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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Yen Sin Koh & Gerald Choon-Huat Koh & David Bruce Matchar & Song-Iee Hong & Bee Choo Tai, 2021. "Examining the Influence of Social Interactions and Community Resources on Caregivers’ Burden in Stroke Settings: A Prospective Cohort Study," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12310-:d:685990
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    References listed on IDEAS

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    1. Xichenhui Qiu & Janet W H Sit & Fung Kuen Koo, 2018. "The influence of Chinese culture on family caregivers of stroke survivors: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 309-319, January.
    2. Angelique Chan & Prassanna Raman & Stefan Ma & Rahul Malhotra, 2015. "Loneliness and all-cause mortality in community-dwelling elderly Singaporeans," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 32(49), pages 1361-1382.
    3. Alan C. Acock, 2013. "Discovering Structural Equation Modeling Using Stata," Stata Press books, StataCorp LP, number dsemus, March.
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