Parkinson's Disease Caregiver Strain in Singapore
Background: Caregiver strain is recognized globally with Parkinson's disease (PD). Comparatively little is understood about caregiver burden and strain in Asia.Objective: To investigate caregiver strain for families living with PD in Singapore, in light of international data.Methods: Ninety-fou...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-06-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2020.00455/full |
| _version_ | 1818276882158714880 |
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| author | Siok-Bee Tan Allison F. Williams Allison F. Williams Eng-King Tan Richard B. Clark Meg E. Morris |
| author_facet | Siok-Bee Tan Allison F. Williams Allison F. Williams Eng-King Tan Richard B. Clark Meg E. Morris |
| author_sort | Siok-Bee Tan |
| collection | DOAJ |
| description | Background: Caregiver strain is recognized globally with Parkinson's disease (PD). Comparatively little is understood about caregiver burden and strain in Asia.Objective: To investigate caregiver strain for families living with PD in Singapore, in light of international data.Methods: Ninety-four caregivers were recruited via people living with idiopathic PD in Singapore. Caregiver strain was assessed using the Zarit Burden Interview (ZBI); health status was assessing using the Cumulative Illness Rating Scale for Geriatrics (CIRS-G). PD disability measures were the Unified Parkinson's Disease Rating Scale (UPDRS) and modified Hoehn and Yahr (1967) Scale.Results: Primary caregivers of people living with PD in Singapore were mostly cohabiting spouses, partners or offspring. Around half employed foreign domestic helpers. Mean caregiving duration was 5.9 years with an average of eight hours per day spent in caregiving roles. Most care providers were comparatively healthy. Caregivers reported significant levels of strain which increased with greater level of disability (r = 0.36, n = 94, p < 0.001). Associations were significant between caregiver strain and scores on the UPDRS mentation, behavior, and mood subscales [r = 0.46, n = 94, p < 0.001, 95% CI (0.28, 0.60)]. High scores on the UPDRS activities of daily living subscale were associated with caregiver strain [r = 0.50, n = 94, p < 0.001, CI (0.33, 0.64)].Conclusion: Most caregivers in this Singapore sample reported high levels of strain, despite comparatively good physical function. Caregiver strain in PD spans geopolitical and cultural boundaries and correlates with disease severity. These results support the need for better early recognition, education, and support for caregivers of people living with PD. |
| first_indexed | 2024-12-12T22:52:42Z |
| format | Article |
| id | doaj.art-bb24ce1dfa584ba89fd93886b9298c12 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-12T22:52:42Z |
| publishDate | 2020-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-bb24ce1dfa584ba89fd93886b9298c122022-12-22T00:09:02ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-06-011110.3389/fneur.2020.00455538711Parkinson's Disease Caregiver Strain in SingaporeSiok-Bee Tan0Allison F. Williams1Allison F. Williams2Eng-King Tan3Richard B. Clark4Meg E. Morris5Nursing Division, Singapore General Hospital, Singapore, SingaporeSchool Health Sciences, The University of Melbourne, Melbourne, VIC, AustraliaSchool of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, AustraliaDepartment of Neurology, National Neuroscience Institute (Singapore General Hospital Campus), Singapore, SingaporeVictorian Rehabilitation Centre, Healthscope ARCH and La Trobe Centre for Sport and Exercise Medicine Research, La Trobe University, Melbourne, VIC, AustraliaVictorian Rehabilitation Centre, Healthscope ARCH and La Trobe Centre for Sport and Exercise Medicine Research, La Trobe University, Melbourne, VIC, AustraliaBackground: Caregiver strain is recognized globally with Parkinson's disease (PD). Comparatively little is understood about caregiver burden and strain in Asia.Objective: To investigate caregiver strain for families living with PD in Singapore, in light of international data.Methods: Ninety-four caregivers were recruited via people living with idiopathic PD in Singapore. Caregiver strain was assessed using the Zarit Burden Interview (ZBI); health status was assessing using the Cumulative Illness Rating Scale for Geriatrics (CIRS-G). PD disability measures were the Unified Parkinson's Disease Rating Scale (UPDRS) and modified Hoehn and Yahr (1967) Scale.Results: Primary caregivers of people living with PD in Singapore were mostly cohabiting spouses, partners or offspring. Around half employed foreign domestic helpers. Mean caregiving duration was 5.9 years with an average of eight hours per day spent in caregiving roles. Most care providers were comparatively healthy. Caregivers reported significant levels of strain which increased with greater level of disability (r = 0.36, n = 94, p < 0.001). Associations were significant between caregiver strain and scores on the UPDRS mentation, behavior, and mood subscales [r = 0.46, n = 94, p < 0.001, 95% CI (0.28, 0.60)]. High scores on the UPDRS activities of daily living subscale were associated with caregiver strain [r = 0.50, n = 94, p < 0.001, CI (0.33, 0.64)].Conclusion: Most caregivers in this Singapore sample reported high levels of strain, despite comparatively good physical function. Caregiver strain in PD spans geopolitical and cultural boundaries and correlates with disease severity. These results support the need for better early recognition, education, and support for caregivers of people living with PD.https://www.frontiersin.org/article/10.3389/fneur.2020.00455/fullcaregivercarerParkinson's diseasewell-beingquality of liferehabilitation |
| spellingShingle | Siok-Bee Tan Allison F. Williams Allison F. Williams Eng-King Tan Richard B. Clark Meg E. Morris Parkinson's Disease Caregiver Strain in Singapore Frontiers in Neurology caregiver carer Parkinson's disease well-being quality of life rehabilitation |
| title | Parkinson's Disease Caregiver Strain in Singapore |
| title_full | Parkinson's Disease Caregiver Strain in Singapore |
| title_fullStr | Parkinson's Disease Caregiver Strain in Singapore |
| title_full_unstemmed | Parkinson's Disease Caregiver Strain in Singapore |
| title_short | Parkinson's Disease Caregiver Strain in Singapore |
| title_sort | parkinson s disease caregiver strain in singapore |
| topic | caregiver carer Parkinson's disease well-being quality of life rehabilitation |
| url | https://www.frontiersin.org/article/10.3389/fneur.2020.00455/full |
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