Redefining caregiver strain for family caregivers in end-of-life care in Hong Kong
Autor: | Amy Yin Man Chow, Genevieve Ataa Fordjour, Keyuan Jiao, Jung Nahri, Iris Kwan Ning Chan, Chak Nam Kuok |
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Rok vydání: | 2023 |
Předmět: | |
Zdroj: | Palliative and Supportive Care. :1-8 |
ISSN: | 1478-9523 1478-9515 |
DOI: | 10.1017/s1478951523000020 |
Popis: | Objectives Caregiving for family members at their end of life is stressful. Caregivers’ strain, burden, or stress has been measured in various geographical and sociodemographic contexts. The concept of stress, burden, and strain are sometimes used interchangeably. By analysing the factor structure of the Chinese version of the Modified Caregiver Strain Index (C-M-CSI), this study aimed to examine the caregiving strain concept and its demographic correlates. Methods A sample of 453 family caregivers of patients with a terminal illness in Hong Kong was employed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed. In addition, generalized linear models (GLM) were used to examine the demographic correlates. Results The EFA yielded a 3-factor model termed “Perception of Caregiving,” “Empathetic Strain,” and “Adjustment Demand.” This 3-factor model explained 50% of the variance and showed good internal consistency. The CFA confirmed the 3-factor construct with satisfactory internal reliability (χ2 [61, N = 226] = 108.86, p Significance of results The results gave insights into the advancement of the conceptualization of caregiver strain, its multidimensional nature, and process of change, which inform directions for future research and practices. |
Databáze: | OpenAIRE |
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