Evidence map›Paper›PMID 26315104›Full record

ArticleBMC health services research2015

Informal caregivers of clients with neurological conditions: profiles, patterns and risk factors for distress from a home care prevalence study.

Lori A Mitchell, John Hirdes, Jeff W Poss, Caroline Slegers-Boyd, Hilary Caldarelli, Lynn Martin

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Health-related quality of life of informal carers in ALS: a systematic review of person reported outcome measures.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Pan-Canadian estimates of the prevalence and risks associated with critical wandering among home care clients.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Lori A MitchellHome Care Program, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada. lmitchell3@wrha.mb.ca.
John HirdesSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada. hirdes@uwaterloo.ca.
Jeff W PossSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada. jwposs@uwaterloo.ca.
Caroline Slegers-BoydHome Care Program, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada. cwsboyd@mymts.net.
Hilary CaldarelliSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada. hilary.caldarelli@gmail.com.
Lynn MartinDepartment of Health Sciences, Lakehead University, Thunder Bay, Ontario, Canada. lynn.martin@lakeheadu.ca.
University of Waterloo · CAWinnipeg Regional Health Authority · CALakehead University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividuals living in the community with neurological conditions receive the majority of their care from informal caregivers. The purpose of this project was to provide a profile of caregivers of home care clients with neurological conditions. The study also examined prevalence of caregiver distress and the association between neurological conditions and other client and caregiver characteristics with distress.

methodsThe study population included Canadian home care clients in the Winnipeg Regional Health Authority in Manitoba and in the province of Ontario. Clients with RAI-Home Care (RAI-HC) assessment data from 2003 to 2010 were examined. Neurological conditions of interest included Alzheimer's disease and related dementias, multiple sclerosis, amyotrophic lateral sclerosis, Parkinson's disease, Huntington disease, epilepsy, muscular dystrophy, cerebral palsy, traumatic brain injury, spinal cord injury, and stroke. Descriptive statistics were analyzed to describe home care client characteristics and caregiver characteristics for each neurological condition. Logistic regression analysis was used to identify risk factors associated with caregiver distress.

resultsA substantial proportion of home care clients were found to have one or more of the neurological conditions (38.8% to 41.9%). Caregiver distress was twice as prevalent among caregivers of clients with neurological conditions (28.0%). The largest associations with caregiver distress were the amount of informal care hours provided in a week and the MAPLe algorithm, an indicator of a client's level of priority for care. After adjustment for client characteristics, Huntington disease was the neurological condition most strongly associated with caregiver distress. However, clients' clinical characteristics and informal care hours had a stronger association with caregiver distress than the presence of a neurological condition. Provision of formal home care services provided a protective effect from caregiver distress.

conclusionsNeurological conditions are common among home care clients and a significant proportion of informal caregivers providing care to these clients experience distress. The complexity of clients with neurological conditions suggests the need for multicomponent support strategies for informal caregivers.

Indexed as

Nervous System DiseasesAgedAged, 80 and overBrain InjuriesCaregiversCross-Sectional StudiesEpilepsyFemaleHome Care ServicesHumansMaleManitobaMiddle AgedOntarioPrevalenceRisk Factors

Identifiers

PMID26315104
PMCPMC4552273
OpenAlexW2137475427

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.