ArticleFrontiers in public health2024
Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support.
Article in Frontiers in public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Caregiving Experiences of Caregivers of Adolescents With Inflammatory Bowel Disease: A Qualitative Meta-Synthesis.Nursing open · 2025Pooled it
- Online health information-seeking behavior during the preoperative period among patients with pancreatic tumors and caregivers in China: A qualitative study.Asia-Pacific journal of oncology nursing · 2026Article
- Unseen barriers to home healthcare: a qualitative study of providers' perspectives from Saudi Arabia.BMC geriatrics · 2026Article
- A literature review of dementia literacy in China: From awareness to action as a driver of the 2024-2030 National Dementia Action Plan.General psychiatry · 2026Review
- The impact of caregiver burden on sense of coherence in Chinese family caregivers of people with dementia: the mediating effect of family resilience.BMC psychology · 2025Article
- Improving Chinese patients' autonomy in medical decision-making through policy frameworks.Frontiers in public health · 2025Article
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6 authors.
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Abstract
Background: The quality of care (QoC) of people with dementia is an issue of widespread concern in public health. While perceived overload of family caregivers is thought to negatively affect QoC, the underlying mechanisms of this relationship are not well understood. This study aimed to examine the multiple mediating roles of familism and social support in the relationship between perceived overload and QoC among people with dementia (PwD) within the contemporary Chinese context. Methods: A cross-sectional study was conducted between February 2023 and October 2023 in three hospitals located in three cities in Hubei Province, China. A total of 213 PwD and their family caregivers were recruited. Participants completed a general demographic questionnaire, the Chinese version of the Overload Scale, the Social Support Rating Scale (SSRS), the Familism Scale (FS), and the Exemplary Care Scale (ECS). Data were analyzed using SPSS 26.0 and the PROCESS macro. Results: Perceived overload among family caregivers was directly related to QoC. Multiple mediation analysis revealed that the relationship between perceived overload and QoC was mediated by familism (effect: -0.111, 95% CI [-0.221, -0.034]) and social support (effect: -0.078, 95% CI [-0.163, -0.007]) both independently and serially (effect: -0.024, 95% CI [-0.054, -0.004]). Conclusion: Familism and social support serve as multiple mediators in the relationship between perceived overload and QoC. This underscores the importance of incorporating familism and social support into intervention strategies aimed at enhancing QoC.
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