Classifying Heart Failure Caregivers as Adequately or Inadequately Resourced to Care: A Latent Class Analysis

Author:

Graven Lucinda J.1,Abbott Laurie1,Boel-Studt Shamra2,Grant Joan S.3,Buck Harleah G.4

Affiliation:

1. College of Nursing, Florida State University, Tallahassee, FL, USA

2. College of Social Work, Florida State University, Tallahassee, FL, USA

3. School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA

4. College of Nursing, University of Iowa, Iowa City, IA, USA

Abstract

Objectives To identify classes of heart failure (HF) caregivers based upon indicators of coping resources and stress, and then, to examine the relationships between the identified caregiver classes and depression, caregiver burden, and life changes. Methods Cross-sectional data from 530 HF caregivers were analyzed in this secondary analysis using a three-step latent class mixture model to classify caregivers based on level of resources and examine the relationship between the identified classes and depression, caregiver burden, and life changes. Using an online survey, caregivers reported on social support, problem-solving, family function, depression, caregiver burden, and life changes. Results Caregivers were 41.39 (± 10.38) years of age, 49.1% women, 78.3% white, 77.6% urban-dwelling, and 61.7% college/postgraduate educated. Three classes of caregivers (42.3% Adequately Resourced, 25.1% At Risk for Decompensation, 32.6% Inadequately Resourced) were identified. Inadequately Resourced caregivers had the lowest levels of social support, problem-solving, and family function and the highest levels of depression and caregiver burden. Caregivers At Risk for Decompensation had the best family function and reported the most positive perceptions of life changes despite low levels of social support and problem-solving. Conclusion Social support, problem-solving, and family function are modifiable coping resources which may buffer stress and influence stress indicators. Caregivers with few coping resources may experience higher degrees of depression and burden, and less positive perceptions of life changes. More research is needed to examine the influence of these coping resources on caregiver adaptation to facilitate the development of targeted interventions which support caregiver mental health.

Publisher

SAGE Publications

Subject

General Medicine

Reference66 articles.

1. Exploring the Challenges that Family Caregivers Faced When Caring for Hospice Patients with Heart Failure

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4. National Alliance for Caregiving (NAC) and the AARP Public Policy Institute. Caregiving in the U. S. 2015 report. https://www.aarp.org/content/dam/aarp/ppi/2015/caregiving-in-the-united-states-2015-report-revised.pdf. Published 2015. Accessed March 31, 2021.

5. High Priority Problems Experienced by Informal Caregivers of Individuals With Heart Failure

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. The Context of Caregiving in Heart Failure;Journal of Cardiovascular Nursing;2023-04-12

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