Patient and caregiver contributions to self-care in multiple chronic conditions: A multilevel modelling analysis

Paolo Iovino, Karen S. Lyons, Maddalena De Maria, Ercole Vellone, Davide Ausili, Christopher S. Lee, Barbara Riegel, Maria Matarese

    Research output: Contribution to journalArticlepeer-review

    3 Scopus citations

    Abstract

    Background: Multiple chronic conditions (MCC) are highly prevalent worldwide, especially among older populations. Patient self-care and care partner (or caregiver) contributions to self-care are recommended to reduce the impact of MCC and improve patients’ outcomes. Objectives: To describe patient self-care and care partner contributions to self-care and to identify determinants of patient self-care and care partner contributions to self-care at the patient and care partner level. Design: Multicentre cross-sectional study. Setting: Outpatient and community settings in Italy. Participants: A sample of 340 patients with MCC and care partner dyads was recruited between 2017 and 2018. Methods: We measured patient's self-care and care partner contributions to self-care in dyads using the Self-care of Chronic Illness Inventory and the Caregiver Contribution to Self-care of Chronic Illness Inventory. To control for dyadic interdependence, we performed a multilevel modelling analysis. Results: Patients’ and care partners’ mean ages were 76.65 (± 7.27) and 54.32 (± 15.25), respectively. Most care partners were female and adult children or grandchildren. The most prevalent chronic conditions in patients were diabetes (74%) and heart failure (34%). Patients and care partners reported higher levels of self-care monitoring than self-care maintenance and management behaviours. Important patient clinical determinants of self-care included cognitive status, number of medications and type of chronic condition. Care partner determinants of self-care contributions included age, gender, education, perceived income, care partner burden, caregiving hours per week and the presence of a secondary care partner. Conclusions: Our findings support the importance of taking a dyadic approach when focusing on patients with MCC and their care partners. More dyadic longitudinal research is recommended to reveal the modifiable determinants of self-care and the complex relationships between patients and care partners in the context of MCC.

    Original languageEnglish (US)
    Article number103574
    JournalInternational Journal of Nursing Studies
    Volume116
    DOIs
    StatePublished - Apr 2021

    Keywords

    • Caregivers
    • Determinants
    • Dyads
    • Multiple chronic conditions
    • Older people
    • Self-care

    ASJC Scopus subject areas

    • Nursing(all)

    Fingerprint

    Dive into the research topics of 'Patient and caregiver contributions to self-care in multiple chronic conditions: A multilevel modelling analysis'. Together they form a unique fingerprint.

    Cite this