The DEP-6D, a new preference-based measure to assess health states of dependency

Rodríguez-Míguez, Eva; Abellán-Perpiñán, José-María; Álvarez, Xana; González, Xulia; Sampayo, Antonio Rodríguez

doi:10.1016/j.socscimed.2016.02.020

Cited by 7 publications

(2 citation statements)

References 41 publications

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“…By construction, if a state of dependency is perceived as similar to death, it would have a value of zero and reach a negative value if this state of dependence is considered worse than death—it grows more negative as one moves further away from this situation. To estimate the DEP‐6D scores, Rodríguez‐Míguez et al (2016) used the time trade‐off technique (Torrance, 1986); therefore, this index can be used in quality‐adjusted life‐year calculations and in cost‐utility analyses (Drummond et al, 2015).…”

Section: Methodsmentioning

confidence: 99%

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Determinants of caregiving burden among informal caregivers of adult care recipients with chronic illness

Rodríguez-González

Rodríguez-Míguez

Clavería

2021

Journal of Clinical Nursing

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Aims and Objectives: This study examined the predictors of caregiver burden based on patient and caregiver characteristics in a sample of Spanish caregivers looking after adult patients with chronic disease. The effect of task type and patient-caregiver interaction is also analysed.Background: Specific predictors of caregiver burden have been widely examined in the literature. Few studies, however, jointly analyse a wide range of factors, including the effect of task type and patient-caregiver interaction.Design: Correlational study.Methods: One hundred and thirty five informal caregivers for 148 care recipients were recruited from primary health care centres. The caregivers responded to the short version of the Zarit Burden Interview (ZBI), the DEPendency index-6 Dimensions (DEP-6D), and reported how long they spent on caregiving on a daily basis. Sociodemographic and health characteristics were also recorded. Linear and logistic regression models were used to evaluate factors associated with ZBI scores and the likelihood of being severely burdened, respectively. This research complies with STROBE guidelines for observational studies.Results: Severe burden was present in 62% of the caregivers. Regression analysis shows that burden severity increases significantly with the level of dependence when the latter is measured either by DEP-6D or by time spent on basic activities. Care related to incontinence and mobility has the greatest effect on burden, which is aggravated when the patient has behavioural problems. Poor caregiver health or not being retired also contributes to burden levels. Conclusions:These results establish that caregiver burden is related to characteristics of both the caregiver and the care recipient as well as to their interaction.Relevance to clinical practice: The findings indicate that the socio-sanitary attention focused on reducing caregiver burden must address the caregiver and patient as a dyad. Identifying the dependence level and the patient's aggressive behaviour can be a good predictor of caregiver burden.

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Section: Methodsmentioning

confidence: 99%

“…DEP-6D is an instrument for measuring the level of dependence on others for ADLs (Rodríguez-Míguez et al, 2016). It is composed of six dimensions (eating, incontinence, personal care, mobility, housework, and cognition problems) and a preference-based scoring algorithm.…”

Section: Dependency Index-6 Dimensionsmentioning

confidence: 99%

Determinants of caregiving burden among informal caregivers of adult care recipients with chronic illness

Rodríguez-González

Rodríguez-Míguez

Clavería

2021

Journal of Clinical Nursing

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Disability-adjusted life expectancy lost due to pain severity and usual analgesic treatment among older adults with osteoarthritis in Spain

2020

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Necesidad y uso de productos de apoyo y facilitadores arquitectónicos en población dependiente

Rodríguez-González

Rodríguez-Míguez

2020

Atención Primaria

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Objetivo Describir la utilización y percepción de la necesidad de productos de apoyo e identificar su asociación con instrumentos para medir la dependencia y la sobrecarga de cuidados. Diseño Estudio transversal. Emplazamiento Atención Primaria del área sur de Pontevedra. Participantes Un total de 112 personas cuidadoras informales que atienden a 125 personas dependientes. Mediciones principales Mediante entrevista personal se recogen datos sobre la utilización y percepción de necesidad de estos productos. Además, se obtienen datos sociodemográficos e información referida al tiempo dedicado al cuidado diario, la sobrecarga del cuidador, el Baremo de Valoración de Dependencia y el indicador de dependencia DEP-6D. Se ha utilizado un contraste de medias para identificar si existen diferencias significativas en dichos indicadores en función de si utilizan o no los productos facilitadores. Se ha calculado una regresión logística para identificar aquellas variables asociadas con tener una necesidad no cubierta. Resultados Un 60% (IC 95%: 50,9-68,7) de las personas dependientes tienen necesidades no cubiertas de estos dispositivos. Estas necesidades se asocian, principalmente, con una renta familiar baja, un mayor grado de dependencia y una mejor salud del cuidador, aunque en situaciones de gran dependencia y muy mala salud del cuidador estas carencias se suavizan. Conclusiones Existe una fuerte asociación entre grado de dependencia y utilización de estos productos. Sin embargo, también hay un elevado porcentaje de la muestra con necesidades no cubiertas de estos productos que están asociadas tanto con la situación socioeconómica del hogar como con las características del dependiente y de la persona cuidadora.

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The DEP-6D, a new preference-based measure to assess health states of dependency

Cited by 7 publications

References 41 publications

Determinants of caregiving burden among informal caregivers of adult care recipients with chronic illness

Determinants of caregiving burden among informal caregivers of adult care recipients with chronic illness

Disability-adjusted life expectancy lost due to pain severity and usual analgesic treatment among older adults with osteoarthritis in Spain

Necesidad y uso de productos de apoyo y facilitadores arquitectónicos en población dependiente

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