[en] Informal caregivers' own quality of life, health status, and determinants are poorly understood despite their concern for the health of the individuals they assist. To compare the quality of life and the health determinants of older informal caregivers with those of older adults without caregiving responsibilities. An online survey was designed to investigate the quality of life and the health determinants of people aged 65 years and over, with a focus on informal caregivers. In addition to socio-demographic data, the number of informal caregivers was ascertained and the Zarit scale of caregiver burden was applied. Quality of life (SF-12) and health determinants (access to technology and level of physical activity (IPAQ)) were assessed and compared between informal caregivers and non-caregivers. A total of 111 participants were included in the study (70 ± 3.83 years, 71.2% women). The majority of respondents (91.8%) were Belgian. One-third of the respondents identified themselves as informal caregivers and declared themselves as having a severe burden (61.9 ± 15.2/88). Socio-demographic characteristics and access to technology were similar between informal caregivers and non-caregivers (p > 0.05). However, informal caregivers had a lower SF-12 score in the mental score domain (44.3 ± 10.2 vs. 50.7 ± 7.0; p = 0.004) and a lower level of physical activity (434 ± 312 METS/min/week vs. 1126 ± 815 METS/min/week; p = 0.01) than their peers. Informal caregivers reported a lower quality of life and a lower level of physical activity than their peers. Given the recognized importance of physical activity for overall health, this survey highlights the need to promote physical activity among older informal caregivers.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Buckinx, Fanny ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Adam, Stéphane ; Université de Liège - ULiège > Département de Psychologie > Psychologie de la sénescence et du vieillissement
Aubertin-Leheudre, Mylène ; Département des Sciences de L'activité Physique & Centre de Recherche de L'institut Universitaire de Gériatrie de Montréal, Faculté des Sciences, Université du Québec à Montréal, Montréal, QC H3W 1W5, Canada
De Saint Hubert, Marie; Department of Geriatric Medicine, CHU UCL Namur, Institut de Recherche Santé Société, UCLouvain, 5530 Yvoir, Belgium
Mouton, Alexandre ; Université de Liège - ULiège > Département des sciences de la motricité > Intervention et gestion en activités physiques et sportives
Potier, Florence; Department of Geriatric Medicine, CHU UCL Namur, Institut de Recherche Santé Société, UCLouvain, 5530 Yvoir, Belgium
Reginster, Jean-Yves ; Université de Liège - ULiège > Unité de recherche Santé publique, épidémiologie et économie de la santé (URSAPES)
Bruyère, Olivier ; Université de Liège - ULiège > Unité de recherche Santé publique, épidémiologie et économie de la santé (URSAPES)
Language :
English
Title :
Quality of Life and Health Determinants of Informal Caregivers Aged 65 Years and Over.
Lindt N. van Berkel J. Mulder B.C. Determinants of overburdening among informal carers: A systematic review BMC Geriatr. 2020 20 304 10.1186/s12877-020-01708-3
de Klerk M. de Boer A. Plaisier I. Determinants of informal care-giving in various social relationships in The Netherlands Health Soc. Care Community 2021 29 1779 1788 10.1111/hsc.13286
