國家衛生研究院 NHRI:Item 3990099045/15924
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/15924


    Title: Understanding and alleviating informal caregiver burden through the development and validation of a caregiver strain index-based model in Taiwan
    Authors: Chien, SC;Chang, YH;Yen, CM;Chen, YE;Liu, CC;Hsiao, YP;Yang, PY;Lin, HM;Yang, TE;Lu, XH;Wu, IC;Hsu, CC;Chiou, HY;Chung, RH
    Contributors: Institute of Population Health Sciences;National Center for Geriatrics and Welfare Research
    Abstract: Background Quantifying the informal caregiver burden is important for understanding the risk factors associated with caregiver overload and for evaluating the effectiveness of services provided in Long-term Care (LTC). Objective This study aimed to develop and validate a Caregiver Strain Index (CSI)-based score for quantifying the informal caregiver burden, while the original dataset did not fully cover evaluation items commonly included in international assessments. Subsequently, we utilized the CSI-based score to pinpoint key caregiver burden risk factors, examine the initial timing of LTC services adoption, and assess the impact of LTC services on reducing caregiver burden. Methods The study analyzed over 28,000 LTC cases in Southern Taiwan from August 2019 to December 2022. Through multiple regression analysis, we identified significant risk factors associated with caregiver burden and examined changes in this burden after utilizing various services. Survival analysis was employed to explore the relationship between adopting the first LTC services and varying levels of caregiver burden. Results We identified 126 significant risk factors for caregiver burden. The most critical factors included caregiving for other disabled family members or children under the age of three (beta = 0.74, p < 0.001), the employment status of the caregiver (beta = 0.30-0.53, p < 0.001), the frailty of the care recipient (beta = 0.28-0.31, p < 0.001), and the behavioral symptoms of dementia in care recipients (beta = 0.28-2.60, p < 0.05). Generally, caregivers facing higher burdens sought LTC services earlier, and providing home care services alleviated the caregiver's burden. Conclusion This comprehensive study suggests policy refinements to recognize high-risk caregivers better early and provide timely support to improve the overall well-being of both informal caregivers and care recipients.
    Date: 2024-06-26
    Relation: BMC Geriatrics. 2024 Jun 26;24:Article number 558.
    Link to: http://dx.doi.org/10.1186/s12877-024-05136-5
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1471-2318&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:001254800600001
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85196860667
    Appears in Collections:[Ren-Hua Chung] Periodical Articles
    [Hung-Yi Chiou] Periodical Articles
    [Chih-Cheng Hsu] Periodical Articles
    [I-Chien Wu] Periodical Articles
    [Chia-Ming Yen] Periodical Articles
    [Chih-Cheng Hsu] Periodical Articles

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