Patient and caregiver contributions to self-care in multiple chronic conditions: A multilevel modelling analysis.

Abstract:

BACKGROUND:Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients' outcomes. OBJECTIVES:To describe patient self-care and care partner contributions to self-care and to identify determinants of patient self-care and care partner contributions to self-care at the patient and care partner level. DESIGN:Multicentre cross-sectional study. SETTING:Outpatient and community settings in Italy. PARTICIPANTS:A sample of 340 patients with MCC and care partner dyads was recruited between 2017 and 2018. METHODS:We measured patient's self-care and care partner contributions to self-care in dyads using the Self-care of Chronic Illness Inventory and the Caregiver Contribution to Self-care of Chronic Illness Inventory. To control for dyadic interdependence, we performed a multilevel modelling analysis. RESULTS:Patients' and care partners' mean ages were 76.65 (± 7.27) and 54.32 (± 15.25), respectively. Most care partners were female and adult children or grandchildren. The most prevalent chronic conditions in patients were diabetes (74%) and heart failure (34%). Patients and care partners reported higher levels of self-care monitoring than self-care maintenance and management behaviours. Important patient clinical determinants of self-care included cognitive status, number of medications and type of chronic condition. Care partner determinants of self-care contributions included age, gender, education, perceived income, care partner burden, caregiving hours per week and the presence of a secondary care partner. CONCLUSIONS:Our findings support the importance of taking a dyadic approach when focusing on patients with MCC and their care partners. More dyadic longitudinal research is recommended to reveal the modifiable determinants of self-care and the complex relationships between patients and care partners in the context of MCC.

journal_name

Int J Nurs Stud

authors

Iovino P,Lyons KS,De Maria M,Vellone E,Ausili D,Lee CS,Riegel B,Matarese M

doi

10.1016/j.ijnurstu.2020.103574

subject

Has Abstract

pub_date

2020-03-14 00:00:00

pages

103574

eissn

0020-7489

issn

1873-491X

pii

S0020-7489(20)30059-6

pub_type

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