Verbakel E. Tamlagsrønning S. Winstone L. Fjær E.L. Eikemo T.A. Informal care in Europe: Findings from the European Social Survey (2014) special module on the social determinants of health Eur. J. Public Health 2017 27 (Suppl. S1) 90 95 10.1093/eurpub/ckw229 28355645
De Koker B. Socio-demographic determinants of informal caregiving: Co-resident versus extra-resident care Eur. J. Ageing 2009 6 3 15 10.1007/s10433-008-0103-7
Plöthner M. Schmidt K. de Jong L. Zeidler J. Damm K. Needs and preferences of informal caregivers regarding outpatient care for the elderly: A systematic literature review BMC Geriatr. 2019 19 82 10.1186/s12877-019-1068-4
Burton L.C. Zdaniuk B. Schulz R. Jackson S. Hirsch C. Transitions in spousal caregiving Gerontologist 2003 43 230 241 10.1093/geront/43.2.230 12677080
Bom J. Bakx P. Schut F. van Doorslaer E. The Impact of Informal Caregiving for Older Adults on the Health of Various Types of Caregivers: A Systematic Review Gerontologist 2019 59 e629 e642 10.1093/geront/gny137 30395200
Di Novi C. Jacobs R. Migheli M. The Quality of Life of Female Informal Caregivers: From Scandinavia to the Mediterranean Sea Eur. J. Popul. 2015 31 309 333 10.1007/s10680-014-9336-7
Roth D.L. Fredman L. Haley W.E. Informal caregiving and its impact on health: A reappraisal from population-based studies Gerontologist 2015 55 309 319 10.1093/geront/gnu177
Pinquart M. Sörensen S. Differences between caregivers and noncaregivers in psychological health and physical health: A meta-analysis Psychol. Aging 2003 18 250 267 10.1037/0882-7974.18.2.250
Roth D.L. Perkins M. Wadley V.G. Temple E.M. Haley W.E. Family caregiving and emotional strain: Associations with quality of life in a large national sample of middle-aged and older adults Qual. Life Res. 2009 18 679 688 10.1007/s11136-009-9482-2 19421895
Schulz R. Sherwood P.R. Physical and mental health effects of family caregiving Am. J. Nurs. 2008 108 (Suppl. S9) 23 27 23–27; quiz 27 10.1097/01.NAJ.0000336406.45248.4c
Vitaliano P.P. Zhang J. Scanlan J.M. Is caregiving hazardous to one’s physical health? A meta-analysis Psychol. Bull. 2003 129 946 972 10.1037/0033-2909.129.6.946 14599289
Schulz R. Beach S.R. Czaja S.J. Martire L.M. Monin J.K. Family Caregiving for Older Adults Annu. Rev. Psychol. 2020 71 635 659 10.1146/annurev-psych-010419-050754 31905111
Riffin C. Van Ness P.H. Wolff J.L. Fried T. Multifactorial Examination of Caregiver Burden in a National Sample of Family and Unpaid Caregivers J. Am. Geriatr. Soc. 2019 67 277 283 10.1111/jgs.15664
Jütten L.H. Mark R.E. Sitskoorn M.M. Predicting self-esteem in informal caregivers of people with dementia: Modifiable and non-modifiable factors Aging Ment. Health 2020 24 221 226 10.1080/13607863.2018.1531374 30596463
Institute of Medicine Committee on Using Performance Monitoring to Improve Community Health Improving Health in the Community: A Role for Performance Monitoring Durch J.S. Bailey L.A. Stoto M.A. National Academies Press Washington, DC, USA 1997
Yazdanmanesh M. Esmaeili R. Nasiri M. Vasli P. Relieving care burden and promoting health-related quality of life for family caregivers of elderly people with Alzheimer’s disease via an empowerment program Aging Clin. Exp. Res. 2023 35 73 83 10.1007/s40520-022-02277-8 36282451
Posadzki P. Pieper D. Bajpai R. Makaruk H. Könsgen N. Neuhaus A.L. Semwal M. Exercise/physical activity and health outcomes: An overview of Cochrane systematic reviews BMC Public Health 2020 20 1724 10.1186/s12889-020-09855-3
