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Quality of Life Research
Gepubliceerd in: Quality of Life Research 2/2017

08-09-2016

Long-term effects of a dyadic psycho-educational intervention on caregiver burden and morbidity in partners of patients with heart failure: a randomized controlled trial

Auteurs: Maria Liljeroos, Susanna Ågren, Tiny Jaarsma, Kristofer Årestedt, Anna Strömberg

Gepubliceerd in: Quality of Life Research | Uitgave 2/2017

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Abstract

Background

Partners of patients with heart failure provide both practical and emotional support. Many partners assume caregiving responsibilities without being aware of the burden related with this role.

Objective

Our work has established that a psycho-educational intervention has benefits at 3, but not at 12 months for patients with heart failure. Further we had not described the long-term effects in caregivers. This study aimed to determine the 24-months effects of a dyadic psycho-educational intervention on caregiver burden and morbidity in partners of patients with heart failure and study factors associated with a change in caregiver burden.

Design

A randomized controlled study design, with a follow-up assessment after 24 months.

Setting and participants

Partners to patients with heart failure were recruited from two hospitals in the southeast of Sweden.

Intervention

A three session nurse-led psycho-educational program was tested and included psychosocial support to maintain the partners’ physical and mental functions, and perceived control. Several instrument were used to measure caregiver burden, perceived control, physical and mental health, depression and morbidity.

Results

One hundred fifty-five partners were included. There were no significant differences in any index of caregiver burden or morbidity among the partners in the intervention and control groups after 24 months. Overall, the mean total caregiver burden was found to be significantly increased compared to baseline (36 ± 12 vs 38 ± 14, p < 0.05). A younger partner, less comorbidity, higher levels of perceived control, better physical health and less symptoms of depression in patients, and better mental health in the partners were factors associated with absence of increased caregiver burden over time.

Discussion and conclusion

Our intervention did not significantly decrease caregiver burden or morbidity. Over time, several aspects of burden increased in both groups. To improve outcomes, individualized and targeted interventions might be beneficial.

