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Source of Social Support and Caregiving Self-Efficacy on Caregiver Burden and Patient’s Quality of Life: A Path Analysis on Patients with Palliative Care Needs and Their Caregivers

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  • Doris Y. P. Leung

    (School of Nursing, The Hong Kong Polytechnic University, Hong Kong 999077, China)

  • Helen Y. L. Chan

    (The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong 999077, China)

  • Patrick K. C. Chiu

    (Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong 999077, China)

  • Raymond S. K. Lo

    (Department of Palliative Medicine, Shatin Hospital, Hong Kong 999077, China)

  • Larry L. Y. Lee

    (A & E Medicine Academic Unit, The Chinese University of Hong Kong, Hong Kong 999077, China)

Abstract

Few studies have explored the inter-relationships of sources of social support and caregiving self-efficacy with caregiver burden and patient’s quality of life among patients with palliative care needs and their caregivers. This study tested the associations of two sources of social support (family and friends) and the mediating role of caregiving self-efficacy on caregiver burden and patient’s quality of life. A convenience sample of 225 patient–caregiver dyads recruited between September 2016 and May 2017 from three hospitals in Hong Kong was included in the current analysis. Results showed that the final model provided a satisfactory fit (SRMR = 0.070, R-RMSEA = 0.055 and R-CFI = 0.926) with the data, as good as the hypothesized model did ( p = 0.326). Significant associations were detected. Family support had a significant negative indirect effect on caregiver burden and a significant positive indirect effect on patient’s quality of life through caregiving self-efficacy, whereas friend support had a significant positive direct effect on caregiver burden but a minimal effect, if any, on patient’s quality of life. These findings emphasized (1) the importance of caregiving self-efficacy in improving caregiver burden and patient’s quality of life and that (2) sources of social support may be an important dimension moderating the associations of caregiving self-efficacy with caregiver burden and patient’s quality of life.

Suggested Citation

  • Doris Y. P. Leung & Helen Y. L. Chan & Patrick K. C. Chiu & Raymond S. K. Lo & Larry L. Y. Lee, 2020. "Source of Social Support and Caregiving Self-Efficacy on Caregiver Burden and Patient’s Quality of Life: A Path Analysis on Patients with Palliative Care Needs and Their Caregivers," IJERPH, MDPI, vol. 17(15), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:15:p:5457-:d:391350
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    References listed on IDEAS

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    1. Yanhong Han & Yilan Liu & Xuelin Zhang & Wilson Tam & Jing Mao & Violeta Lopez, 2017. "Chinese family caregivers of stroke survivors: Determinants of caregiving burden within the first six months," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4558-4566, December.
    2. Rafael del-Pino-Casado & Antonio Frías-Osuna & Pedro A Palomino-Moral & María Ruzafa-Martínez & Antonio J Ramos-Morcillo, 2018. "Social support and subjective burden in caregivers of adults and older adults: A meta-analysis," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-18, January.
    3. Drentea, Patricia & Clay, Olivio J. & Roth, David L. & Mittelman, Mary S., 2006. "Predictors of improvement in social support: Five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease," Social Science & Medicine, Elsevier, vol. 63(4), pages 957-967, August.
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