Cargando…
Development and validation of a simple screening tool for caregiver grief in dementia caregiving
BACKGROUND: Loss and grief are experienced by caregivers of persons with dementia (PWD), relating to the ambiguous loss of PWD even when they are still alive and the anticipation of future loss related to their physical death. Such experience of caregiver grief is not easily recognized in clinical p...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391777/ https://www.ncbi.nlm.nih.gov/pubmed/30813899 http://dx.doi.org/10.1186/s12877-019-1070-x |
_version_ | 1783398362405404672 |
---|---|
author | Liew, Tau Ming Tai, Bee Choo Yap, Philip Koh, Gerald Choon-Huat |
author_facet | Liew, Tau Ming Tai, Bee Choo Yap, Philip Koh, Gerald Choon-Huat |
author_sort | Liew, Tau Ming |
collection | PubMed |
description | BACKGROUND: Loss and grief are experienced by caregivers of persons with dementia (PWD), relating to the ambiguous loss of PWD even when they are still alive and the anticipation of future loss related to their physical death. Such experience of caregiver grief is not easily recognized in clinical practice, despite its association with adverse effects such as caregiver burden, caregiver depression and caregivers’ desire to place the PWD in nursing homes. We constructed a simple screening tool – based on factors associated with caregiver grief – to identify caregivers with high grief. METHODS: Spouses or children of community-dwelling PWD (n = 403) completed self-administered questionnaires containing a well-established grief scale and information related to the caregiver and PWD. We split the study sample into two – the derivation sample (n = 300) was used to identify factors associated with grief (using logistic regression) and derive a simple tool based on the number of identified factors; the validation sample (n = 103) evaluated the performance of the tool using the receiver-operating-characteristic-curve-analysis (ROC). RESULTS: Four key factors were identified by the multivariable regression – more severe dementia (odds ratio, OR 6.9), behavioral problems in PWD (OR 5.0), spousal caregivers (OR 6.0) and daily caregiving (OR 3.0). The screening tool (based on the number of key factors) had an area under ROC of 0.77. At the optimal cut-off of ≥2 key factors, the tool had a sensitivity of 0.91 and a specificity of 0.42. CONCLUSIONS: The identified factors are consistent with current understanding on caregiver grief. They can be easily integrated into the workflow of routine services to screen for caregivers who are more likely to benefit from further grief-related assessment. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12877-019-1070-x) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6391777 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63917772019-03-11 Development and validation of a simple screening tool for caregiver grief in dementia caregiving Liew, Tau Ming Tai, Bee Choo Yap, Philip Koh, Gerald Choon-Huat BMC Geriatr Research Article BACKGROUND: Loss and grief are experienced by caregivers of persons with dementia (PWD), relating to the ambiguous loss of PWD even when they are still alive and the anticipation of future loss related to their physical death. Such experience of caregiver grief is not easily recognized in clinical practice, despite its association with adverse effects such as caregiver burden, caregiver depression and caregivers’ desire to place the PWD in nursing homes. We constructed a simple screening tool – based on factors associated with caregiver grief – to identify caregivers with high grief. METHODS: Spouses or children of community-dwelling PWD (n = 403) completed self-administered questionnaires containing a well-established grief scale and information related to the caregiver and PWD. We split the study sample into two – the derivation sample (n = 300) was used to identify factors associated with grief (using logistic regression) and derive a simple tool based on the number of identified factors; the validation sample (n = 103) evaluated the performance of the tool using the receiver-operating-characteristic-curve-analysis (ROC). RESULTS: Four key factors were identified by the multivariable regression – more severe dementia (odds ratio, OR 6.9), behavioral problems in PWD (OR 5.0), spousal caregivers (OR 6.0) and daily caregiving (OR 3.0). The screening tool (based on the number of key factors) had an area under ROC of 0.77. At the optimal cut-off of ≥2 key factors, the tool had a sensitivity of 0.91 and a specificity of 0.42. CONCLUSIONS: The identified factors are consistent with current understanding on caregiver grief. They can be easily integrated into the workflow of routine services to screen for caregivers who are more likely to benefit from further grief-related assessment. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12877-019-1070-x) contains supplementary material, which is available to authorized users. BioMed Central 2019-02-27 /pmc/articles/PMC6391777/ /pubmed/30813899 http://dx.doi.org/10.1186/s12877-019-1070-x Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Liew, Tau Ming Tai, Bee Choo Yap, Philip Koh, Gerald Choon-Huat Development and validation of a simple screening tool for caregiver grief in dementia caregiving |
title | Development and validation of a simple screening tool for caregiver grief in dementia caregiving |
title_full | Development and validation of a simple screening tool for caregiver grief in dementia caregiving |
title_fullStr | Development and validation of a simple screening tool for caregiver grief in dementia caregiving |
title_full_unstemmed | Development and validation of a simple screening tool for caregiver grief in dementia caregiving |
title_short | Development and validation of a simple screening tool for caregiver grief in dementia caregiving |
title_sort | development and validation of a simple screening tool for caregiver grief in dementia caregiving |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391777/ https://www.ncbi.nlm.nih.gov/pubmed/30813899 http://dx.doi.org/10.1186/s12877-019-1070-x |
work_keys_str_mv | AT liewtauming developmentandvalidationofasimplescreeningtoolforcaregivergriefindementiacaregiving AT taibeechoo developmentandvalidationofasimplescreeningtoolforcaregivergriefindementiacaregiving AT yapphilip developmentandvalidationofasimplescreeningtoolforcaregivergriefindementiacaregiving AT kohgeraldchoonhuat developmentandvalidationofasimplescreeningtoolforcaregivergriefindementiacaregiving |