Twiddy H.M. Wilson P.B. Swain D.P. Branch J.D. Morrison S. Reynolds L.J. The association of moderate-to-vigorous and light-intensity physical activity on static balance in middle-aged and older-aged adults Aging Clin. Exp. Res. 2023 35 541 550 10.1007/s40520-023-02344-8
Jansons P. Fyfe J.J. Dalla Via J. Daly R.M. Scott D. Barriers and enablers associated with participation in a home-based pragmatic exercise snacking program in older adults delivered and monitored by Amazon Alexa: A qualitative study Aging Clin. Exp. Res. 2023 35 561 569 10.1007/s40520-022-02327-1
Harpham C. Gunn H. Marsden J. Connolly L. The feasibility, safety, physiological and clinical effects of high-intensity interval training for people with Parkinson’s: A systematic review and meta-analysis Aging Clin. Exp. Res. 2023 35 497 523 10.1007/s40520-022-02330-6
Lindsay R.K. Vseteckova J. Horne J. Smith L. Trott M. De Lappe J. Soysal P. Pizzol D. Kentzer N. The prevalence of physical activity among informal carers: A systematic review of international literature Sport Sci. Health 2022 18 1071 1118 10.1007/s11332-021-00893-x
Institute of Medicine Committee on Assuring the Health of the Public in the 21st Century The Future of the Public’s Health in the 21st Century National Academies Press Washington, DC, USA 2002
Sieck C.J. Sheon A. Ancker J.S. Castek J. Callahan B. Siefer A. Digital inclusion as a social determinant of health NPJ Digit. Med. 2021 4 52 10.1038/s41746-021-00413-8 33731887
Shaffer K.M. Chow P.I. Cohn W.F. Ingersoll K.S. Ritterband L.M. Informal Caregivers’ Use of Internet-Based Health Resources: An Analysis of the Health Information National Trends Survey JMIR Aging 2018 1 e11051 10.2196/11051
Officer A. de la Fuente-Núñez V. A global campaign to combat ageism Bull. World Health Organ. 2018 96 295 296 10.2471/BLT.17.202424 29695887
Mikton C. de la Fuente-Núñez V. Officer A. Krug E. Ageism: A social determinant of health that has come of age Lancet 2021 397 1333 1334 10.1016/S0140-6736(21)00524-9 33743845
Zwar L. König H.H. Hajek A. Can Informal Caregiving be Perceived as Rejuvenating? Changes in Perceptions of Ageing at Onset and End of Informal Caregiving during Different Stages of Life Gerontology 2023 69 483 494 10.1159/000527745 36549284
Berkman N.D. Sheridan S.L. Donahue K.E. Halpern D.J. Crotty K. Low health literacy and health outcomes: An updated systematic review Ann. Intern. Med. 2011 155 97 107 10.7326/0003-4819-155-2-201107190-00005
Coughlin S.S. Vernon M. Hatzigeorgiou C. George V. Health Literacy, Social Determinants of Health, and Disease Prevention and Control J. Environ. Health Sci. 2020 6 3061 33604453
Lorini C. Buscemi P. Mossello E. Schirripa A. Giammarco B. Rigon L. Albora G. Giorgetti D. Biamonte M.A. Fattorini L. et al. Health literacy of informal caregivers of older adults with dementia: Results from a cross-sectional study conducted in Florence (Italy) Aging Clin. Exp. Res. 2023 35 61 71 10.1007/s40520-022-02271-0 36260214
Drageset J. Nygaard H.A. Eide G.E. Bondevik M. Nortvedt M.W. Natvig G.K. Sense of coherence as a resource in relation to health-related quality of life among mentally intact nursing home residents—A questionnaire study Health Qual. Life Outcomes 2008 6 85 10.1186/1477-7525-6-85
Potier F. Degryse J.M. Henrard S. Aubouy G. de Saint-Hubert M. A high sense of coherence protects from the burden of caregiving in older spousal caregivers Arch. Gerontol. Geriatr. 2018 75 76 82 10.1016/j.archger.2017.11.013 29197259
