Difficulty Assisting with Health Care Tasks Among Caregivers of Multimorbid Older Adults
- 27 August 2011
- journal article
- research article
- Published by Springer Science and Business Media LLC in Journal of General Internal Medicine
- Vol. 27 (1), 37-44
- https://doi.org/10.1007/s11606-011-1831-5
Abstract
BACKGROUND Family caregivers provide assistance with health care tasks for many older adults with chronic illnesses. The difficulty they experience in providing this assistance, and related implications for their well-being, have not been well described. OBJECTIVE The objectives of this study are: (1) to describe caregiver’s health care task difficulty (HCTD), (2) determine the characteristics associated with HCTD, and (3) explore the association between HCTD and caregiver well-being. DESIGN This is a cross-sectional study. PARTICIPANTS Baseline sample of caregivers to older (aged 65+ years) multimorbid adults enrolled in an ongoing cluster-randomized controlled trial (N = 308). MAIN MEASURES The HCTD scale (0–16) is comprised of questions measuring self-reported difficulty in assisting older adults with eight health care tasks, including taking medication, visiting health care providers, and managing medical bills. Caregivers were categorized using this scale into no, low, medium, and high HCTD groups. We used ordinal logistic regression and multivariate linear regression analyses to examine the relationships between HCTD, caregiver self-efficacy, caregiver strain (Caregiver Strain Index), and depression (Center for Epidemiological Studies Depression Scale), controlling for patient and caregiver socio-demographic and health factors. KEY RESULTS Caregiver age and number of health care tasks performed were positively associated with increased HCTD. The quality of the caregiver’s relationship with the patient, and self-efficacy were inversely associated with increased HCTD. A one-point increase in self-efficacy was associated with a significant lower odds of reporting high HCTD (OR, 0.64; 95% CI, 0.54, 0.77).Adjusted linear regression models indicated that high HCTD was independently associated with significantly greater caregiver strain (B, 2.7; 95% CI, 1.12, 4.29) and depression (B, 3.01; 95% CI, 1.06, 4.96). CONCLUSIONS 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
This publication has 43 references indexed in Scilit:
- Difficulty Assisting with Health Care Tasks Among Caregivers of Multimorbid Older AdultsJournal of General Internal Medicine, 2011
- Caregiving and Chronic Care: The Guided Care Program for Families and FriendsThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2009
- Family Caregivers: A Shadow Workforce in the Geriatric Health Care System?Journal of Health Politics, Policy and Law, 2007
- Factors associated with medication hassles experienced by family caregivers of older adultsPatient Education and Counseling, 2007
- Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid DiseasesJAMA, 2005
- Social Support and Patient Adherence to Medical Treatment: A Meta-Analysis.Health Psychology, 2004
- Psychiatric and Physical Morbidity Effects of Dementia Caregiving: Prevalence, Correlates, and CausesThe Gerontologist, 1995
- Health Care Decision Making by the Elderly: I Get by with a Little Help from My FamilyThe Gerontologist, 1991
- Health Care Professionals and Family Involvement in Care-Related Decisions Concerning Older PatientsJournal of Aging and Health, 1990
- Beliefs about aging and illness in a community sampleResearch in Nursing & Health, 1989