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

Yen Sin Koh, Gerald Choon-Huat Koh, David Bruce Matchar, Song-Iee Hong and Bee Choo Tai
Additional contact information
Yen Sin Koh: Research Division, Institute of Mental Health, Singapore 539747, Singapore
Gerald Choon-Huat Koh: Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore
David Bruce Matchar: Health Services and Systems Research, Duke-NUS Medical School, Singapore 169857, Singapore
Song-Iee Hong: Department of Social Welfare, Dongguk University-Seoul, 30 Phildong-ro 1 gil, Jung-gu, Seoul 04620, Korea
Bee Choo Tai: Saw Swee Hock School of Public Health, National University of Singapore, Singapore 117549, Singapore

IJERPH, 2021, vol. 18, issue 23, 1-14

Abstract: 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.

Keywords: stroke survivors; caregiver burden; post stroke; care management strategies; assistance to caregivers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/23/12310/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/23/12310/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:23:p:12310-:d:685990

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().