Characteristics and Correlates of Caregivers’ Perceptions of Their Family Members’ Memory Loss

Abstract

Background Understanding caregiver’s perceptions of their family member’s memory loss is a necessary step in planning nursing interventions to detect and address caregiver burden. Objective The purpose of this paper is to characterize caregivers’ perceptions of their family members’ memory loss and identify potential correlates within Leventhal’s common-sense model (CSM). Methods This secondary analysis used baseline data from a larger randomized controlled trial. Patients with memory loss and their caregivers (N = 83 dyads) from the community were included. The adapted Brief Illness Perception Questionnaire (BIPQ) assessed caregivers’ illness perceptions. Eight additional instruments measured correlates within the CSM. Responses were described; multiple linear regression was used to predict BIPQ dimension scores and logistic regression was to predict dichotomized BIPQ scores. Results Most caregivers were female, White, and spouses of the patients; they reported a range of perceptions on the nine BIPQ dimensions. Patients’ cognitive function consistently emerged as a significant correlate of caregivers’ illness perceptions, explaining the most variance in caregivers’ perceived consequences, identity, and treatment control (p < .01). Caregivers’ reactions to patients’ behavioral symptoms and caregivers’ trait anxiety were associated with perceived illness coherence (p < .01). Caregivers with higher severity of daily hassles and White caregivers perceived that their family members’ memory loss would last longer (p < .001). Discussion Caregivers’ perceptions of family members’ memory loss varied; distinct dimensions of caregivers’ illness perception were associated with a range of clinical and psychosocial factors. This exploratory study demonstrates the complexity of applying the CSM to caregivers of persons with memory loss.

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Living with Chronic Illness from the Family Perspective:An Integrative Review

“…The adapted BIPQ (Yu et al, 2017) is an adapted version of the Brief Illness Perception questionnaire (Broadbent et al, 2006) that assesses the cognitive and emotional representations of illness and has been used to assess caregivers' illness perceptions of patients with memory loss. It consists of nine items, with ten Likert-type response options (Broadbent et al, 2006) (see Table 3).…”