Original Research

Relationship Consensus and Caregiver Burden in Adults with Cognitive Impairments 6 Months Following Stroke

Corresponding Author

Chao-Yi Wu MS, OT

[email protected]

Department of Occupational Therapy, University of Pittsburgh, 5055 Forbes Tower, Pittsburgh, PA 15260

Disclosure: nothing to discloseAddress correspondence to: C.-Y.W.; e-mail: [email protected]Search for more papers by this author

Elizabeth R. Skidmore PhD, OTR/L,

Elizabeth R. Skidmore PhD, OTR/L

Department of Occupational Therapy, Clinical and Translational Institute, Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA

Disclosure: nothing to discloseSearch for more papers by this author

Juleen Rodakowski OTD, MS, OTR/L,

Juleen Rodakowski OTD, MS, OTR/L

Department of Occupational Therapy, Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA

Disclosure: nothing to discloseSearch for more papers by this author

Chao-Yi Wu MS, OT,

Corresponding Author

Chao-Yi Wu MS, OT

[email protected]

Department of Occupational Therapy, University of Pittsburgh, 5055 Forbes Tower, Pittsburgh, PA 15260

Disclosure: nothing to discloseAddress correspondence to: C.-Y.W.; e-mail: [email protected]Search for more papers by this author

Elizabeth R. Skidmore PhD, OTR/L,

Elizabeth R. Skidmore PhD, OTR/L

Department of Occupational Therapy, Clinical and Translational Institute, Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA

Disclosure: nothing to discloseSearch for more papers by this author

Juleen Rodakowski OTD, MS, OTR/L,

Juleen Rodakowski OTD, MS, OTR/L

Department of Occupational Therapy, Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA

Disclosure: nothing to discloseSearch for more papers by this author

First published: 29 November 2018

https://doi.org/10.1002/pmrj.12009

Citations: 11

Funding: This work was supported by grants from the National Center for Advancing Translational Science (grant number KL2 TR000146 to J.R.), the Eunice Kennedy Shriver National Center for Medical Rehabilitation Research (grant numbers R01 HD074693 and R03 HD073770 to E.R.S.), and the American Occupational Therapy Foundation (AOTFIRG15RODAKOWSKI) to J.R.

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Abstract

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.

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Citing Literature

Volume11, Issue6

June 2019

Pages 597-603

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Stroke

Relationship Consensus and Caregiver Burden in Adults with Cognitive Impairments 6 Months Following Stroke

Abstract

Background

Objective

Design

Setting

Participants

Methods

Main Outcome Measurements

Results

Conclusion

Level of Evidence

References

Citing Literature

References

Information

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Relationship Consensus and Caregiver Burden in Adults with Cognitive Impairments 6 Months Following Stroke

Abstract

Background

Objective

Design

Setting

Participants

Methods

Main Outcome Measurements

Results

Conclusion

Level of Evidence

References

Citing Literature

References

Related

Information