthia M. Boyd, Jonathan Darer +4 more
It is suggested that adhering to current CPGs in caring for an older person with several comorbidities may have undesirable effects and could create perverse incentives that emphasize the wrong aspects of care for this population and diminish the quality of their care.
American Journal of EpidemiologyASSESSING DEPRESSIVE SYMPTOMS IN FIVE PSYCHIATRIC POPULATIONS: A VALIDATION STUDY
2,209 Citations1977Myrna M. Weissman, Diane E. Sholomskas +3 more
Results show that the CES-D scale is a sensitive tool for detecting depressive symptoms and change in symptoms over time in psychiatric populations, and that it agrees quite well with more lengthy self-report scales used in clinical studies and with clinician interview ratings.
Health PsychologySocial Support and Patient Adherence to Medical Treatment: A Meta-Analysis.
2,110 Citations2004M. Robin DiMatteo
The GerontologistPsychiatric and Physical Morbidity Effects of Dementia Caregiving: Prevalence, Correlates, and Causes
1,785 Citations1995R. Schulz, Alison T. O'Brien +2 more
Across studies, psychiatric morbidity in caregivers was linked to patient problem behaviors, income, self-rated health, perceived stress, and life satisfaction, and physical morbidity was associated with patient Problem behaviors and cognitive impairment, and with caregiver depression, anxiety, and perceived social support.
Journal of GerontologyValidation of a Caregiver Strain Index
1,379 Citations1983Betsy C. Robinson
Results indicate that the CSI is a brief, easily administered instrument which identified strain within the authors' sample of informal care providers, and might be usefully included in any interview or assessment package that examines intergenerational relations involving dependency and care.
Proceedings of the National Academy of SciencesChronic stress and age-related increases in the proinflammatory cytokine IL-6
1,207 Citations2003Janice K. Kiecolt‐Glaser, Kristopher J. Preacher +4 more
Evidence is provided of a key mechanism through which chronic stressors may accelerate risk of a host of age-related diseases by prematurely aging the immune response.
The GerontologistHow Effective Are Interventions With Caregivers? An Updated Meta-Analysis
1,127 Citations2002Silvia Sörensen, Martin Pinquart +1 more
Caregiver interventions are effective, but some interventions have primarily domain-specific effects rather than global effects and the differences between intervention types and moderators suggest ways of optimizing interventions.
The Journals of Gerontology Series BCorrelates of Physical Health of Informal Caregivers: A Meta-Analysis
1,118 Citations2007Martin Pinquart, Silvia Sörensen
Positive effects of caregiving on physical health are most likely to be found in psychologically distressed caregivers facing dementia-related stressors.
Outcome Measures for Health Education and Other Health Care Interventions
1,117 Citations1996Kate Lorig, Anita L. Stewart +4 more
A Conceptional Basis for the Chronic Disease Self-Management Study Construction of Measures of Behaviors, Self-Efficacy and Outcomes is presented.
The GerontologistPrevalence and Impact of Caregiving: A Detailed Comparison Between Dementia and Nondementia Caregivers
993 Citations1999Marcia G. Ory, Robert P. Hoffman +3 more
This study documents the ways in which dementia care is different from other types of family caregiving and suggests the need to tailor programs and services to the unique challenges faced by dementia caregivers.
JAMAPersons With Chronic Conditions
964 Citations1996Catherine Hoffman
The number and proportion of Americans living with chronic conditions, and the magnitude of their costs, including direct costs (annual personal health expenditures) and indirect costs to society (lost productivity due to chronic conditions and premature death) are determined.
Journal of Clinical EpidemiologyCauses and consequences of comorbidity
926 Citations2001R Gijsen, Nancy Hoeymans +4 more
It is found comorbidity in general to be associated with mortality, quality of life, and health care, and the consequences of specific disease combinations depended on many factors.
PubMedRisk adjustment of Medicare capitation payments using the CMS-HCC model.
808 Citations2004Gregory C. Pope, John Kautter +7 more
The model's principles, elements, organization, calibration, and performance are explained and modifications to reduce plan data reporting burden and adaptations for disabled, institutionalized, newly enrolled, and secondary-payer subpopulations are discussed.
BMJWe need minimally disruptive medicine
710 Citations2009Carl May, Víctor M. Montori +1 more
The burden of treatment for many people with complex, chronic, comorbidities reduces their capacity to collaborate in their care, and care must be less disruptive to be effective.
Annals of Behavioral MedicineHealth effects of caregiving: The caregiver health effects study: An ancillary study of the cardiovascular health study
466 Citations1997Richard Schulz, Jason T. Newsom +4 more
It is shown that the magnitude of health effects attributable to caregiving can vary substantially, with the largest negative health effects observed among caregivers who characterize themselves as being strained.
