Patient Self-Care and Caregiver Contribution to Patient Self-Care of Chronic Conditions: What Is Dyadic and What It Is Not

Jul 1, 2022, 00:00
10.1016/j.jval.2022.01.007
https://www.valueinhealthjournal.com/article/S1098-3015(22)00057-2/fulltext
Title : Patient Self-Care and Caregiver Contribution to Patient Self-Care of Chronic Conditions: What Is Dyadic and What It Is Not
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(22)00057-2&doi=10.1016/j.jval.2022.01.007
First page : 1165
Section Title : PATIENT-REPORTED OUTCOMES
Open access? : No
Section Order : 1165

Objectives

Self-care of chronic conditions involves both patients and their informal caregivers and therefore might be considered as a dyadic phenomenon. Nevertheless, empirical evidence supporting a dyadic construct is unavailable. This study aimed to explore the existence of a dyadic construct in self-care maintenance, monitoring, and management in patients affected by chronic conditions and their informal caregivers.

Methods

This study used a cross-sectional design. We used the Self-Care of Chronic Illness Inventory and the Caregiver Contribution to Self-Care of Chronic Illness Inventory, which measure patient self-care and informal caregivers’ contribution to self-care maintenance, monitoring and management. Exploratory Structural Equation Modeling was performed to verify the existence of dyadic latent constructs in each scale in patients and informal caregivers.

Results

A convenience sample of 493 patients and informal caregivers, with a mean age of 76.47 and 52.76 years, respectively, was studied. In the self-care maintenance scales, 2 correlated factors (r = 0.34, P .001) were identified, indicating the presence of a dyadic second-order construct. In addition, 2 factors that were not correlated (r = 0.11, P = .064) were identified in the self-care monitoring scales, indicating the absence of a dyadic construct. Finally, we found a 3-factor model in the self-care management scales composed of both patient and caregiver items, indicating a dyadic first-order construct.

Conclusions

Knowing which care behaviors are dyadic in chronic conditions is important for tailoring interventions to improve self-care. Self-care maintenance and management would benefit from dyadic interventions, while self-care monitoring would not. The results of this study may illuminate future theoretical and scientific developments in dyadic care of chronic illness.

Categories :
  • Health Service Delivery & Process of Care
  • Patient-Centered Research
  • Patient-reported Outcomes & Quality of Life Outcomes
  • Quality of Care Measurement
  • Study Approaches
  • Surveys & Expert Panels
Tags :
  • caregiver contribution
  • chronic conditions
  • dyad
  • self-care
Regions :
  • Global
ViH Article Tags :