Patient and caregiver contributions to self-care in multiple chronic conditions : A multilevel modelling analysis
Copyright © 2020. Published by Elsevier Ltd..
BACKGROUND: Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes.
OBJECTIVES: To describe patient self-care and care partner contributions to self-care and to identify determinants of patient self-care and care partner contributions to self-care at the patient and care partner level.
DESIGN: Multicentre cross-sectional study.
SETTING: Outpatient and community settings in Italy.
PARTICIPANTS: A sample of 340 patients with MCC and care partner dyads was recruited between 2017 and 2018.
METHODS: We measured patient's self-care and care partner contributions to self-care in dyads using the Self-care of Chronic Illness Inventory and the Caregiver Contribution to Self-care of Chronic Illness Inventory. To control for dyadic interdependence, we performed a multilevel modelling analysis.
RESULTS: Patients' and care partners' mean ages were 76.65 (± 7.27) and 54.32 (± 15.25), respectively. Most care partners were female and adult children or grandchildren. The most prevalent chronic conditions in patients were diabetes (74%) and heart failure (34%). Patients and care partners reported higher levels of self-care monitoring than self-care maintenance and management behaviours. Important patient clinical determinants of self-care included cognitive status, number of medications and type of chronic condition. Care partner determinants of self-care contributions included age, gender, education, perceived income, care partner burden, caregiving hours per week and the presence of a secondary care partner.
CONCLUSIONS: Our findings support the importance of taking a dyadic approach when focusing on patients with MCC and their care partners. More dyadic longitudinal research is recommended to reveal the modifiable determinants of self-care and the complex relationships between patients and care partners in the context of MCC.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:116 |
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| Enthalten in: |
International journal of nursing studies - 116(2021) vom: 01. Apr., Seite 103574 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Iovino, Paolo [VerfasserIn] |
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| Links: |
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| Themen: |
Caregivers |
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| Anmerkungen: |
Date Completed 28.07.2021 Date Revised 31.05.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.ijnurstu.2020.103574 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM308618440 |
|---|
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| 100 | 1 | |a Iovino, Paolo |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Patient and caregiver contributions to self-care in multiple chronic conditions |b A multilevel modelling analysis |
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| 500 | |a Date Revised 31.05.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020. Published by Elsevier Ltd. | ||
| 520 | |a BACKGROUND: Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes | ||
| 520 | |a OBJECTIVES: To describe patient self-care and care partner contributions to self-care and to identify determinants of patient self-care and care partner contributions to self-care at the patient and care partner level | ||
| 520 | |a DESIGN: Multicentre cross-sectional study | ||
| 520 | |a SETTING: Outpatient and community settings in Italy | ||
| 520 | |a PARTICIPANTS: A sample of 340 patients with MCC and care partner dyads was recruited between 2017 and 2018 | ||
| 520 | |a METHODS: We measured patient's self-care and care partner contributions to self-care in dyads using the Self-care of Chronic Illness Inventory and the Caregiver Contribution to Self-care of Chronic Illness Inventory. To control for dyadic interdependence, we performed a multilevel modelling analysis | ||
| 520 | |a RESULTS: Patients' and care partners' mean ages were 76.65 (± 7.27) and 54.32 (± 15.25), respectively. Most care partners were female and adult children or grandchildren. The most prevalent chronic conditions in patients were diabetes (74%) and heart failure (34%). Patients and care partners reported higher levels of self-care monitoring than self-care maintenance and management behaviours. Important patient clinical determinants of self-care included cognitive status, number of medications and type of chronic condition. Care partner determinants of self-care contributions included age, gender, education, perceived income, care partner burden, caregiving hours per week and the presence of a secondary care partner | ||
| 520 | |a CONCLUSIONS: Our findings support the importance of taking a dyadic approach when focusing on patients with MCC and their care partners. More dyadic longitudinal research is recommended to reveal the modifiable determinants of self-care and the complex relationships between patients and care partners in the context of MCC | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Caregivers | |
| 650 | 4 | |a Determinants | |
| 650 | 4 | |a Dyads | |
| 650 | 4 | |a Multiple chronic conditions | |
| 650 | 4 | |a Older people | |
| 650 | 4 | |a Self-care | |
| 700 | 1 | |a Lyons, Karen S |e verfasserin |4 aut | |
| 700 | 1 | |a De Maria, Maddalena |e verfasserin |4 aut | |
| 700 | 1 | |a Vellone, Ercole |e verfasserin |4 aut | |
| 700 | 1 | |a Ausili, Davide |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Christopher S |e verfasserin |4 aut | |
| 700 | 1 | |a Riegel, Barbara |e verfasserin |4 aut | |
| 700 | 1 | |a Matarese, Maria |e verfasserin |4 aut | |
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