Registered on ClinicalTrials.gov Identifier

NCT02398799.
vorige artikel Self-management behavior among patients with diabetic retinopathy in the community: a structural equation model
volgende artikel Health-related quality of life in patients with chronic rheumatic disease after a multidisciplinary rehabilitation regimen
Literatuur
1.
McMurray, J. J., Adamopoulos, S., Anker, S. D., Auricchio, A., Bohm, M., et al. (2012). ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. European Journal of Heart Failure, 14, 803–869.CrossRefPubMed
2.
Berry, C., & McMurray, J. (1999). A review of quality-of-life evaluations in patients with congestive heart failure. Pharmacoeconomics, 16, 247–271.CrossRefPubMed
3.
Campbell, R. L., Banner, R., Konick-McMahan, J., & Naylor, M. D. (1998). Discharge planning and home follow-up of the elderly patient with heart failure. Nursing Clinics of North America, 33, 497–513.PubMed
4.
Pattenden, J. F., Roberts, H., & Lewin, R. J. (2007). Living with heart failure; patient and carer perspectives. European Journal of Cardiovascular Nursing, 6, 273–279.CrossRefPubMed
5.
Shafazand, M., Schaufelberger, M., Lappas, G., Swedberg, K., & Rosengren, A. (2009). Survival trends in men and women with heart failure of ischaemic and non-ischaemic origin: data for the period 1987-2003 from the Swedish Hospital Discharge Registry. European Heart Journal, 30, 671–678.CrossRefPubMed
6.
Welstand, J., Carson, A., & Rutherford, P. (2009). Living with heart failure: an integrative review. International Journal of Nursing Studies, 46, 1374–1385.CrossRefPubMed
7.
Rosland, A. M., Heisler, M., Choi, H. J., Silveira, M. J., & Piette, J. D. (2010). Family influences on self-management among functionally independent adults with diabetes or heart failure: do family members hinder as much as they help? Chronic Illness, 6, 22–33.CrossRefPubMedPubMedCentral
8.
9.
Dunbar, S. B., Clark, P. C., Reilly, C. M., Gary, R. A., Smith, A., et al. (2013). A trial of family partnership and education interventions in heart failure. Journal of Cardiac Failure, 19, 829–841.CrossRefPubMed
10.
Daugherty, J., Saarmann, L., Riegel, B., Sornborger, K., & Moser, D. (2002). Can we talk? Developing a social support nursing intervention for couples. Clinical Nurse Specialist, 16, 211–218.CrossRefPubMed
11.
Lamura, G., Mnich, E., Nolan, M., Wojszel, B., Krevers, B., et al. (2008). Family carers’ experiences using support services in Europe: empirical evidence from the EUROFAMCARE study. Gerontologist, 48, 752–771.CrossRefPubMed
12.
Rabow, M. W., Hauser, J. M., & Adams, J. (2004). Supporting family caregivers at the end of life: “they don’t know what they don’t know”. JAMA, 291, 483–491.CrossRefPubMed
13.
Etters, L., Goodall, D., & Harrison, B. E. (2008). Caregiver burden among dementia patient caregivers: A review of the literature. Journal of the American Academy of Nurse Practitioners, 20, 423–428.CrossRefPubMed
14.
Carretero, S., Garces, J., Rodenas, F., & Sanjose, V. (2009). The informal caregiver’s burden of dependent people: Theory and empirical review. Archives of Gerontology and Geriatrics, 49, 74–79.CrossRefPubMed
15.
Ohman, M., & Soderberg, S. (2004). The experiences of close relatives living with a person with serious chronic illness. Qualitative Health Research, 14, 396–410.CrossRefPubMed
16.
Rees, J., O’Boyle, C., & MacDonagh, R. (2001). Quality of life: Impact of chronic illness on the partner. Journal of the Royal Society of Medicine, 94, 563–566.PubMedPubMedCentral
17.
Lavela, S. L., & Ather, N. (2010). Psychological health in older adult spousal caregivers of older adults. Chronic Illness, 6, 67–80.CrossRefPubMed
18.
Pinquart, M., & Sorensen, S. (2007). Correlates of physical health of informal caregivers: a meta-analysis. Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 62, P126–P137.CrossRef
19.
Bobinac, A., van Exel, N. J., Rutten, F. F., & Brouwer, W. B. (2010). Caring for and caring about: Disentangling the caregiver effect and the family effect. Journal of Health Economics, 29, 549–556.CrossRefPubMed
20.
Martensson, J., Dracup, K., Canary, C., & Fridlund, B. (2003). Living with heart failure: Depression and quality of life in patients and spouses. Journal of Heart and Lung Transplantation, 22, 460–467.CrossRefPubMed
21.
Luttik, M. L., Jaarsma, T., Veeger, N. J., & van Veldhuisen, D. J. (2005). For better and for worse: Quality of life impaired in HF patients as well as in their partners. European Journal of Cardiovascular Nursing, 4, 11–14.CrossRefPubMed
