Τετάρτη 24 Οκτωβρίου 2018

Sociocultural Factors Influencing Caregiver Appraisals Following Traumatic Brain Injury

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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