Negative/positive home-based caregiving appraisals by informal carers of the elderly in Japan

Imaiso, Junko

doi:10.1017/s1463423614000309

Cited by 8 publications

(15 citation statements)

References 19 publications

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“…Nonetheless, caregiver's appraisal of their daily caregiving life is an important source of such information which may change during the course of their chronic disease trajectory. Therefore, it is important to assess older spouse caregivers’ perceived stress at every available opportunity (Imaiso, ).…”

Section: Discussionmentioning

confidence: 99%

The types of caregiving reactions experienced by the older spouse caregivers

Aloweni

Doshi

Fook‐Chong

et al. 2019

Journal of Clinical Nursing

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Aims To examine factors associated with the four types of caregiver reactions according to the modified Caregiver Reaction Assessment (mCRA) and assess the differences in the narrative assessment from spouse caregivers between the high‐positive and high‐negative caregiver reactions. Background There is a limited understanding of the factors contributing to positive and negative reactions among older spouse caregivers with chronic illnesses. Narrative assessment from spouse caregivers has not been studied before. Design The study design was a paired‐sample, mixed‐method survey design. Data were collected from spouse caregivers (≥55 years old) and care‐recipients in one medical institute from February 2017–December 2017. This manuscript used STROBE checklist to ensure complete reporting. Methods Demographic, socioeconomic, Frailty Index, perceived stress, and quality of life data were gathered from caregiver dyads. mCRA, relationship, and life satisfaction data were collected from caregivers. mCRA identified the four types of caregiver reactions: (a) high‐positive, low‐negative; (b) high‐positive, high‐negative; (c) low‐positive, high‐negative; and (d) low‐positive, low‐negative. A qualitative interview was conducted to understand the differences in the narrative and choice of words used to describe caregiving experience. Results Seventy‐five caregiver dyads were recruited. Total perceived stress was found to be negatively associated with high‐positive, low‐negative caregiver reaction (baseline category: low‐positive, high‐negative) by multinomial logistic regression. Content analyses showed that low‐positive and high‐negative caregivers used words that implied a lack of volition. Caregivers with positive experience viewed caregiving as a responsibility; the opposite viewed it as having ‘no choice’. Conclusions Perceived stress is an important indicator of caregiver reactions. Words used when describing caregiving experiences can potentially depict the spouse caregivers' current state of being as a caregiver. Relevance to clinical practice Spouse caregiver's narrative of their caregiving experience may provide easy and quick insights if interventions are needed. Early identification of negative reactions will allow for prompt interventions in mitigating caregivers' stress.

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Section: Discussionmentioning

confidence: 99%

The types of caregiving reactions experienced by the older spouse caregivers

Aloweni

Doshi

Fook‐Chong

et al. 2019

Journal of Clinical Nursing

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“…In this systematic review, only three modifiable factors were identified: family functioning, quality of the caregiver and care recipient dyadic relationship, and support from the family (DiBartolo & Soeken, 2003;Gupta & Bowie, 2018;Hanks et al, 2007;Liu & Huang, 2018;Pruchno & Patrick, 1999;Whitney et al, 2007). Family caregiving obligation was the nonmodifiable factor identified (Imaiso, 2015;Lee et al, 2010).…”

Section: Factors At the Interpersonal Levelmentioning

confidence: 95%

“…Modifiable factors relevant to the caregivers were most well studied. The number of studies on caregiver health ranked highest, including both the perceived physical health and psychological health (depressive symptoms, anxiety, positive/negative affect) (Affinito, 2018;Brickell et al, 2018;Gonyea, O'Connor, Carruth, & Boyle, 2005;Imaiso, 2015 & Brown, 2018;McAuliffe, Ong, & Kinsella, 2018;Pruchno & Patrick, 1999;Rapp & Chao, 2000;Verbakel et al, 2018;Zhang & Zhao, 2011).…”

Section: Factors At the Individual Levelmentioning

confidence: 99%

“…The nonmodifiable factors of care recipients were the demographics of care recipients, including the age, employment status, diagnosis of the disease and duration of the disease (Harvey et al, 2001;Pruchno & Patrick, 1999;Whitney et al, 2007). The nonmodifiable factors of caregivers were the demographics of caregivers, which include the gender, kinship, age, education level, ethnicity, employment status, marital status, religiosity, caregiving duration, the intensity of caregiving and location of residency (Coon et al, 2004;DiBartolo & Soeken, 2003;Epps, 2015;Fortier, 2008;Imaiso, 2015;Keir et al, 2009;Kramer, 1997;Lee, Yoo, & Jung, 2010;Liu & Huang, 2018;Yamamoto-Mitani et al, 2003).…”