22.
Pihl, E., Jacobsson, A., Fridlund, B., Stromberg, A., & Martensson, J. (2005). Depression and health-related quality of life in elderly patients suffering from heart failure and their spouses: A comparative study. European Journal of Heart Failure, 7, 583–589.CrossRefPubMed
23.
Agren, S., Evangelista, L., & Strömberg, A. (2010). Do partners of patients with chronic heart failure experience caregiver burden? European Journal of Cardiovascular Nursing, 9, 254–262.CrossRefPubMedPubMedCentral
24.
van Exel, N. J., Koopmanschap, M. A., van den Berg, B., Brouwer, W. B., & van den Bos, G. A. (2005). Burden of informal caregiving for stroke patients. Identification of caregivers at risk of adverse health effects. Cerebrovascular Diseases, 19, 11–17.CrossRefPubMed
25.
Dunbar, S. B., Clark, P. C., Quinn, C., Gary, R. A., & Kaslow, N. J. (2008). Family influences on heart failure self-care and outcomes. Journal of Cardiovascular Nursing, 23, 258–265.CrossRefPubMedPubMedCentral
26.
Molloy, G. J., Johnston, D. W., & Witham, M. D. (2005). Family caregiving and congestive heart failure. Review and analysis. European Journal of Heart Failure, 7, 592–603.CrossRefPubMed
27.
Clark, A. M., Freydberg, C. N., McAlister, F. A., Tsuyuki, R. T., Armstrong, P. W., et al. (2009). Patient and informal caregivers’ knowledge of heart failure: Necessary but insufficient for effective self-care. European Journal of Heart Failure, 11, 617–621.CrossRefPubMed
28.
Duhamel, F., Dupuis, F., Reidy, M., & Nadon, N. (2007). A qualitative evaluation of a family nursing intervention. Clinical Nurse Specialist, 21, 43–49.CrossRefPubMed
29.
Pressler, S. J., Gradus-Pizlo, I., Chubinski, S. D., Smith, G., Wheeler, S., et al. (2009). Family caregiver outcomes in heart failure. American Journal of Critical Care, 18, 149–159.CrossRefPubMedPubMedCentral
30.
Eilayyan, O., Gogovor, A., Mayo, N., Ernst, P., & Ahmed, S. (2015). Predictors of perceived asthma control among patients managed in primary care clinics. Quality of Life Research, 24, 55–65.CrossRefPubMed
31.
Agren, S., Evangelista, L. S., Hjelm, C., & Strömberg, A. (2012). Dyads affected by chronic heart failure: a randomized study evaluating effects of education and psychosocial support to patients with heart failure and their partners. Journal of Cardiac Failure, 18, 359–366.CrossRefPubMedPubMedCentral
32.
Liljeroos, M., Agren, S., Jaarsma, T., Arestedt, K., & Stromberg, A. (2015). Long term follow-up after a randomized integrated educational and psychosocial intervention in patient-partner dyads affected by heart failure. PLoS ONE, 10, e0138058.CrossRefPubMedPubMedCentral
33.
Moser, D. K., Dickson, V., Jaarsma, T., Lee, C., Stromberg, A., et al. (2012). Role of self-care in the patient with heart failure. Current Cardiology Reports, 14, 265–275.CrossRefPubMed
34.
Riegel, B., Lee, C. S., & Dickson, V. V. (2011). Self care in patients with chronic heart failure. Nature Reviews Cardiology, 8, 644–654.CrossRefPubMed
35.
Luttik, M. L., Jaarsma, T., Lesman, I., Sanderman, R., & Hagedoorn, M. (2009). Quality of life in partners of people with congestive heart failure: Gender and involvement in care. Journal of Advanced Nursing, 65, 1442–1451.CrossRefPubMed
36.
Agren, S., Evangelista, L., Davidson, T., & Stromberg, A. (2010) The influence of chronic heart failure in patient-partner dyads-a comparative study addressing issues of health-related quality of life. The Journal of Cardiovascular Nursing.
37.
Elmstahl, S., Malmberg, B., & Annerstedt, L. (1996). Caregiver’s burden of patients 3 years after stroke assessed by a novel caregiver burden scale. Archives of Physical Medicine and Rehabilitation, 77, 177–182.CrossRefPubMed
38.
Andren, S., & Elmstahl, S. (2005). Family caregivers’ subjective experiences of satisfaction in dementia care: Aspects of burden, subjective health and sense of coherence. Scandinavian Journal of Caring Sciences, 19, 157–168.CrossRefPubMed
39.
Ware, J. E., Snow, K. K., & Kosinski, M. B. G. (1993). SF-36 ® health survey manual and interpretation guide. Boston: New England Medical Center, The Health Institute.
40.
Sullivan, M., Karlsson, J., & Ware, J. E., Jr. (1995). The Swedish SF-36 Health Survey—I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Social Science and Medicine, 41, 1349–1358.CrossRefPubMed
41.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.CrossRefPubMed
42.
Beck, A. T., Steer, R. A., Brown, G. K., & Lindfors, J. (2006). BDI-II: Beck depression inventory: Manual, svensk version. Stockholm: Psykologiförlaget.
