Profile of Caregiving Activities and Association With Physical Health Among Dementia Spousal Caregivers.
| Autor: | Cho J; Department of Family and Community Medicine, Saint Louis University School of Medicine, Saint Louis, Missouri, USA.; Center for Applied Health Research, Baylor Scott & White Research Institute, Temple, Texas, USA., Sands LP; Center for Gerontology, Virginia Tech, Blacksburg, Virginia, USA., Stevens AB; Center for Applied Health Research, Baylor Scott & White Research Institute, Temple, Texas, USA.; Department of Medicine, Baylor College of Medicine, Houston, Texas, USA., Allore HG; Department of Biostatistics, School of Public Health, Yale University, New Haven, Connecticut, USA.; Section of Geriatrics, Department of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut, USA., Horstman MJ; Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.; Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Innovation in aging [Innov Aging] 2024 Feb 15; Vol. 8 (3), pp. igae017. Date of Electronic Publication: 2024 Feb 15 (Print Publication: 2024). |
| DOI: | 10.1093/geroni/igae017 |
| Abstrakt: | Background and Objectives: This study aims to identify patterns of caregiving intensity and assess associations between caregiving intensity and multidimensional physical health indicators and health behaviors among spousal caregivers of persons with Alzheimer's disease and related dementia. Research Design and Methods: Using data from 152 spousal caregivers aged 65 and older, the intensity of their caregiving experience was measured as the number and frequency of health- and medical-related helping activities for their care recipient. Multidimensional health indicators included self-reported fatigue, sleep disturbance, physical functioning, pain interference, general health, and the number of chronic conditions from the electronic health records. Self-reported health promotion behaviors were assessed as health responsibility, physical activity, nutrition, interpersonal relations, and stress management. Results: Two distinct caregiving intensity patterns, high-intensity (37.5%) and low-intensity (62.5%) caregiving, were identified with cluster analysis. Caregivers in the high-intensity caregiving cluster reported feeling more tired ( t = 2.25, p < .05), experiencing more sleep disturbance ( t = 3.06, p < .01), and performing less physical activity ( t = 2.05, p < .05) compared with caregivers in the low-intensity group. Discussion and Implications: Future studies are needed to develop effective interventions to address caregiving intensity and its consequences on the health of spousal caregivers of persons with dementia. Competing Interests: None. (© The Author(s) 2024. Published by Oxford University Press on behalf of The Gerontological Society of America.) |
| Databáze: | MEDLINE |
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