scholarly journals Caregiving burnout of community-dwelling people with dementia in Hong Kong and New Zealand: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Crystal Y. Chan ◽  
Gary Cheung ◽  
Adrian Martinez-Ruiz ◽  
Patsy Y. K. Chau ◽  
Kailu Wang ◽  
...  
Keyword(s):  
Regional Differences ◽  
Allied Health ◽  
Cross Sectional Study ◽  
Primary Caregiver ◽  
Community Dwelling ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Care Recipients ◽  
People With Dementia ◽  
Caregiver Burnout

Abstract Background Informal caregiving for people with dementia can negatively impact caregivers’ health. In Asia-Pacific regions, growing dementia incidence has made caregiver burnout a pressing public health issue. A cross-sectional study with a representative sample helps to understand how caregivers experience burnout throughout this region. We explored the prevalence and contributing factors of burnout of caregivers of community-dwelling older people with dementia in Hong Kong (HK), China, and New Zealand (NZ) in this study. Methods Analysis of interRAI Home Care Assessment data for care-recipients (aged ≥65 with Alzheimer’s disease/other dementia) who had applied for government-funded community services and their caregivers was conducted. The sample comprised 9976 predominately Chinese in HK and 16,725 predominantly European in NZ from 2013 to 2016. Caregiver burnout rates for HK and NZ were calculated. Logistic regression was used to determine the adjusted odds ratio (AOR) of the significant factors associated with caregiver burnout in both regions. Results Caregiver burnout was present in 15.5 and 13.9% of the sample in HK and NZ respectively. Cross-regional differences in contributing factors to burnout were found. Care-recipients’ ADL dependency, fall history, and cohabitation with primary caregiver were significant contributing factors in NZ, while primary caregiver being child was found to be significant in HK. Some common contributing factors were observed in both regions, including care-recipients having behavioural problem, primary caregiver being spouse, providing activities-of-daily-living (ADL) care, and delivering more than 21 h of care every week. In HK, allied-health services (physiotherapy, occupational therapy and speech therapy) protected caregiver from burnout. Interaction analysis showed that allied-health service attenuates the risk of burnout contributed by care-recipient’s older age (85+), cohabitation with child, ADL dependency, mood problem, and ADL care provision by caregivers. Conclusions This study highlights differences in service delivery models, family structures and cultural values that may explain the cross-regional differences in dementia caregiving experience in NZ and HK. Characteristics of caregiving dyads and their allied-health service utilization are important contributing factors to caregiver burnout. A standardized needs assessment for caregivers could help policymakers and healthcare practitioners to identify caregiving dyads who are at risk of burnout and provide early intervention.

scholarly journals Regional differences in the profile of disabled community-dwelling older adults: A European population-based cross-sectional study

PLoS ONE ◽  
2018 ◽  
Vol 13 (12) ◽  
pp. e0208946 ◽  
Author(s):  
Javier Jerez-Roig ◽  
Marina Bosque-Prous ◽  
Maria Giné-Garriga ◽  
Caritat Bagur-Calafat ◽  
Dyego L. Bezerra de Souza ◽  
...  
Keyword(s):  
Older Adults ◽  
Regional Differences ◽  
Population Based ◽  
Cross Sectional Study ◽  
European Population ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Community Dwelling Older Adults

scholarly journals Associations Between Social Engagement and Physical Activity Among Community-Dwelling Older Adults With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 283-283
Author(s):  
Aya Yoshikawa ◽  
Matthew Smith ◽  
Marcia Ory
Keyword(s):  
Physical Activity ◽  
Physical Functioning ◽  
Social Engagement ◽  
Chronic Conditions ◽  
Living Arrangement ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Organized Activities ◽  
Cross Sectional ◽  
People With Dementia

Abstract People with dementia (PWD) tend to experience loneliness and physical inactivity, which increases their risk of negative health outcomes such as depression and declined physical functioning. Research indicates the link between supportive social environments and physical activity (PA), yet this association is not fully studied among PWD. This cross-sectional study investigated associations between social engagement and moderate (i.e. walking for exercise) and vigorous PA among PWD. A subset sample of community-dwelling Medicare beneficiaries in the 2015 National Health and Aging Trends Study, representing PWD including possible (n = 779) and probable (n = 902) dementia, were analyzed using survey-weighted logistic regression analysis. All analyses were controlled for sociodemographic characteristics, living arrangement, physical functioning, and the number of chronic conditions. The majority of participants was 80 years or older (52.5%), female (53.1%), White (67.4%), had a high school or higher education (64.0%), and two or more chronic conditions (74.1%). Living alone (OR = 1.60, 95%CI 1.22, 2.10), knowing their community well (OR = 1.56, 95%CI 1.12, 2.16), and going out for enjoyment (OR = 1.93, 95%CI 1.37, 2.73) were associated with moderate PA. In addition to going out for enjoyment (OR = 2.40, 95%CI 1.65, 3.53), attending organized activities (OR = 1.97, 95%CI 1.15, 3.39) and working as a volunteer (OR = 1.63, 95%CI 1.04, 2.57) were associated with vigorous PA. Findings suggest that enjoyable activities and community familiarity may facilitate walking behavior among PWD. Integrating events and volunteer activities within communities is encouraged for supporting active living among PWD.

