The Impact of the COVID-19 Pandemic on Care Partners of People with Parkinson's Disease.

Covid‐19. Parkinson's disease burden care partner caregiver

Journal

Movement disorders clinical practice
ISSN: 2330-1619
Titre abrégé: Mov Disord Clin Pract
Pays: United States
ID NLM: 101630279

Informations de publication

Date de publication:
Apr 2023
Historique:
received: 08 07 2022
revised: 03 12 2022
accepted: 19 01 2023
medline: 19 4 2023
entrez: 18 4 2023
pubmed: 19 4 2023
Statut: epublish

Résumé

Since the onset of the coronavirus disease 2019 pandemic, the caregiving routine for care partners of people with Parkinson's disease (PwPD) changed substantially. To understand the nature and severity of burden in care partners of PwPD during the ongoing pandemic. We also sought to describe care partners' perceived change in burden and factors associated with increased burden. Cross-sectional online questionnaire-based study among care partners of PwPD, registered in the Fox Insight study. The questionnaire consisted of the Modified Caregiver Strain Index, whether an aspect of strain had changed over the course of the pandemic and additional pandemic-specific infection and lifestyle-related items. Two hundred seventy-three non-paid primary care partners responded to the questionnaire, 73% female with a median age at enrollment of 64 years, 56% reporting a household income greater than 75,000 USD per year, and 61% retired. An increase in burden compared to before the pandemic was prevalent, ranging from 33% to 63% for individual items. Emotional strain increased most frequently (63%). Decreases in burden were uncommon; work adjustments (7%) and time demands (6%) decreased most frequently. PD-related factors and care partner roles in personal care of the PwPD were the factors that were associated with strain in multivariable analysis, whereas social and pandemic-related factors were not. In this affluent and mostly retired cohort, increases in emotional strain during the pandemic were prevalent. Despite this, caregiving roles in personal care and severity of symptoms in the PwPD were more strongly associated with strain than social and pandemic-related factors.

Sections du résumé

Background UNASSIGNED
Since the onset of the coronavirus disease 2019 pandemic, the caregiving routine for care partners of people with Parkinson's disease (PwPD) changed substantially.
Objectives UNASSIGNED
To understand the nature and severity of burden in care partners of PwPD during the ongoing pandemic. We also sought to describe care partners' perceived change in burden and factors associated with increased burden.
Methods UNASSIGNED
Cross-sectional online questionnaire-based study among care partners of PwPD, registered in the Fox Insight study. The questionnaire consisted of the Modified Caregiver Strain Index, whether an aspect of strain had changed over the course of the pandemic and additional pandemic-specific infection and lifestyle-related items.
Results UNASSIGNED
Two hundred seventy-three non-paid primary care partners responded to the questionnaire, 73% female with a median age at enrollment of 64 years, 56% reporting a household income greater than 75,000 USD per year, and 61% retired. An increase in burden compared to before the pandemic was prevalent, ranging from 33% to 63% for individual items. Emotional strain increased most frequently (63%). Decreases in burden were uncommon; work adjustments (7%) and time demands (6%) decreased most frequently. PD-related factors and care partner roles in personal care of the PwPD were the factors that were associated with strain in multivariable analysis, whereas social and pandemic-related factors were not.
Conclusion UNASSIGNED
In this affluent and mostly retired cohort, increases in emotional strain during the pandemic were prevalent. Despite this, caregiving roles in personal care and severity of symptoms in the PwPD were more strongly associated with strain than social and pandemic-related factors.

Identifiants

pubmed: 37070054
doi: 10.1002/mdc3.13678
pii: MDC313678
pmc: PMC10105120
doi:

Types de publication

Journal Article

Langues

eng

Pagination

596-605

Informations de copyright

© 2023 The Authors. Movement Disorders Clinical Practice published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.

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Auteurs

Daniël H B Speelberg (DHB)

Department of Neurology Radboud University Medical Centrum Nijmegen The Netherlands.

Max J Hulshoff (MJ)

Department of Neurology Haga Hospital The Hague The Netherlands.

Elaine Book (E)

University of British Columbia Vancouver British Columbia Canada.

Nabila Dahodwala (N)

Department of Neurology Perelman School of Medicine, University of Pennsylvania Philadelphia Pennsylvania USA.

Monica Korell (M)

Department of Neurology Weill Institute for Neurosciences, University of California San Francisco California USA.

Caroline M Tanner (CM)

Department of Neurology Weill Institute for Neurosciences, University of California San Francisco California USA.

Connie Marras (C)

The Edmond J Safra Program in Parkinson's disease, Toronto Western Hospital, University of Toronto Toronto Ontario Canada.

Classifications MeSH