Evidence map›Paper›PMID 34488636›Full record

Trial reportBMC geriatrics2021

A typology of caregiving spouses of geriatric patients without dementia: caring, worried, desperate.

Thomas Johann Gehr, Ellen Freiberger, Cornel Christian Sieber, Sabine Alexandra Engel

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03513159 (Transsectoral Intervention Program for Improvement of Geriatric Care in Regensburg), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 19% 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.

NCT03513159 nacompletednot on this map

Transsectoral Intervention Program for Improvement of Geriatric Care in Regensburg

TypeinterventionalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2018 to 2021Enrolled252ConditionsGeriatric Patients in the Transition From Hospital to HomeArmsPathfinder support
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 2 countries.

Thomas Johann GehrInstitute for Biomedicine of Aging, Friedrich-Alexander-University Erlangen-Nürnberg, Kobergerstraße 60, 90408, Nürnberg, Germany. Thomas.gehr@fau.de.
Ellen FreibergerInstitute for Biomedicine of Aging, Friedrich-Alexander-University Erlangen-Nürnberg, Kobergerstraße 60, 90408, Nürnberg, Germany.
Cornel Christian SieberInstitute for Biomedicine of Aging, Friedrich-Alexander-University Erlangen-Nürnberg, Kobergerstraße 60, 90408, Nürnberg, Germany.
Sabine Alexandra EngelDepartment of Social Services, Catholic University of Applied Sciences of North Rhine-Westphalia, Campus Paderborn, Paderborn, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DECatholic University of Applied Sciences of North Rhine – Westphalia · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increasing number of older people in Germany receive care at home from family members, particularly from spouses. Family care has been associated not only with subjective burden but also with negative effects on caregivers' health. A heterogeneous group, caregivers are confronted with individual situational demands and use different available coping strategies. To date, little is known about the relationship between burden and coping by spousal caregivers, particularly in the context of geriatric patients without dementia.

objectivesThe aim of this study is to explore the burden and coping strategies of caregiving spouses of geriatric patients without dementia and with a hospitalization within the last year. To help explore this population, a typology is presented that has been based on reported perceptions of home care burden and individual coping strategies. Furthermore, a case study is presented for each type of spousal caregiver.

methodsThe study used a concurrent mixed method design with a sample of nine spousal caregivers (mean age: 78.9 years). Four women and five men were recruited in an acute hospital setting during the TIGER study. Quantitative data were collected using a self-questionnaire and qualitative data were gathered through nine problem-centered interviews with spousal caregivers. The latter were subsequently analyzed utilizing the structured content analysis method. The data were then summarized to nine individual cases. Finally, the results were clustered using the empirically grounded construction of types and typologies. Each type of spousal caregiver is presented by a case study.

resultsThree types of caregiving spouses were identified: "The Caring Partner", "The Worried Manager" and "The Desperate Overburdened". These types differ primarily in the level of subjective burden and caregiving stress, the coping strategies, the motivation for caregiving, and expressed emotions.

conclusionsThe development of this new typology of caregiving spouses could help health care professionals better understand caregiving arrangements and thus provide more targeted advice.

trial registrationThe TIGER study was registered with clinicaltrials.gov: NCT03513159 . Registered on April 17, 2018.

Indexed as

DementiaSpousesAdaptation, PsychologicalAgedAnxietyCaregiversFemaleHumansMaleBurdenCaregiverCopingPartnerTypology

Identifiers

PMID34488636
PMCPMC8419985
OpenAlexW3197970430

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.