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. (c) 2020 Published by Elsevier Ltd.
Patient and caregiver contributions to self-care in multiple chronic conditions: A multilevel modelling analysis / IOVINO, PAOLO. - In: INTERNATIONAL JOURNAL OF NURSING STUDIES. - ISSN 0020-7489. - ELETTRONICO. - 116:(2021), pp. 0-0. [10.1016/j.ijnurstu.2020.103574]
Patient and caregiver contributions to self-care in multiple chronic conditions: A multilevel modelling analysis
IOVINO, PAOLO
2021
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. (c) 2020 Published by Elsevier Ltd.I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.