Publication date: Available online 23 October 2018
Source: Archives of Physical Medicine and Rehabilitation
Author(s): Angelle M. Sander, Robin A. Hanks, Phillip A. Ianni, Nicholas R. Boileau, Anna L. Kratz, Elizabeth A. Hahn, David S. Tulsky, Noelle E. Carlozzi
Abstract
Objective
To investigate the association of the sociocultural variables race/ethnicity, education, and poverty level to caregivers' positive and negative appraisals following traumatic brain injury.
Design
Survey.
Setting
Community.
Participants
344 caregivers (216 White; 69 Black; 39 Hispanic) of persons with complicated mild to severe TBI at least one-year post-injury.
Intervention
Not applicable.
Main Outcome Measures
Modified Caregiver Appraisal Scale (M-CAS); Zarit Burden Interview (ZBI).
Results
Black caregivers reported lower levels of perceived burden on both the M-CAS and the ZBI. Black and Hispanic caregivers reported more traditional caregiver ideology (caregiving as a responsibility) than did Whites. Greater poverty was associated with higher burden on the M-CAS, lower caregiver satisfaction, and less mastery. Higher education was associated with higher burden on the ZBI and with lower caregiver mastery.
Conclusions and Implications
Treatment professionals should be culturally sensitive to the different perspectives that caregivers may have based on sociocultural factors. Sociocultural factors should be considered in research investigating caregiver outcomes, including appraisals.
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