Dziuba A. Krell-Roesch J. Schmidt S.C.E. Bös K. Woll A. Association Between Sense of Coherence and Health Outcomes at 10 and 20 Years Follow-Up: A Population-Based Longitudinal Study in Germany Front. Public Health 2021 9 739394 10.3389/fpubh.2021.739394 34957006
Del-Pino-Casado R. Espinosa-Medina A. López-Martínez C. Orgeta V. Sense of coherence, burden and mental health in caregiving: A systematic review and meta-analysis J. Affect. Disord. 2019 242 14 21 10.1016/j.jad.2018.08.002
Zarit S.H. Reever K.E. Bach-Peterson J. Relatives of the impaired elderly: Correlates of feelings of burden Gerontologist 1980 20 649 655 10.1093/geront/20.6.649 7203086
Ware J. Jr. Kosinski M. Keller S.D. A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity Med. Care 1996 34 220 233 10.1097/00005650-199603000-00003 8628042
Craig C.L. Marshall A.L. Sjöström M. Bauman A.E. Booth M.L. Ainsworth B.E. Pratt M. Ekelund U. Yngve A. Sallis J.F. et al. International physical activity questionnaire: 12-country reliability and validity Med. Sci. Sports Exerc. 2003 35 1381 1395 10.1249/01.MSS.0000078924.61453.FB 12900694
Marquet M. Missotten P. Schroyen S. van Sambeek I. van den Akker M. Van Den Broeke C. Buntinx F. Adam S. A Validation of the French Version of the Attitudes to Aging Questionnaire (AAQ): Factor Structure, Reliability and Validity Psychol. Belg. 2016 56 80 100 10.5334/pb.301 30479430
Buckinx F. Charles A. Rygaert X. Reginster J.Y. Adam S. Bruyère O. Own attitude toward aging among nursing home residents: Results of the SENIOR cohort Aging Clin. Exp. Res. 2018 30 1151 1159 10.1007/s40520-018-1013-y
Levy B.R. Zonderman A.B. Slade M.D. Ferrucci L. Memory shaped by age stereotypes over time J. Gerontol. B Psychol. Sci. Soc. Sci. 2012 67 432 436 10.1093/geronb/gbr120
Sørensen K. Van den Broucke S. Pelikan J.M. Fullam J. Doyle G. Slonska Z. Kondilis B. Stoffels V. Osborne R.H. Brand H. Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q) BMC Public Health 2013 13 948 10.1186/1471-2458-13-948 24112855
Mekhail K.T. Burström B. Marttila A. Wångdahl J. Lindberg L. Psychometric qualities of the HLS-EU-Q16 instrument for parental health literacy in Swedish multicultural settings BMC Public Health 2022 22 293 10.1186/s12889-021-12346-8 35151303
Antonovsky A. The structure and properties of the sense of coherence scale Soc. Sci. Med. 1993 36 725 733 10.1016/0277-9536(93)90033-Z 8480217
Chong E. Crowe L. Mentor K. Pandanaboyana S. Sharp L. Systematic review of caregiver burden, unmet needs and quality-of-life among informal caregivers of patients with pancreatic cancer Support Care Cancer 2022 31 74 10.1007/s00520-022-07468-7 36544073
D’Aoust R.F. Brewster G. Rowe M.A. Depression in informal caregivers of persons with dementia Int. J. Older People Nurs. 2015 10 14 26 10.1111/opn.12043 24433320
Cai Y. Simons A. Toland S. Zhang J. Zheng K. Informal caregivers’ quality of life and management strategies following the transformation of their cancer caregiving role: A qualitative systematic review Int. J. Nurs. Sci. 2021 8 227 236 10.1016/j.ijnss.2021.03.006 33997139
Ervin J. Taouk Y. Fleitas Alfonzo L. Peasgood T. King T. Longitudinal association between informal unpaid caregiving and mental health amongst working age adults in high-income OECD countries: A systematic review eClinicalMedicine 2022 53 101711 10.1016/j.eclinm.2022.101711
Sheppard K.D. Brown C.J. Hearld K.R. Roth D.L. Sawyer P. Locher J.L. Allman R.M. Ritchie C.S. Symptom burden predicts nursing home admissions among older adults J. Pain Symptom. Manag. 2013 46 591 597 10.1016/j.jpainsymman.2012.10.228