Section: Factors At the Individual Levelmentioning

confidence: 99%

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Factors associated with caregiving appraisal of informal caregivers: A systematic review

Wang

Cheung

Leung

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To identify factors associated with the caregiving appraisal of informal caregivers. Background Caregiving appraisal, the cognitive evaluation of the caregiving situation, is an essential factor in determining positive or negative caregiving outcomes. Identifying factors associated with appraisal is fundamental for designing effective health promotion strategies. Design A systematic review. Methods PubMed, EMBASE, CINAHL, PsycINFO, Social Sciences Citation Index, Scopus, CNKI and Wanfang Database were searched for papers published from 1984 to December 2018. Keywords related to informal caregivers' caregiving appraisal were used. Cross‐sectional and cohort studies were included. The Quality Assessment and Validity Tool for Correlational Studies, and the CASP Cohort Study Checklist were used for quality assessment. Descriptive and narrative synthesis were used to analyse data. Social ecological model was used for classifying the associated factors into different levels. The PRISMA checklist was followed. Results Forty studies were included. The quality of the studies was moderate to high. Data were organised into three levels (individual, interpersonal and community level) and categorised into modifiable factors (e.g. patient behavioural problems, caregiver self‐efficacy and social support) and nonmodifiable factors (e.g. caregiving duration, gender and education). The majority of studies have investigated the factors at the individual level. Conclusion There are inconsistencies in the understanding of caregiving appraisal, and consensus is needed for conceptual clarity. Caregiving appraisal is associated with three levels of factors. These modifiable factors provide evidence for designing evidence‐based interventions, and the nonmodifiable factors help identify confounding factors in assessment and appraisal. Relevance to clinical practice Nurses are the best‐placed healthcare professionals to support informal caregivers. The three levels of associated factors and the interactive approaches provide direction for informing clinical nursing practice. They also provide evidence for healthcare researchers and policymakers to develop interventions and theoretical perspectives and to better allocate healthcare resources.

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“…In particular, hav-ing very few close friends was associated with a significantly higher likelihood of major depression among rural residents compared to urban residents. It is suggested that the important issues might be what the whole community (ie, urban or rural) understands about the life of the people, rather than the views of the actual communities that the people live in [17]. The findings in the current study suggest that social function might be a more important outcome measure of elderly health, particularly regarding mental health or depression, when considering outcome measures for effective integrated community care that takes into account the characteristics of each community.…”

Section: Discussionmentioning

confidence: 99%

Significant Differences in Elderly Health between Urban and Rural Communities: A Literature Review

Imaiso¹

2019

Health

Self Cite

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This study aimed to examine measures pertaining to elderly health in urban versus rural settings, and to identify differences in the health of elderly people living in urban and rural communities through a literature review. An electronic literature search was performed using PubMed for English articles published in peer-reviewed journals up to August 2018, with the following search terms: "urban", "rural", "comparison of community", "elderly health", and "comparison of community health". A total of 35 articles were extracted for a critical full-text review, and six articles that met the inclusion criteria were subjected to analysis. Measures related to elderly health in urban and rural communities were classified into the following three categories: functional abilities, health, and health perception. Five of the six articles described functional abilities (e.g., social function) and health (e.g., mental health, depression) as categories with significant differences in elderly health between urban and rural communities. The results suggest that elderly health measures related to social function and mental health or depression are more important outcome measures of effective person-centered integrated community care systems from the perspective of community characteristics. As there were only a few articles reporting on elderly health according to differences in environment between urban and rural communities, further investigation is globally warranted.

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Negative/positive home-based caregiving appraisals by informal carers of the elderly in Japan

Cited by 8 publications

References 19 publications

The types of caregiving reactions experienced by the older spouse caregivers

The types of caregiving reactions experienced by the older spouse caregivers

Factors associated with caregiving appraisal of informal caregivers: A systematic review

Significant Differences in Elderly Health between Urban and Rural Communities: A Literature Review

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