Exploring factors associated with strain in carers of patients with traumatic brain injury

This study explored what factors are associated with strain in 48 carers of patients with traumatic brain injury (TBI). This was a cross-sectional cohort study of patients who were admitted to a Neurosurgical Unit with TBI over a period of nine years and followed up between five and 14 years post-i...

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Main Author: Boycott, Naomi E.
Format: Thesis (University of Nottingham only)
Language:English
Published: 2010
Subjects:
Online Access:https://eprints.nottingham.ac.uk/11534/
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author Boycott, Naomi E.
author_facet Boycott, Naomi E.
author_sort Boycott, Naomi E.
building Nottingham Research Data Repository
collection Online Access
description This study explored what factors are associated with strain in 48 carers of patients with traumatic brain injury (TBI). This was a cross-sectional cohort study of patients who were admitted to a Neurosurgical Unit with TBI over a period of nine years and followed up between five and 14 years post-injury. Their carers were assessed via postal survey for levels of strain using the Caregiver Strain Index (CSI) and asked for their perception of the patients’ disabilities using the family form of the Neurobehavioral Functioning Inventory (NFI). Elevated levels of strain were found in 42% of carers. Using logistic regression, outcome as rated by the patients’ GP on the Glasgow Outcome Scale (GOS) and all subscales of the NFI (except Somatic) contributed to explain 41 - 57% of the variance in strain, and predicted group membership correctly in 72.9% of cases. No individual variable contributed significantly to the explained variance in the model. The model was not significantly improved after removing outliers. Findings suggest that a number of factors combine to result in feelings of strain and illustrates the difficulty for clinicians to predict when strain may occur. The clinical implications of the study are discussed.
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spelling nottingham-115342025-02-28T11:14:05Z https://eprints.nottingham.ac.uk/11534/ Exploring factors associated with strain in carers of patients with traumatic brain injury Boycott, Naomi E. This study explored what factors are associated with strain in 48 carers of patients with traumatic brain injury (TBI). This was a cross-sectional cohort study of patients who were admitted to a Neurosurgical Unit with TBI over a period of nine years and followed up between five and 14 years post-injury. Their carers were assessed via postal survey for levels of strain using the Caregiver Strain Index (CSI) and asked for their perception of the patients’ disabilities using the family form of the Neurobehavioral Functioning Inventory (NFI). Elevated levels of strain were found in 42% of carers. Using logistic regression, outcome as rated by the patients’ GP on the Glasgow Outcome Scale (GOS) and all subscales of the NFI (except Somatic) contributed to explain 41 - 57% of the variance in strain, and predicted group membership correctly in 72.9% of cases. No individual variable contributed significantly to the explained variance in the model. The model was not significantly improved after removing outliers. Findings suggest that a number of factors combine to result in feelings of strain and illustrates the difficulty for clinicians to predict when strain may occur. The clinical implications of the study are discussed. 2010-12-08 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en arr https://eprints.nottingham.ac.uk/11534/1/Naomi_Boycott_DClinPsy_Thesis.pdf Boycott, Naomi E. (2010) Exploring factors associated with strain in carers of patients with traumatic brain injury. DClinPsy thesis, University of Nottingham. Caregiver Strain Head injury Traumatic brain injury Neurobehavioral
spellingShingle Caregiver
Strain
Head injury
Traumatic brain injury
Neurobehavioral
Boycott, Naomi E.
Exploring factors associated with strain in carers of patients with traumatic brain injury
title Exploring factors associated with strain in carers of patients with traumatic brain injury
title_full Exploring factors associated with strain in carers of patients with traumatic brain injury
title_fullStr Exploring factors associated with strain in carers of patients with traumatic brain injury
title_full_unstemmed Exploring factors associated with strain in carers of patients with traumatic brain injury
title_short Exploring factors associated with strain in carers of patients with traumatic brain injury
title_sort exploring factors associated with strain in carers of patients with traumatic brain injury
topic Caregiver
Strain
Head injury
Traumatic brain injury
Neurobehavioral
url https://eprints.nottingham.ac.uk/11534/