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 journalArticle

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
DOIs
StateAccepted/In press - Jan 1 2020

Keywords

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

ASJC Scopus subject areas

  • Nursing(all)

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    Iovino, P., Lyons, K. S., De Maria, M., Vellone, E., Ausili, D., Lee, C. S., Riegel, B., & Matarese, M. (Accepted/In press). Patient and caregiver contributions to self-care in multiple chronic conditions: A multilevel modelling analysis. International Journal of Nursing Studies, [103574]. https://doi.org/10.1016/j.ijnurstu.2020.103574