Characterizing Quality of Life in Caregivers of People with Parkinson’s Disease and Dysphagia

Perry, Sarah; Borders, James C; Dakin, Avery E; Troche, Michelle S.

doi:10.1007/s00455-021-10299-z

Cited by 12 publications

(11 citation statements)

References 47 publications

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“…The present study's main strength is that it examined the relationship between caregiver burden and dysphagia severity, as defined by the use of texture‐modified foods and tube feeding. A previous study examined dysphagia severity and caregivers' quality of life; however, pharyngeal residual volume and aspiration with regard to functional assessment were not associated with caregivers' quality of life 30 . One possible factor is that the measures for assessing dysphagia severity used in the previous study evaluated only some components of dysphagia, which might not reflect daily feeding and swallowing status.…”

Section: Discussionmentioning

confidence: 91%

“…A previous study examined dysphagia severity and caregivers' quality of life; however, pharyngeal residual volume and aspiration with regard to functional assessment were not associated with caregivers' quality of life. 30 One possible factor is that the measures for assessing dysphagia severity used in the previous study evaluated only some components of dysphagia, which might not reflect daily feeding and swallowing status. In the present study, severity levels were classified based on daily oral intake status, which could describe daily feeding and swallowing difficulties more comprehensively; thus, it was possible to present problems regarding caregiver burden at each stage of the dysphagia.…”

Section: Discussionmentioning

confidence: 99%

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The effect of care receivers' dysphagia severity on caregiver burden among family caregivers

Suzuki

Kimura

Otobe

et al. 2022

Geriatrics Gerontology Int

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Introduction: Dysphagia has received much attention as a factor that affects caregiver burden. However, few studies have examined how its severity can affect caregiver burden. This study aimed to examine the effect of dysphagia severity on caregiver burden.Methods: A cross-sectional online survey was carried out among family caregivers. We assessed caregiver burden using the Zarit Burden Interview. The dysphagia severity was assessed using the Functional Oral Intake Scale, and the caregivers were divided into three groups based on care receivers' oral intake status (levels 1-3: tube-feeding group; levels 4-6: texture-modified food group; level 7: normal group). To investigate the relationship between caregiver burden and dysphagia severity, univariable and multivariable logistic regression analyses were applied to caregiver burden.Results: The Zarit Burden Interview was significantly higher in the texture-modified food group, and the proportions of high caregiver burden reached 25.2%, 39.5% and 23.4% in the normal group, texture-modified food group and tube-feeding group, respectively. The multivariable analyses applied to caregiver burden (reference, normal group) showed that the texture-modified food group was significantly associated with caregiver burden (OR 1.55, 95% CI 1.04-2.32), whereas the tube-feeding group had no relationship with caregiver burden (OR 0.68, 95% CI 0.31-1.49).Conclusions: Our study showed that the intake of texture-modified food significantly affected caregiver burden even after adjusting for confounding factors, whereas the use of tube feeding did not increase caregiver burden. These results suggest that it is necessary to consider dysphagia severity to reduce dysphagia-related caregiver burden. Geriatr Gerontol Int 2022; 22: 870-875.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

The effect of care receivers' dysphagia severity on caregiver burden among family caregivers

Suzuki

Kimura

Otobe

et al. 2022

Geriatrics Gerontology Int

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“…In future studies on OD in PD, it might be important to assess outcomes related to carer burden as ultimately, a less burdened carer might improve a PD person's health outcomes and QoL. 52 on November 20, 2022 by guest. Protected by copyright.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, pneumonia is one of the most common reasons for emergency hospital admission in patients with PD,51 making patients with OD in PD more likely to be admitted to hospital and increase overall healthcare costs. Additionally, Perry et al 52 found that providing care for a person with OD in PD reduces the carer’s QoL due to an increased burden. In future studies on OD in PD, it might be important to assess outcomes related to carer burden as ultimately, a less burdened carer might improve a PD person’s health outcomes and QoL 52…”

Section: Discussionmentioning

confidence: 99%

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Swallowing outcomes in dysphagia interventions in Parkinson’s disease: a scoping review

Hirschwald

Hofacker

Duncan

et al. 2022

BMJ EBM

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ObjectivesTo identify all outcomes, their definitions, outcome measurement instruments (OMIs), timepoints and frequency of measurement applied in clinical trials in oropharyngeal dysphagia (OD) interventions in Parkinson’s disease (PD). This scoping review is the first stage of a larger project establishing a core outcome set for dysphagia interventions in Parkinson’s disease (COS-DIP).DesignScoping review.MethodsSix electronic databases and one trial registry were searched without language restrictions until March 2022. Bibliography lists of included studies were also reviewed. Study screening and data extraction were conducted independently by two reviewers using Covidence. The scoping review protocol is registered and published (http://hdl.handle.net/2262/97652).Results19 studies with 134 outcomes were included. Trial outcomes were mapped to a recommended taxonomy for COSs and merged. 39 outcomes were identified. The most frequently measured were general swallowing-related outcomes, global quality-of-life outcomes and swallowing-related perceived health status outcomes. The applied outcomes, their definitions, OMIs, timepoints and frequency of measurement showed a high variability across all studies.ConclusionsThe high variability of outcomes emphasises the need for an agreed standardised COS. This will inform clinical trial design in OD in PD, increase the quality of OD trials in PD and facilitate synthesising and comparing study results to reach conclusion on the safety and effectiveness of OD interventions in PD. It will not prevent or restrict researchers from examining other outcomes.Trial registration numberThe COS-DIP study, including the scoping review, was registered prospectively with the Core Outcome Measures in Effectiveness Trials Database on 24 September 2021 (www.comet-initiative.org, registration number: 1942).

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Rehabilitation interventions for oropharyngeal dysphagia in people with Parkinson's disease

Battel,

Arienti,

Del Furia

et al. 2024

Cochrane Database of Systematic Reviews

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Characterizing Quality of Life in Caregivers of People with Parkinson’s Disease and Dysphagia

Cited by 12 publications

References 47 publications

The effect of care receivers' dysphagia severity on caregiver burden among family caregivers

The effect of care receivers' dysphagia severity on caregiver burden among family caregivers

Swallowing outcomes in dysphagia interventions in Parkinson’s disease: a scoping review

Rehabilitation interventions for oropharyngeal dysphagia in people with Parkinson's disease

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