Abstract
Objective
To investigate the association of the sociocultural variables race/ethnicity, education,
and poverty level to caregivers’ positive and negative appraisals following traumatic
brain injury.
Design
Survey.
Setting
Community.
Participants
Caregivers (N=344; 216 white; 69 black; 39 Hispanic) of persons with complicated mild
to severe TBI at least 1-year postinjury.
Intervention
Not applicable.
Main Outcome Measures
Modified Caregiver Appraisal Scale (M-CAS); Zarit Burden Interview (ZBI).
Results
Black caregivers reported lower levels of perceived burden on both the M-CAS and the
ZBI. Black and Hispanic caregivers reported more traditional caregiver ideology (caregiving
as a responsibility) than did whites. Greater poverty was associated with higher burden
on the M-CAS, lower caregiver satisfaction, and less mastery. Higher education was
associated with higher burden on the ZBI and with lower caregiver mastery.
Conclusions
Treatment professionals should be culturally sensitive to the different perspectives
that caregivers may have based on sociocultural factors. Sociocultural factors should
be considered in research investigating caregiver outcomes, including appraisals.
Keywords
List of abbreviations:
CAS (Caregiver Appraisal Scale), M-CAS (Modified Caregiver Appraisal Scale), TBI (traumatic brain injury), VFI (variance inflation factor), ZBI (Zarit Burden Interview)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 23, 2018
Footnotes
Supported by the National Institutes of Health National Institute of Nursing Research (grant no. R01NR013658), and the National Center for Advancing Translational Sciences (grant no. UL1TR000433).
Identification
Copyright
© 2018 by the American Congress of Rehabilitation Medicine
