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Relationship Consensus and Caregiver Burden in Adults with Cognitive Impairments 6 Months Following Stroke
Author(s) -
Wu ChaoYi,
Skidmore Elizabeth R.,
Rodakowski Juleen
Publication year - 2019
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1002/pmrj.12009
Subject(s) - caregiver burden , medicine , stroke (engine) , odds ratio , quality of life (healthcare) , confidence interval , cognition , randomized controlled trial , observational study , logistic regression , clinical psychology , physical therapy , gerontology , psychiatry , dementia , disease , nursing , surgery , pathology , engineering , mechanical engineering
Background Caregiver burden is commonly experienced in caregivers of adults with cognitive impairment after stroke. This burden can be associated with caregiver‐centered factors, including caregiver‐perceived relationship quality. Objective To examine the role of caregiver‐perceived relationship quality on caregiver burden at 6 months following stroke. Design Prospective observational study. Setting Community settings. Participants Adults enrolled in two randomized controlled trials after stroke (n = 60) and their caregivers (n = 60). Methods Three constructs of relationship quality (relationship consensus, cohesion, and satisfaction) were examined as predictors of caregiver burden (the Abbreviated Dyadic Adjustment Scale). A hierarchical logistic regression and a Poisson regression with robust standard errors were used to examine the effect of relationship quality on caregiver burden while controlling for characteristics of stroke survivors and caregivers. Main Outcome Measurements Caregiver burden was measured with the abridged version of the Zarit Burden Interview. Results Poor relationship consensus (odds ratio [OR] = 1.48; 95% confidence interval [CI] = 1.06‐2.07; P = .02) increased the odds of high caregiver burden after controlling for characteristics of stroke survivors (age, comorbidity, cognitive fluency) and caregivers (gender, self‐reported health). Relationship cohesion (OR = 1.03; 95% CI = .84‐1.25; P = .81) and relationship satisfaction (OR = 1.53; 95% CI = .75‐3.10; P = .24) did not predict caregiver burden. Conclusion Meaningful and agreeable goals and expectations between dyads are essential to reduce caregiver burden after stroke. Collaborative goal‐setting between stroke survivors and their caregivers may be a promising intervention strategy to increase relationship consensus and reduce caregiver burden. Level of Evidence III.