Systematic Review and Meta-Analysis of the Impact of Carer Stress on Subsequent Institutionalisation of Community-Dwelling Older People
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{"title"=>"Systematic review and meta-analysis of the impact of carer stress on subsequent institutionalisation of community-dwelling older people", "type"=>"generic", "authors"=>[{"first_name"=>"Nora Ann", "last_name"=>"Donnelly", "scopus_author_id"=>"56708271300"}, {"first_name"=>"Anne", "last_name"=>"Hickey", "scopus_author_id"=>"7006559733"}, {"first_name"=>"Annette", "last_name"=>"Burns", "scopus_author_id"=>"56179197200"}, {"first_name"=>"Paul", "last_name"=>"Murphy", "scopus_author_id"=>"7401684926"}, {"first_name"=>"Frank", "last_name"=>"Doyle", "scopus_author_id"=>"7102653737"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "pui"=>"604923028", "pmid"=>"26035433", "isbn"=>"1932-6203", "doi"=>"10.1371/journal.pone.0128213", "sgr"=>"84934977624", "scopus"=>"2-s2.0-84934977624"}, "id"=>"9396d08e-b882-3e1c-b1fa-4d31850fa8a2", "abstract"=>"Background\\nIn the caregiving literature there is a common assertion that a higher\\nlevel of carer stress is a critical determinant of premature ending of\\nhomecare. However, this contention has not been systematically assessed.\\nWe therefore systematically reviewed and meta-analysed the prospective\\nassociation between various forms of carer stress and subsequent\\ninstitutionalisation of community-dwelling older people.\\nMethods\\nSystematic literature search of prospective studies measuring carer\\nstress at baseline and institutionalisation at follow-up. Given\\nsubstantial interchangeability in the measurement of carer stress, we\\nincluded a wide number of exposure measures, namely: carer stress,\\nburden, depression, distress, anxiety, burnout, and strain.\\nInstitutionalisation included both acute and long-term care utilisation.\\nThe standardised mean difference between stressed and non-stressed\\ncarers was the primary measure of effect. We assessed study quality with\\nthe Crowe Critical Appraisal Tool (CCAT). Pre-planned sensitivity\\nanalysis included examination of estimates according to study size;\\ndecade published; study quality according to quartiles of CCAT scores;\\npopulation; follow-up period; study design and impact of adjusted or\\nunadjusted estimates.\\nResults\\nThe search yielded 6,963 articles. After exclusions, we analysed data\\nfrom 54 datasets. The meta-analysis found that while carer stress has a\\nsignificant effect on subsequent institutionalisation of care\\nrecipients, the overall effect size was negligible (SMD=0.05, 95%\\nCI=0.04-0.07). Sensitivity analyses found that, the effect size was\\nhigher for measurements of stress than for other measures, though still\\nrelatively small (SMD=0.23, 95% CI=0.09-0.38). Thus, whether analysing\\nthe association between carer stress, burden, distress, or depression\\nwith either acute or long-term care, the effect size remains small to\\nnegligible. Concurrently, we found estimates reduce over time and were\\nsmaller with larger studies and those of higher quality, according to\\nthe CCAT scores.\\nConclusion\\nDespite strong statements to the contrary, it appears that the effect of\\ncarer stress on subsequent care recipient institutionalisation is small\\nto negligible. The current findings point to a biased literature, with\\nsignificant small study effects. The results suggest a need to\\nreevaluate the degree to which carer stress predicts premature ending of\\nhome care. Concurrently, other factors may be more crucial in\\ninstitutional placement than carer stress and should be investigated.", "link"=>"http://www.mendeley.com/research/systematic-review-metaanalysis-impact-carer-stress-subsequent-institutionalisation-communitydwelling", "reader_count"=>51, "reader_count_by_academic_status"=>{"Professor > Associate Professor"=>3, "Researcher"=>8, "Student > Doctoral Student"=>6, "Student > Ph. D. 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Student"=>6, "Student > Postgraduate"=>7, "Student > Master"=>8, "Other"=>3, "Student > Bachelor"=>5, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>2, "Unspecified"=>1}, "reader_count_by_subject_area"=>{"Engineering"=>3, "Unspecified"=>2, "Nursing and Health Professions"=>10, "Medicine and Dentistry"=>11, "Agricultural and Biological Sciences"=>1, "Neuroscience"=>2, "Psychology"=>12, "Social Sciences"=>7, "Computer Science"=>3}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>3}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>11}, "Neuroscience"=>{"Neuroscience"=>2}, "Social Sciences"=>{"Social Sciences"=>7}, "Psychology"=>{"Psychology"=>12}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>1}, "Computer Science"=>{"Computer Science"=>3}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>10}, "Unspecified"=>{"Unspecified"=>2}}, "reader_count_by_country"=>{"Spain"=>1}, "group_count"=>8}

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Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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