Caregiving demands, job demands, and health outcomes for employed family caregivers of older adults with dementia: Structural equation modeling

Yu-Nu Wang; Wen-Chuin Hsu; Pei-Shan Yang; Grace Yao; Yi-Chen Chiu; Sien-Tsong Chen; Tzu-Hsin Huang; Yea-Ing Lotus Shyu

doi:10.1016/j.gerinurse.2018.05.003

Caregiving demands, job demands, and health outcomes for employed family caregivers of older adults with dementia: Structural equation modeling

Geriatr Nurs. 2018 Nov;39(6):676-682. doi: 10.1016/j.gerinurse.2018.05.003. Epub 2018 May 30.

Authors

Yu-Nu Wang¹, Wen-Chuin Hsu², Pei-Shan Yang³, Grace Yao⁴, Yi-Chen Chiu⁵, Sien-Tsong Chen⁶, Tzu-Hsin Huang⁷, Yea-Ing Lotus Shyu⁸

Affiliations

¹ Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Department of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
² Dementia Center, Chang Gung Memorial Hospital and Attending Physician, Department of Neurology, Linkou Chang Gung Memorial Hospital, Taiwan.
³ Department of Social Work, National Taiwan University, Taipei, Taiwan.
⁴ Department of Psychology, National Taiwan University, Taipei, Taiwan.
⁵ School of Nursing, Chang Gung University, Taoyuan, Taiwan.
⁶ Department of Neurology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
⁷ Department of Nursing, Taoyuan Chang Gung Memorial Hospital, Taoyuan, Taiwan.
⁸ School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan; Department of Nursing, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; Department of Gerontological Care and Management, Chang Gung University of Science and Technology, Taoyuan, Taiwan; Healthy Aging Research Center, Chang Gung University, Taoyuan, Taiwan. Electronic address: yeaing@mail.cgu.edu.tw.

PMID: 29859698
DOI: 10.1016/j.gerinurse.2018.05.003

Abstract

Many family caregivers are also employed full- or part-time and are known to be affected by job demands. This study explored the mediating effect of job demands on the relationship between caregiving demands and caregiver health outcomes in primary family caregivers of older persons with dementia in Taiwan (N = 214). A cross-sectional design using a self-completed structured questionnaire was implemented. Structural equation modeling analyses showed that job demands partially mediated the relationship between caregiving demands and caregiver health outcomes. The indirect effect of caregiving demands on caregiver health outcomes through job demands was 0.208 (95% confidence interval: 0.053 - 0.335). Nurses should evaluate job demands when screening for high-risk caregiver groups vulnerable to high caregiving demand. Interventions aimed at lessening both caregiving demands and job demands may improve caregiver health outcomes for family caregivers of older adults with dementia.

Keywords: Dementia; Family caregivers; Health outcomes; Job demands; Structural equation modeling.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adaptation, Psychological
Adult
Aged
Aged, 80 and over
Caregivers / statistics & numerical data*
Cross-Sectional Studies
Dementia / nursing*
Employment / psychology*
Female
Health Status*
Humans
Latent Class Analysis
Male
Middle Aged
Surveys and Questionnaires
Taiwan