Egan K.J. Hodgson W. Imperatore G. Dunlop M.D. Maguire R. Kirk A. Supporting Physical Activity for Informal Caregivers during and beyond COVID-19: Exploring the Feasibility, Usability and Acceptability of a Digital Health Smartphone Application, ‘CareFit’ Int. J. Environ. Res. Public Health 2022 19 2506 10.3390/ijerph191912506
Puig-Ribera A. Arumí-Prat I. Cirera E. Solà M. Codina-Nadal A. Palència L. Biaani B. Pérez K. Use of the Superblock model for promoting physical activity in Barcelona: A one-year observational comparative study Arch. Public Health Arch. Belg. Sante Publique 2022 80 257 10.1186/s13690-022-01005-y
Rokicka M. Zajkowska O. Informal Elderly Caregiving and Time Spent on Leisure: Evidence from Time Use Survey Ageing Int. 2020 45 393 410
Cubukcu M. Evaluation of quality of life in caregivers who are providing home care to cancer patients Support Care Cancer 2018 26 1457 1463 10.1007/s00520-017-3968-1 29164376
Baik D. Song J. Tark A. Coats H. Shive N. Jankowski C. Effects of Physical Activity Programs on Health Outcomes of Family Caregivers of Older Adults with Chronic Diseases: A Systematic Review Geriatr. Nurs. 2021 42 1056 1069 10.1016/j.gerinurse.2021.06.018 34261027
Granet J. Peyrusqué E. Ruiz F. Buckinx F. Abdelkader L.B. Dang-Vu T.T. Sirois M.J. Gouin J.P. Pageaux B. Aubertin-Leheudre M. Online physical exercise intervention in older adults during lockdown: Can we improve the recipe? Aging Clin. Exp. Res. 2023 35 551 560 10.1007/s40520-022-02329-z 36635450
Buckinx F. Aubertin-Leheudre M. Daoust R. Hegg S. Martel D. Martel-Thibault M. Sirois M.J. Feasibility and Acceptability of Remote Physical Exercise Programs to Prevent Mobility Loss in Pre-Disabled Older Adults during Isolation Periods Such as the COVID-19 Pandemic J. Nutr. Health Aging 2021 25 1106 1111 10.1007/s12603-021-1688-1 34725669
Diehl M. Wahl H.W. Barrett A.E. Brothers A.F. Miche M. Montepare J.M. Westerhof G.J. Wurm S. Awareness of Aging: Theoretical Considerations on an Emerging Concept Dev. Rev. 2014 34 93 113 10.1016/j.dr.2014.01.001
Kotter-Grühn D. Kleinspehn-Ammerlahn A. Gerstorf D. Smith J. Self-perceptions of aging predict mortality and change with approaching death: 16-year longitudinal results from the Berlin Aging Study Psychol. Aging 2009 24 654 667 10.1037/a0016510 19739922
Rubin D.C. Berntsen D. People over forty feel 20% younger than their age: Subjective age across the lifespan Psychon. Bull. Rev. 2006 13 776 780 10.3758/BF03193996 17328372
Langballe E.M. Skirbekk V. Strand B.H. Subjective age and the association with intrinsic capacity, functional ability, and health among older adults in Norway Eur. J. Ageing 2023 20 4 10.1007/s10433-023-00753-2 36853397
Costa A. Loura D.S. Nogueira P. Melo G. Gomes I. Ferraz I. Viegas L. Henriques M.A. Informal Caregivers’ Health Literacy in Lisbon, Portugal: A Profile for Health Promotion Prioritization Geriatrics 2022 7 92 10.3390/geriatrics7050092
Jiang Y. Sereika S.M. Lingler J.H. Tamres L.K. Erlen J.A. Health literacy and its correlates in informal caregivers of adults with memory loss Geriatr. Nurs. 2018 39 285 291 10.1016/j.gerinurse.2017.10.008 29129449
Koelen M. Eriksson M. Older People, Sense of Coherence and Community The Handbook of Salutogenesis Mittelmark M.B. Bauer G.F. Vaandrager L. Pelikan J.M. Sagy S. Eriksson M. Lindström B. Meier Magistretti C. Springer Cham, Switzerland 2022 185 199