Rural-urban differences in the effects on mental well-being of caring for people with stroke or dementia

Tommis, Y.; Seddon, Diane; Woods, Bob; Robinson, Catherine; Reeves, Carla; Russell, Ian

doi:10.1080/13607860701365972

Cited by 27 publications

(27 citation statements)

References 10 publications

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“…Sardinian nurses should sensitize politicians to provide more resources for caregivers. It has been shown that rural caregivers have worse QOL and fewer services than urban caregivers (Tommis et al, 2007) and could benefit from supportive programs (S. A. Smith & Bell, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…No studies have investigated the meaning of QOL for Sardinian AD caregivers. Although some international studies have shown that AD caregivers living in rural areas have worse QOL and use fewer formal services than those living in urban areas (Morgan, Semchuk, Stewart, & D'Arcy, 2002;Tommis et al, 2007), no researchers have specifically explored the meaning of QOL for rural AD caregivers.…”

Section: Introductionmentioning

confidence: 99%

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The Experience of Quality of Life for Caregivers of People With Alzheimer’s Disease Living in Sardinia, Italy

et al. 2011

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Purpose:This study explored the meaning of quality of life (QOL) for Sardinian caregivers of people affected with Alzheimer's disease and factors improving and worsening their QOL. Design: The phenomenological method was used to study 41 Alzheimer's disease caregivers living on the western coast of Sardinia, Italy. Interviews were conducted and analyzed using Cohen, Kahn, and Steeves's approach. Findings: Extracted themes were the following: unity and cooperation in the family; freedom/independence; having time for themselves; serenity/tranquility; and well-being and health. Caregivers identified factors that they believed worsened or improved their QOL. Family was particularly important for these caregivers. Discussion and Practice Implications: This study reinforces previous research about cultural influence on QOL and emphasizes the importance of nurses being culturally sensitive. Since Sardinia is a rural region, these findings may be useful for nurses working with caregivers in other rural settings.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Experience of Quality of Life for Caregivers of People With Alzheimer’s Disease Living in Sardinia, Italy

et al. 2011

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“…In Saskatchewan, these differences are accelerated by the loss of formal health care services in the more rural areas of Saskatchewan (Jaffe & Blakley, 1999). If the type and amount of support services are predictive of caregiver mental well-being (e.g., Tommis et al, 2007), it is surprising then that the caregivers of people with dementia in the current study were able to cope similar to their more urban counterparts.…”

Section: Discussionmentioning

confidence: 81%

“…The presumed mechanism of differences in urban/rural coping is reduced accessibility to supports for rural caregivers, which influences coping strategies, which, in turn, results in differential burden and distress for underserviced caregivers. Tommis et al (2007) found that male caregivers residing in rural locations had lower psychological wellbeing, whereas female caregivers scored the same on psychological well-being regardless of location. Bien and colleagues' (2007) findings supported this hypothesized difference in caregiver outcomes; they found that rural caregivers reported more burden than urban caregivers.…”

Section: Caregivers' Reports Of Burden and Distressmentioning

confidence: 89%

Degree of Rurality is not Related to Dementia Caregiver Distress, Burden, and Coping in a Predominantly Rural Sample

et al. 2012

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Earlier research suggests that geographic location matters for informal caregivers of persons with dementia: rural caregivers tend to rely on more informal supports and may report more psychological distress and burden than urban caregivers. Differential access to services may underlie these findings, but degree of rurality is typically measured with population size. In contrast, the current article measured degree of rurality with standardized scale of access to metropolitan centers. In a large sample we found nonsignificant and trivial associations between metropolitan access with self-reported caregiver distress, (N = 272; Brief Symptom Inventory), burden (N = 234; Zarit Burden Interview), and coping (n = 46; Jalowiec Coping Scale). The null findings were likely related to the use of a proxy variable for dementia-related caregiver supports (i.e., degree of access to metropolitan centers). In future research, direct measures of access to appropriate dementia related services should be used to study caregiver outcomes.

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“…In one report, researchers note that rural caregivers provide almost 50 hr of care a week (Kosberg, Kaufman, Burgio, Leeper, & Sun, 2007). Interestingly, gender differences appear in comparisons of urban and rural caregivers; male caregivers in rural environments exhibit poorer mental health as compared with their urban-dwelling counterparts; however, no differences emerge between female caregivers in the two locations (Tommis et al, 2007). Home care staff note that rural caregivers may be reluctant to use services in the area and may not request help until a crisis situation emerges (Morgan et al, 2002).…”

Section: Articlementioning

confidence: 99%

Mental Health in Rural Caregivers of Persons With Dementia

et al. 2015

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Informal caregiving for dementia is common and often affects caregiver mental health. In addition to typical stressors faced by caregivers of persons with dementia (PWDs), rural caregivers often face additional stressors associated with living in more remote locations; unfortunately, this group is largely understudied. Ninety-three caregiver-PWD dyads completed measures of social support, perceived control, self-efficacy, burden, and cognitive functioning. Measures of PWD activities of daily living and mental functioning were also collected. These variables were hypothesized to predict caregiver self-reported symptoms of depression, anxiety, and stress. Contrary to predictions, only caregiving-related self-efficacy and caregiver burden predicted the caregiver's mental health. Future interventions for improving rural caregiver self-reported mental health should target cognitions associated with caregiving self-efficacy and caregiver burden. Health care providers for rural families should focus on ways to reduce feelings of caregiver burden and provide caregivers with useful skills and tools for caregiving.

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Rural-urban differences in the effects on mental well-being of caring for people with stroke or dementia

Cited by 27 publications

References 10 publications

The Experience of Quality of Life for Caregivers of People With Alzheimer’s Disease Living in Sardinia, Italy

The Experience of Quality of Life for Caregivers of People With Alzheimer’s Disease Living in Sardinia, Italy

Degree of Rurality is not Related to Dementia Caregiver Distress, Burden, and Coping in a Predominantly Rural Sample

Mental Health in Rural Caregivers of Persons With Dementia

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