Caregiver strain in Parkinson's disease

National Parkinson Foundation Quality Initiative Study

O. Oguh, M. Kwasny, Julie Carter, B. Stell, T. Simuni

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: National Parkinson Foundation Quality Improvement Initiatives (NPF-QII) is the first large scale data-driven initiative in Parkinson's disease (PD) aimed at identifying variables predicting best care models and outcomes. Objective: To determine what measures of PD disability, demographics, and patient quality of life are associated with caregiver strain among caregivers of patients with PD. Methods: All PD patients at 18 participating sites are eligible for enrollment into the NPF-QII registry. Dataset includes multidimensional measures of disease severity, health care utilization, PD quality of life questionnaire-39 (PDQ-39) and multidimensional caregiver strain inventory (MCSI). A univariate as well as an adjusted analysis was performed to examine the relationship between caregiver strain and variables of PD disability. Results: The single best factor associated with high caregiver strain was the PDQ-39 total score (c-statistic of continuous variable=0.792, p3 (2.0 (1.3, 3.1)), presence of concomitant medications such as antidepressants (2.1 (1.5, 3.1)) and antipsychotics (2.5 (1.5, 4.2)), social worker visits (1.6 (1.2, 2.1)), male gender (2.3 (1.5, 3.5)), and decreased verbal fluency (0.95 (0.92, 0.98)). Conclusions: There is a high prevalence of caregiver strain in PD. PDQ-39 total score has the strongest association with high levels of caregiver strain. These results could guide clinicians in the assessment of caregivers at risk.

Original languageEnglish (US)
Pages (from-to)975-979
Number of pages5
JournalParkinsonism and Related Disorders
Volume19
Issue number11
DOIs
StatePublished - Nov 2013

Fingerprint

Caregivers
Parkinson Disease
Quality of Life
Quality Improvement
Patient Acceptance of Health Care
Antidepressive Agents
Antipsychotic Agents
Registries
Demography
Equipment and Supplies
Surveys and Questionnaires

Keywords

  • Caregiver strain
  • Clinical correlates
  • Parkinson's disease
  • Quality of life
  • Questionnaires

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Clinical Neurology
  • Neurology

Cite this

Caregiver strain in Parkinson's disease : National Parkinson Foundation Quality Initiative Study. / Oguh, O.; Kwasny, M.; Carter, Julie; Stell, B.; Simuni, T.

In: Parkinsonism and Related Disorders, Vol. 19, No. 11, 11.2013, p. 975-979.

Research output: Contribution to journalArticle

Oguh, O. ; Kwasny, M. ; Carter, Julie ; Stell, B. ; Simuni, T. / Caregiver strain in Parkinson's disease : National Parkinson Foundation Quality Initiative Study. In: Parkinsonism and Related Disorders. 2013 ; Vol. 19, No. 11. pp. 975-979.
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