scholarly journals Self-Efficacy Among Caregivers of People With Dementia and Its Impact on Caregivers’ Health

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 359-359
Author(s):  
Soyeon Cho
Keyword(s):  
Depressive Symptoms ◽  
Asian American ◽  
Self Efficacy ◽  
Well Being ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Mediation Effect ◽  
Positive Thinking ◽  
Cross Sectional ◽  
People With Dementia

Abstract Self-efficacy is construct which is associated with positive thinking. It has been examined in caregiving studies to alleviate caregivers’ negative health outcomes. However, little is known about Asian American caregivers’ self-efficacy on their psychological and physical outcomes, especially caregivers with people with dementia. Thus, the present study examined self-efficacy of caregivers as a potential mediator in the association between caregiving role captivity and depressive symptoms among older Korean Americans. Data were driven from a cross-sectional study of 175 community-dwelling Korean American older adults (aged 60 and older) in 2019. The direct significant relation between caregiving role captivity and depressive symptoms became insignificant after self-efficacy was introduced, which demonstrates a full mediation effect of self-efficacy. Results suggest that even in the presence of caregiving role captivity, mental well-being such as depression of caregivers can be maintained by having competence in self-management of their own health.

Depression and Cognitive Impairment in Patients on Hemodialysis: A cross-sectional study

2020 ◽  
Vol 5 (15) ◽  
pp. 185-192
Author(s):  
Nor Jannah Nasution Raduan ◽  
Mohd Razali Salleh ◽  
Ghazali Ahmad ◽  
Zaleha Ismail
Keyword(s):  
Cognitive Impairment ◽  
Publishing House ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Education Level ◽  
Sectional Study ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Low Education

Depression and cognitive impairment are the most common complications of patients on hemodialysis. The objective of this study is to identify contributing factors to depression and cognitive impairment in hemodialysis patients. This is a cross-sectional study involving 110 hemodialysis patients in Hospital Kuala Lumpur. The samples were recruited through universal sampling. Patients were assessed with the Beck Depression Inventory and Montreal Cognitive Assessment. This study found that 18.2% of patients had depression, and 48.2% had cognitive impairment. Factors associated with depression were unmarried status, low education level, and cognitive impairment. Factors associated with cognitive impairment were low education level, depression, and unemployment. Keywords: hemodialysis, depression, cognitive, ESRD eISSN: 2398-4287© 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia. DOI: https://doi.org/10.21834/ebpj.v5i15.2468.

scholarly journals The Association of Social Support and Symptomatic Remission among Community-Dwelling Schizophrenia Patients: A Cross-Sectional Study

2021 ◽  
Vol 18 (8) ◽  
pp. 3977
Author(s):  
Chi-Hsuan Fan ◽  
Shih-Chieh Hsu ◽  
Fei-Hsiu Hsiao ◽  
Chia-Ming Chang ◽  
Chia-Yih Liu ◽  
...  
Keyword(s):  
Social Support ◽  
Protective Factor ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Psychotic Symptoms ◽  
Sectional Study ◽  
Cross Sectional ◽  
Remission Status ◽  
Remission Rates ◽  
Symptomatic Remission

Schizophrenia is a mental disease that often leads to chronicity. Social support could reduce the severity of psychotic symptoms; therefore, its influence on remission should be examined. This study investigated the remission rates in community-dwelling schizophrenia patients and examined the association between social support and remission status. A cross-sectional study was conducted in 129 schizophrenia patients in Taiwan. Remission rates were evaluated, and the level of social support, clinical characteristics, sociodemographic variables, and healthy lifestyle status were compared between the remission and nonremission groups. The association between social support and remission was analyzed after adjusting for confounding factors. The mean illness duration is 12.9 years. More than 95% of the participants lived with their families, 63% were unemployed, and 43% achieved remission. Higher social support was observed in the remission group, and a significant correlation was observed between family domain of social support and remission status. Family support was a protective factor of symptomatic remission in community-dwelling schizophrenia patients in Taiwan. The results reflect the effects of a family-centered culture on patients during illness. Consequently, reinforcing family relationships and the capacity of families to manage the symptoms of patients and providing support to families are recommended.

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