Examining the Influence of Social Interactions and Community Resources on Caregivers' Burden in Stroke Settings: A Prospective Cohort Study.
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.
Type
Journal articleSubject
assistance to caregiverscare management strategies
caregiver burden
post stroke
stroke survivors
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https://hdl.handle.net/10161/24182Published Version (Please cite this version)
10.3390/ijerph182312310Publication Info
Koh, Yen Sin; Koh, Gerald Choon-Huat; Matchar, David Bruce; Hong, Song-Iee; & Tai,
Bee Choo (2021). Examining the Influence of Social Interactions and Community Resources on Caregivers'
Burden in Stroke Settings: A Prospective Cohort Study. International journal of environmental research and public health, 18(23). pp. 12310-12310. 10.3390/ijerph182312310. Retrieved from https://hdl.handle.net/10161/24182.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
David Bruce Matchar
Professor of Medicine
My research relates to clinical practice improvement - from the development of clinical
policies to their implementation in real world clinical settings. Most recently my
major content focus has been cerebrovascular disease. Other major clinical areas in
which I work include the range of disabling neurological conditions, cardiovascular
disease, and cancer prevention. Notable features of my work are: (1) reliance on
analytic strategies such as meta-analysis, simulation, decision analy

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