Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support
BackgroundThe 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 m...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1512778/full |
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| author | Ni Zou Chan Cai Xinyu Zhou Shunian Chen Jiabi Shi Chongqing Shi |
| author_facet | Ni Zou Chan Cai Xinyu Zhou Shunian Chen Jiabi Shi Chongqing Shi |
| author_sort | Ni Zou |
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| description | BackgroundThe 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.MethodsA 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.ResultsPerceived 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]).ConclusionFamilism 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. |
| format | Article |
| id | doaj-art-a48a69a6cad34d50887d13c73a972937 |
| institution | Kabale University |
| issn | 2296-2565 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-a48a69a6cad34d50887d13c73a9729372024-12-18T06:43:36ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-12-011210.3389/fpubh.2024.15127781512778Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social supportNi Zou0Chan Cai1Xinyu Zhou2Shunian Chen3Jiabi Shi4Chongqing Shi5Institute of Nursing Research, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Nursing, Xiangyang No.1 People’s Hospital, Hubei University of Medicine, Xiangyang, ChinaInstitute of Nursing Research, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, ChinaInstitute of Nursing Research, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, ChinaInstitute of Nursing Research, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, ChinaInstitute of Nursing Research, Hubei Province Key Laboratory of Occupational Hazard Identification and Control, School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei, ChinaBackgroundThe 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.MethodsA 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.ResultsPerceived 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]).ConclusionFamilism 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.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1512778/fullperceived overloadfamilismsocial supportquality of caredementiafamily caregivers |
| spellingShingle | Ni Zou Chan Cai Xinyu Zhou Shunian Chen Jiabi Shi Chongqing Shi Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support Frontiers in Public Health perceived overload familism social support quality of care dementia family caregivers |
| title | Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support |
| title_full | Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support |
| title_fullStr | Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support |
| title_full_unstemmed | Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support |
| title_short | Associations between perceived overload and quality of care in dementia family caregivers in China: mediating role of familism and social support |
| title_sort | associations between perceived overload and quality of care in dementia family caregivers in china mediating role of familism and social support |
| topic | perceived overload familism social support quality of care dementia family caregivers |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1512778/full |
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