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Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers.
J Am Geriatr Soc 2019; 67(2):277-283JA

Abstract

OBJECTIVES

To examine factors associated with caregiver burden from a multifactorial perspective by examining caregiver and care recipient characteristics and a full range of caregiving tasks.

DESIGN

Nationally representative surveys of community-dwelling older adults and their family caregivers residing in the United States.

SETTING

2011 National Health and Aging Trends Study and National Study of Caregiving.

PARTICIPANTS

Community-dwelling older adults and their family caregivers.

MEASUREMENTS

Caregiver burden, comprising emotional, physical, and financial difficulties associated with caregiving.

RESULTS

An estimated 14.9 million caregivers assisted 7.6 million care recipients. More than half of caregivers reported burden related to caregiving. In a multivariable regression model, caregivers who assisted with more activities of daily living and instrumental activities of daily living, health management tasks, and health system logistics were more likely to experience burden, as were female caregivers, adult child caregivers, caregivers in poor health, caregivers with anxiety symptoms, and those using respite care. Dementia was the only care recipient characteristic associated with burden.

CONCLUSION

Caregiver characteristics and provision of caregiving tasks determine caregiver burden more than care recipient characteristics. Absence of an association between type of a care recipient's chronic conditions and burden, except for dementia, suggests that the tasks that caregivers who assist older adults with a variety of health conditions undertake shape the experience of caregiving. J Am Geriatr Soc 67:277-283, 2019.

Authors+Show Affiliations

Department of Internal Medicine, Weill Cornell Medicine, New York, New York.Department of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut.Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.Department of Internal Medicine, School of Medicine, Yale University, New Haven, Connecticut. Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30452088

Citation

Riffin, Catherine, et al. "Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers." Journal of the American Geriatrics Society, vol. 67, no. 2, 2019, pp. 277-283.
Riffin C, Van Ness PH, Wolff JL, et al. Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers. J Am Geriatr Soc. 2019;67(2):277-283.
Riffin, C., Van Ness, P. H., Wolff, J. L., & Fried, T. (2019). Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers. Journal of the American Geriatrics Society, 67(2), pp. 277-283. doi:10.1111/jgs.15664.
Riffin C, et al. Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers. J Am Geriatr Soc. 2019;67(2):277-283. PubMed PMID: 30452088.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers. AU - Riffin,Catherine, AU - Van Ness,Peter H, AU - Wolff,Jennifer L, AU - Fried,Terri, Y1 - 2018/11/19/ PY - 2018/06/20/received PY - 2018/09/11/revised PY - 2018/09/15/accepted PY - 2020/02/01/pmc-release PY - 2018/11/20/pubmed PY - 2018/11/20/medline PY - 2018/11/20/entrez KW - caregiver burden KW - caregiving KW - informal caregiver SP - 277 EP - 283 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 67 IS - 2 N2 - OBJECTIVES: To examine factors associated with caregiver burden from a multifactorial perspective by examining caregiver and care recipient characteristics and a full range of caregiving tasks. DESIGN: Nationally representative surveys of community-dwelling older adults and their family caregivers residing in the United States. SETTING: 2011 National Health and Aging Trends Study and National Study of Caregiving. PARTICIPANTS: Community-dwelling older adults and their family caregivers. MEASUREMENTS: Caregiver burden, comprising emotional, physical, and financial difficulties associated with caregiving. RESULTS: An estimated 14.9 million caregivers assisted 7.6 million care recipients. More than half of caregivers reported burden related to caregiving. In a multivariable regression model, caregivers who assisted with more activities of daily living and instrumental activities of daily living, health management tasks, and health system logistics were more likely to experience burden, as were female caregivers, adult child caregivers, caregivers in poor health, caregivers with anxiety symptoms, and those using respite care. Dementia was the only care recipient characteristic associated with burden. CONCLUSION: Caregiver characteristics and provision of caregiving tasks determine caregiver burden more than care recipient characteristics. Absence of an association between type of a care recipient's chronic conditions and burden, except for dementia, suggests that the tasks that caregivers who assist older adults with a variety of health conditions undertake shape the experience of caregiving. J Am Geriatr Soc 67:277-283, 2019. SN - 1532-5415 UR - https://www.unboundmedicine.com/medline/citation/30452088/Multifactorial_Examination_of_Caregiver_Burden_in_a_National_Sample_of_Family_and_Unpaid_Caregivers_ L2 - https://doi.org/10.1111/jgs.15664 DB - PRIME DP - Unbound Medicine ER -