Medical Care Research and ReviewPredicting Elderly People’s Risk for Nursing Home Placement, Hospitalization, Functional Impairment, and Mortality: A Synthesis
427 Citations2000Edward Alan Miller, William G. Weissert
It is shown that 22 risk factors consistently predict two or more outcomes, including three that predict all four: worse performance on physical function measures not based on activities of daily living, greater illness severity, and prior hospital use.
JAMASupporting Family Caregivers at the End of Life
413 Citations2004Michael W. Rabow, Joshua Hauser +1 more
5 areas of opportunity for physicians to be of service to family members caring for patients at the end of life are identified, including promoting excellent communication with family, encouraging appropriate advance care planning and decision making, supporting home care, and demonstrating empathy for family emotions and relationships.
The Journals of Gerontology Series BAnalysis of the Reliability of the Modified Caregiver Strain Index
411 Citations2003Mark Thornton, Shirley S. Travis
The Modified CSI has slightly better internal reliability than the original Index, as reported in 1983, and is easily administered and scored and can be a useful method for detecting strain levels among informal caregivers.
Cancer NursingCaregiving demands and appraisal of stress among family caregivers
310 Citations1989Marilyn T. Oberst, Suzie Thomas +2 more
There was a strong positive correlation between caregiver load and the harm/loss and threat appraisals and a need for frequent reassessment of demands on family caregivers throughout the course of treatment.
Preventive MedicinePreventive Health Behaviors among Spousal Caregivers
279 Citations1997Lynda Burton, Jason T. Newsom +3 more
Being a high-level caregiver significantly increased the odds of not getting enough rest, notHaving enough time to exercise, not having time to rest to recuperate from illness, and forgetting to take prescription medications, compared with noncaregivers.
PubMedAppraisal and caregiving burden in family members caring for patients receiving chemotherapy.
216 Citations1992P J Carey, Marilyn T. Oberst +2 more
It is suggested that caregivers' appraisals of their situations may mediate the effects of illness and contextual factors on caregiver outcomes and that family hardiness is an important caregiver resource.
Aging & Mental HealthMeasurement and correlates of family caregiver self-efficacy for managing dementia
213 Citations2002Richard H. Fortinsky, Kyle Kercher +1 more
This paper details the strategy used to measure family caregiver self-efficacy for managing dementia, and reports on observed associations between the resulting self-efficiency measures, caregiver depressive symptoms, and caregiver physical health symptoms.
Journal of Neuroscience NursingTime and Difficulty of Tasks Provided by Family Caregivers of Stroke Survivors
175 Citations2004Tamilyn Bakas, Joan K. Austin +3 more
The tasks perceived as most time-consuming and difficult, which also were predictive of mood and other negative caregiver outcomes, were managing finances, managing behaviors, and providing emotional support.
The GerontologistPatient Suffering and Caregiver Compassion: New Opportunities for Research, Practice, and Policy
164 Citations2007Richard Schulz, Randy S. Hebert +11 more
It is argued that these constructs are central to understanding phenomena such as family caregiving, and that recognizing their unique role in the caregiving experience provides new directions for intervention research, clinical practices, and social policy.
JAMAPatterns of Prevalent Major Chronic Disease Among Older Adults in the United States
155 Citations2007Carlos O. Weiss, Cynthia M. Boyd +3 more
Nursing ResearchFamily Caregiving in Heart Failure
145 Citations2006Tamilyn Bakas, Susan J. Pressler +3 more
The preliminary results support the caregiver model, and future longitudinal studies are needed in larger samples to evaluate predictors of caregiver-perceived negative outcomes to identify priority areas for interventions.
Journal of Health Politics Policy and LawFamily Caregivers: A Shadow Workforce in the Geriatric Health Care System?
142 Citations2007Ann Bookman, Mona Harrington
The work of family caregivers of elders goes far beyond previously recognized care in the home to acknowledge care inside health care facilities and in conjunction with community services, and it is revealed that family caregivers--untrained, undersupported, and unseen--constitute a "shadow workforce" to fill dangerous gaps in a system that is uncoordinated, fragmented, bureaucratic, and often depersonalized.
Aging & Mental HealthThe relationship between caregiving self-efficacy and depressive symptoms in dementia family caregivers
138 Citations2006Christina M. Gilliam, Ann M. Steffen
The results of this study suggest that caregiving self-efficacy has a strong, direct relationship with depressed symptoms for dementia family caregivers.
