摘要
Objective: Due to the presence of neuropsychiatric behaviors and the decreased ability for activities of daily living (ADLs), family caregivers experience high burden levels in caring for people with dementia (PWD). This study sought to test the mediating role of caregiving hours in association with PWDs’ ability for basic activities of daily living (BADL) function or neuropsychiatric behaviors and caregiver burden. Methods: This study used two waves of survey data, collected between 2013 and 2016, from 186 PWD–caregiver dyads in a dementia clinic at a teaching hospital in southern Taiwan. Two sets of multiple linear regression models were used to analyze the relationships between the changes in patients’ BADL function, patients’ neuropsychiatric behaviors, caregiving hours in ADL (including BADL and Instrumental ADL), and caregiver burden (measured using Zarit Burden Interview). Bootstrapping methods were used to detect the mediating effects of caregiving hours in ADL if the 95% confidence interval (CI) did not cover 0. Results: Caregiving hours in BADL mediated the relationship of PWDs’ BADL function and caregiver burden (effect = −0.0137, 95% bootstrap CI = −0.0379, −0.0003). However, such mediating effects were not found in the relationship of PWDs’ neuropsychiatric behaviors and caregiver burden. Conclusions: In order to relieve caregiver burden, respite care services for caregivers for PWD should target services that assist with PWD's BADL.
| 原文 | English |
|---|---|
| 頁（從 - 到） | 25-30 |
| 頁數 | 6 |
| 期刊 | Archives of gerontology and geriatrics |
| 卷 | 81 |
| DOIs | |
| 出版狀態 | Published - 2019 三月 1 |
指紋
All Science Journal Classification (ASJC) codes
- Health(social science)
- Ageing
- Gerontology
- Geriatrics and Gerontology
引用此文
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Activities of daily living function and neuropsychiatric symptoms of people with dementia and caregiver burden : The mediating role of caregiving hours. / Lin, Chung Ying; Shih, Pei Yu; Ku, Li-Jung Elizabeth.
於: Archives of gerontology and geriatrics, 卷 81, 01.03.2019, p. 25-30.研究成果: Article
TY - JOUR
T1 - Activities of daily living function and neuropsychiatric symptoms of people with dementia and caregiver burden
T2 - The mediating role of caregiving hours
AU - Lin, Chung Ying
AU - Shih, Pei Yu
AU - Ku, Li-Jung Elizabeth
PY - 2019/3/1
Y1 - 2019/3/1
N2 - Objective: Due to the presence of neuropsychiatric behaviors and the decreased ability for activities of daily living (ADLs), family caregivers experience high burden levels in caring for people with dementia (PWD). This study sought to test the mediating role of caregiving hours in association with PWDs’ ability for basic activities of daily living (BADL) function or neuropsychiatric behaviors and caregiver burden. Methods: This study used two waves of survey data, collected between 2013 and 2016, from 186 PWD–caregiver dyads in a dementia clinic at a teaching hospital in southern Taiwan. Two sets of multiple linear regression models were used to analyze the relationships between the changes in patients’ BADL function, patients’ neuropsychiatric behaviors, caregiving hours in ADL (including BADL and Instrumental ADL), and caregiver burden (measured using Zarit Burden Interview). Bootstrapping methods were used to detect the mediating effects of caregiving hours in ADL if the 95% confidence interval (CI) did not cover 0. Results: Caregiving hours in BADL mediated the relationship of PWDs’ BADL function and caregiver burden (effect = −0.0137, 95% bootstrap CI = −0.0379, −0.0003). However, such mediating effects were not found in the relationship of PWDs’ neuropsychiatric behaviors and caregiver burden. Conclusions: In order to relieve caregiver burden, respite care services for caregivers for PWD should target services that assist with PWD's BADL.
AB - Objective: Due to the presence of neuropsychiatric behaviors and the decreased ability for activities of daily living (ADLs), family caregivers experience high burden levels in caring for people with dementia (PWD). This study sought to test the mediating role of caregiving hours in association with PWDs’ ability for basic activities of daily living (BADL) function or neuropsychiatric behaviors and caregiver burden. Methods: This study used two waves of survey data, collected between 2013 and 2016, from 186 PWD–caregiver dyads in a dementia clinic at a teaching hospital in southern Taiwan. Two sets of multiple linear regression models were used to analyze the relationships between the changes in patients’ BADL function, patients’ neuropsychiatric behaviors, caregiving hours in ADL (including BADL and Instrumental ADL), and caregiver burden (measured using Zarit Burden Interview). Bootstrapping methods were used to detect the mediating effects of caregiving hours in ADL if the 95% confidence interval (CI) did not cover 0. Results: Caregiving hours in BADL mediated the relationship of PWDs’ BADL function and caregiver burden (effect = −0.0137, 95% bootstrap CI = −0.0379, −0.0003). However, such mediating effects were not found in the relationship of PWDs’ neuropsychiatric behaviors and caregiver burden. Conclusions: In order to relieve caregiver burden, respite care services for caregivers for PWD should target services that assist with PWD's BADL.
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UR - http://www.scopus.com/inward/citedby.url?scp=85057091066&partnerID=8YFLogxK
U2 - 10.1016/j.archger.2018.11.009
DO - 10.1016/j.archger.2018.11.009
M3 - Article
C2 - 30496871
AN - SCOPUS:85057091066
VL - 81
SP - 25
EP - 30
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
SN - 0167-4943
ER -