scholarly journals Long-Term Care Service Use and Caregiver Burden, Depression, and Health: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 245-245
Author(s):  
Cindy Ng ◽  
Ringo Ho ◽  
Wayne Chong

Abstract This study examined whether long-term care service use (LTCSU) is associated with informal caregivers’ burden, depression, and health status. Eligible articles collected data directly from caregivers, written in English, and allowed for extraction or computation of effect sizes. MEDLINE, PsycINFO and ProQuest Dissertations & Theses Global databases were searched between September 2017 and January 2018. The risk of bias of individual studies was assessed regarding confounding, study power, and other biases. This unfunded study was registered with PROSPERO: CRD42018108827. Of the 419, 209 and 346 articles identified, 24, 14 and 15 articles that involved 12,530, 6,687 and 7,331 informal caregivers respectively, were eligible for analyses regarding the above associations. With unadjusted effect sizes, omnibus tests found statistically non-significant overall effect estimates in the association of LTCSU with caregiver burden, depression, and health status. Subgroup analyses, however, revealed that the above associations differed by service type, caregiver sex, and country, respectively.

2021 ◽  
Author(s):  
Wayne Freeman Chong ◽  
Cindy Ng ◽  
Ho Moon ho

BackgroundThis study determined if patients’ long-term care service use (LTCSU) is separately associated with their informal caregivers’ burden, depression, and health status.MethodsEligible articles collected data directly from informal caregivers, were written in English, and allowed for extraction or computation of effect sizes on the associations of interest. MEDLINE, PsycINFO and ProQuest Dissertations & Theses Global databases were searched between September 2017 and January 2018. The risk of bias of individual studies was assessed regarding confounding, study power, sources of bias, potential flaws in study methods or implementation, and other biases. Dissertations that was later published as journal articles were excluded to prevent duplication. This study was registered with PROSPERO: CRD42018108827.ResultsOf the 419, 209 and 346 articles identified, 24, 14 and 15 articles that involved 12,530, 6,687 and 7,331 informal caregivers respectively, were eligible for analyses regarding the above associations. With unadjusted effect sizes, omnibus tests found statistically non-significant overall effect estimates in the association of LTCSU with caregiver burden (lnOR = 0.03, 95% CI [-0.48, 0.54], I2 = 0.96, k = 12), depression, (lnOR = 0.02, 95% CI [-0.30, 0.61], I2 = 0.81, k = 8), and health status (lnOR = -0.01, 95% CI [-0.56, 0.54], I2 = 0.63, k = 5). Subgroup analyses revealed that the above associations differed chiefly by service type, caregiver sex, and country of study, respectively.InterpretationPatients’ LTCSU is associated with their informal caregivers’ psychosocial needs, which could be better supported.FundingThis study was unfunded.


1994 ◽  
Vol 34 (2) ◽  
pp. 190-198 ◽  
Author(s):  
A. C. Mui ◽  
D. Burnette

2001 ◽  
Vol 70 (1) ◽  
pp. 153-158 ◽  
Author(s):  
Christine L Himes ◽  
Ulrike Schneider ◽  
Douglas A Wolf

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 244-244
Author(s):  
Xiang Gao ◽  
Kaipeng Wang ◽  
Fei Sun

Abstract The purpose of this symposium is to highlight the mental health needs and factors associated with mental health among informal caregivers of older adults in Asia. The symposium consists of five papers. The first paper explores the perceived role, needs, and rewards of informal caregiving among caregivers of residents in independent long-term care facilities in South India. The second paper presents a systematic review and meta-analysis on the association between long-term care service use and informal caregiver burden, depression, and health status. The third paper examines the association between caregivers’ characteristics and quality of life among informal caregivers of older adults with cognitive impairment in China. The fourth paper examines the association between coping strategies and caregiver burden and depression among Chinese caregivers of older adults with cognitive impairment. The last paper examines the association between cohort, meaning making, and depression among adult caregivers during the COVID-19 pandemic in Hong Kong. Taken together, these five papers underscore of the mental health needs and protective and risk factors of mental well-being among caregivers in Asia. Findings of those papers inform the development and adaptation of culturally sensitive interventions to improve mental health outcomes among informal caregivers in Asia. The disccuant will comment on the strengths and limitations of these papers in terms of their contributions to the theory, research, and practice on mental health among informal caregivers in Asia.


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