43.
Arestedt, K., Agren, S., Flemme, I., Moser, D. K., & Stromberg, A. (2014) A psychometric evaluation of the four-item version of the Control Attitudes Scale for patients with cardiac disease and their partners. The Journal of Cardiovascular Nursing.
44.
Altman, D. G. (1991). Practical statistics for medical research. London: Chapman and Hall.
45.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences: Hillsdale. NJ: Erlbaum.
46.
Lee, C. S., Vellone, E., Lyons, K. S., Cocchieri, A., Bidwell, J. T., et al. (2015). Patterns and predictors of patient and caregiver engagement in heart failure care: A multi-level dyadic study. International Journal of Nursing Studies, 52, 588–597.CrossRefPubMed
47.
Martire, L. M., Schulz, R., Helgeson, V. S., Small, B. J., & Saghafi, E. M. (2010). Review and meta-analysis of couple-oriented interventions for chronic illness. Annals of Behavioral Medicine, 40, 325–342.CrossRefPubMedPubMedCentral
48.
Dalteg, T., Benzein, E., Fridlund, B., & Malm, D. (2011). Cardiac disease and its consequences on the partner relationship: A systematic review. European Journal of Cardiovascular Nursing, 10, 140–149.CrossRefPubMed
49.
Martire, L. M., Lustig, A. P., Schulz, R., Miller, G. E., & Helgeson, V. S. (2004). Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology, 23, 599–611.CrossRefPubMed
50.
Lyons, K. S., Vellone, E., Lee, C. S., Cocchieri, A., Bidwell, J. T., et al. (2015). A dyadic approach to managing heart failure with confidence. Journal of Cardiovascular Nursing, 30, S64–S71.CrossRefPubMed
51.
Agren, S., Frisman, G. H., Berg, S., Svedjeholm, R., & Stromberg, A. (2009). Addressing spouses’ unique needs after cardiac surgery when recovery is complicated by heart failure. Heart and Lung, 38, 284–291.CrossRefPubMed
52.
Dunbar, S. B., Clark, P. C., Deaton, C., Smith, A. L., De, A. K., et al. (2005). Family education and support interventions in heart failure: A pilot study. Nursing Research, 54, 158–166.CrossRefPubMed
53.
Sebern, M. D., & Woda, A. (2012). Shared care dyadic intervention: Outcome patterns for heart failure care partners. Western Journal of Nursing Research, 34, 289–316.CrossRefPubMed
54.
Lofvenmark, C., Saboonchi, F., Edner, M., Billing, E., & Mattiasson, A. C. (2013). Evaluation of an educational programme for family members of patients living with heart failure: A randomised controlled trial. Journal of Clinical Nursing, 22, 115–126.CrossRefPubMed
55.
Liljeroos, M., Agren, S., Jaarsma, T., & Stromberg, A. (2014). Perceived caring needs in patient-partner dyads affected by heart failure: A qualitative study. Journal of Clinical Nursing, 23, 2928–2938.CrossRefPubMed
56.
Kirby, R., Holmes, K., & Amoroso, P. (2010). Supporting the supporter: Helping the partner of patients newly diagnosed with prostate cancer. BJU International, 105, 1489–1490.CrossRefPubMed
57.
Vellone, E., Chung, M. L., Cocchieri, A., Rocco, G., Alvaro, R., et al. (2014). Effects of self-care on quality of life in adults with heart failure and their spousal caregivers: Testing dyadic dynamics using the actor-partner interdependence model. Journal of Family Nursing, 20, 120–141.CrossRefPubMed
58.
Pressler, S. J., Gradus-Pizlo, I., Chubinski, S. D., Smith, G., Wheeler, S., et al. (2013). Family caregivers of patients with heart failure: a longitudinal study. Journal of Cardiovascular Nursing, 28, 417–428.CrossRefPubMed
59.
Elbert, N. J., van Os-Medendorp, H., van Renselaar, W., Ekeland, A. G., Hakkaart-van Roijen, L., et al. (2014). Effectiveness and cost-effectiveness of ehealth interventions in somatic diseases: A systematic review of systematic reviews and meta-analyses. Journal of Medical Internet Research, 16, e110.CrossRefPubMedPubMedCentral
60.
Altman, D. G. (2006). Practical statistics for medical research. London: Chapman and Hall.
61.
Quinn, C., Dunbar, S. B., Clark, P. C., & Strickland, O. L. (2010). Challenges and strategies of dyad research: Cardiovascular examples. Applied Nursing Research, 23, e15–e20.CrossRefPubMed
Metagegevens
Titel
Long-term effects of a dyadic psycho-educational intervention on caregiver burden and morbidity in partners of patients with heart failure: a randomized controlled trial
Auteurs
Maria Liljeroos
Susanna Ågren
Tiny Jaarsma
Kristofer Årestedt
Anna Strömberg
Publicatiedatum
08-09-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1400-9

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