Correlations between caregiver competence, burden and health-related quality of life among Chinese family caregivers of elderly adults with disabilities: a cross-sectional study using structural equations analysis
Objective To examine the relationship between caregiver competence and health-related quality of life (HRQoL) among family caregivers of disabled elderly adults, and to evaluate the role of caregiver burden as a potential mediator of that relationship.Design Cross-sectional study.Setting Two general...
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BMJ Publishing Group
2023-02-01
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| author | Yan Shi Shuzhen Niu Silian Ding Songqi Wu Jiajia Ma |
| author_facet | Yan Shi Shuzhen Niu Silian Ding Songqi Wu Jiajia Ma |
| author_sort | Yan Shi |
| collection | DOAJ |
| description | Objective To examine the relationship between caregiver competence and health-related quality of life (HRQoL) among family caregivers of disabled elderly adults, and to evaluate the role of caregiver burden as a potential mediator of that relationship.Design Cross-sectional study.Setting Two general hospitals in Shanghai, China.Participants Study participants were 135 family caregivers of disabled elderly adults listed on a roster for outpatient and emergency services utilisation from January to March 2022.Data analysis and outcome measures We used stratified linear regression and structural equation model analysis. HRQoL was the main outcome, measured using the Medical Outcomes Study 36-Item Short form Health Survey. Caregiver competence was assessed using the Family Caregiver Task Inventory, and caregiver burden was assessed with the Zarit Burden Interview.Results Caregivers of moderately and severely disabled elderly adults showed poorer scores in Physical Component Summary (F=20.463, p<0.05) and Mental Component Summary (F=17.062, p<0.05) compared with caregivers of older adults with mild disabilities. At the same time, those caregivers showed higher scores on the caregiving burden (F=19.533, p<0.05) and caregiving difficulties (F=16.079, p<0.05). A structural equation model was performed and successfully adjusted (χ2/df=1.175, p=0.261, NFI=0.970, RFI=0.949, IFI=0.995, CFI=0.995, GFI=0.963, TLI=0.992, AGFI=0.920, RMSEA=0.036). The total effect of Family Caregiver Task Inventory scores on HRQoL scores was −0.980, with a direct effect of −0.645. The mediating effect on HRQoL scores through the intermediate variable of caregiver burden scores was −0.335.Conclusions Family caregivers’ HRQoL is closely related to caregiver difficulties and burdens. Early identification and targeted measures are needed to reduce the burden and problems in caregiving. |
| format | Article |
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| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-02-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-ad384d436f0b4ba48a238b79946194f52025-02-02T10:55:09ZengBMJ Publishing GroupBMJ Open2044-60552023-02-0113210.1136/bmjopen-2022-067296Correlations between caregiver competence, burden and health-related quality of life among Chinese family caregivers of elderly adults with disabilities: a cross-sectional study using structural equations analysisYan Shi0Shuzhen Niu1Silian Ding2Songqi Wu3Jiajia Ma44 Internet of Things, Wuhan Institute of Technology, Wuhan, ChinaDepartment of Nursing, Tenth People`s hospital, School of Medicine, Tongji University, Shanghai, ChinaDepartment of Neurology, Shanghai Fourth People`s Hospital Affiliated to Tongji University, Shanghai, ChinaDepartment of Nursing, Tenth People`s hospital, School of Medicine, Tongji University, Shanghai, ChinaDepartment of Nursing, Tenth People`s hospital, School of Medicine, Tongji University, Shanghai, ChinaObjective To examine the relationship between caregiver competence and health-related quality of life (HRQoL) among family caregivers of disabled elderly adults, and to evaluate the role of caregiver burden as a potential mediator of that relationship.Design Cross-sectional study.Setting Two general hospitals in Shanghai, China.Participants Study participants were 135 family caregivers of disabled elderly adults listed on a roster for outpatient and emergency services utilisation from January to March 2022.Data analysis and outcome measures We used stratified linear regression and structural equation model analysis. HRQoL was the main outcome, measured using the Medical Outcomes Study 36-Item Short form Health Survey. Caregiver competence was assessed using the Family Caregiver Task Inventory, and caregiver burden was assessed with the Zarit Burden Interview.Results Caregivers of moderately and severely disabled elderly adults showed poorer scores in Physical Component Summary (F=20.463, p<0.05) and Mental Component Summary (F=17.062, p<0.05) compared with caregivers of older adults with mild disabilities. At the same time, those caregivers showed higher scores on the caregiving burden (F=19.533, p<0.05) and caregiving difficulties (F=16.079, p<0.05). A structural equation model was performed and successfully adjusted (χ2/df=1.175, p=0.261, NFI=0.970, RFI=0.949, IFI=0.995, CFI=0.995, GFI=0.963, TLI=0.992, AGFI=0.920, RMSEA=0.036). The total effect of Family Caregiver Task Inventory scores on HRQoL scores was −0.980, with a direct effect of −0.645. The mediating effect on HRQoL scores through the intermediate variable of caregiver burden scores was −0.335.Conclusions Family caregivers’ HRQoL is closely related to caregiver difficulties and burdens. Early identification and targeted measures are needed to reduce the burden and problems in caregiving.https://bmjopen.bmj.com/content/13/2/e067296.full |
| spellingShingle | Yan Shi Shuzhen Niu Silian Ding Songqi Wu Jiajia Ma Correlations between caregiver competence, burden and health-related quality of life among Chinese family caregivers of elderly adults with disabilities: a cross-sectional study using structural equations analysis BMJ Open |
| title | Correlations between caregiver competence, burden and health-related quality of life among Chinese family caregivers of elderly adults with disabilities: a cross-sectional study using structural equations analysis |
| title_full | Correlations between caregiver competence, burden and health-related quality of life among Chinese family caregivers of elderly adults with disabilities: a cross-sectional study using structural equations analysis |
| title_fullStr | Correlations between caregiver competence, burden and health-related quality of life among Chinese family caregivers of elderly adults with disabilities: a cross-sectional study using structural equations analysis |
| title_full_unstemmed | Correlations between caregiver competence, burden and health-related quality of life among Chinese family caregivers of elderly adults with disabilities: a cross-sectional study using structural equations analysis |
| title_short | Correlations between caregiver competence, burden and health-related quality of life among Chinese family caregivers of elderly adults with disabilities: a cross-sectional study using structural equations analysis |
| title_sort | correlations between caregiver competence burden and health related quality of life among chinese family caregivers of elderly adults with disabilities a cross sectional study using structural equations analysis |
| url | https://bmjopen.bmj.com/content/13/2/e067296.full |
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