Topics in Stroke RehabilitationPredictors of Emotional Distress, General Health, and Caregiving Outcomes in Family Caregivers of Stroke Survivors
106 Citations2002Tamilyn Bakas, Sandy C. Burgener
Predictors of emotional distress, general health, and stroke-related caregiving outcomes were determined in 104 family caregivers of stroke survivors based on a conceptual model derived from Lazarus' theory of stress and coping to suggest potential areas for multidimensional caregiver interventions.
The Journals of Gerontology Series ACaregiving and Chronic Care: The Guided Care Program for Families and Friends
81 Citations2009Jennifer L. Wolff, Erin Rand‐Giovannetti +6 more
The GCPFF may benefit family caregivers of chronically ill older adults and outcomes will continue to be monitored at 18-months follow-up.
Journal of General Internal MedicineDifficulty Assisting with Health Care Tasks Among Caregivers of Multimorbid Older Adults
77 Citations2011Erin R. Giovannetti, Jennifer L. Wolff +6 more
It is demonstrated that greater HCTD is associated with increased strain and depression among caregivers of multimorbid older adults, and that caregiver self-efficacy was strongly associated with HCTd suggests health-system-based educational and empowering interventions might improve caregiver well-being.
The Journals of Gerontology Series AChronic Stress Associated With Spousal Caregiving of Patients With Alzheimer's Dementia Is Associated With Downregulation of B-Lymphocyte GH mRNA
76 Citations1999Hong Wu, J. Wang +4 more
The findings suggest that the decrease in B-cell GH mRNA may contribute to the poor immune response to influenza virus vaccination that has been reported previously in chronically stressed caregivers.
The GerontologistDevelopment of the Family Caregiver Medication Administration Hassles Scale
64 Citations2003Shirley S. Travis, Marie Bernard +3 more
Caregiver medication administration hassles represent a complex, multidimensional construct that warrants consideration in studies of contemporary family caregiver stress, strain, and burden.
Family Caregivers on the Job: Moving beyond ADLs and IADLs
64 Citations2004Carol Levine, Susan C. Reinhard +3 more
In today's world, measures of ADLS and IADLS, which were designed to describe care recipients' limitations, do not convey the full spectrum or degree of complexity of the family caregiver's responsibi l itics, and standards of incorporating them have significant implications for families and for public policy.
Research in Nursing & HealthBeliefs about aging and illness in a community sample
60 Citations1989Mary L. Keller, Howard Leventhal +2 more
The pattern of results showed respondents of all ages expressing the belief that aging is associated with increased susceptibility to disease and lowered potential for control or cure, and implications for health monitoring and coping with illness are discussed.
The GerontologistHealth Care Decision Making by the Elderly: I Get by with a Little Help from My Family
56 Citations1991Marshall B. Kapp
New legal concepts, similar to those governing property, could help the legal system better accommodate the realities of shared decision making about placement and medical interventions.
JAMAPhysicians and Family Caregivers: A Model for Partnership
48 Citations1993Lisa Fredman
A developed instrument to evaluate the stability of the patient-caregiver unit and offers several pragmatic applications of the model proposed in the report on primary care physicians and family caregivers.
The Journal of Cardiovascular NursingFactors Associated With Caregiver Depressive Symptoms, Outcomes, and Perceived Physical Health After Coronary Artery Bypass Surgery
46 Citations2007Margo A. Halm, Tamilyn Bakas
Findings suggest that helping coronary artery bypass spouse caregivers master their role, improve their relationship with the patient, and avoid or reduce depressive symptoms can improve caregiver outcomes and are therefore areas for possible intervention.
Patient Education and CounselingFactors associated with medication hassles experienced by family caregivers of older adults
44 Citations2006Shirley S. Travis, William J. McAuley +4 more
The preliminary set of significant variables can be used to identify caregivers who may be at risk of experiencing medication administration hassles, increased stress, and potentially harmful events for their care recipients.
Journal of Aging and HealthHealth Care Professionals and Family Involvement in Care-Related Decisions Concerning Older Patients
24 Citations1990Gary T. Deimling, Virginia L. Smerglia +1 more
The Andersen-Newman model is used to identify the correlates of physician involvement and centrality in decision making and the impact that it has on family members' caregiving satisfaction and indicates for improved communication in decision-making contexts.
Current Clinical PharmacologyDo Geriatric Outpatients Adhere to Medication Changes Advised After Assessment? An Exploratory Pilot Study
4 Citations2009Linda R. Tulner, Suzanne V. Frankfort +4 more
Most geriatric patients carry out changes in medication made after CGA, and supervision by caregivers may explain a high rate of reported adherence despite the presence of polypharmacy and cognitive decline.