Caregiving, health-related quality of life and healthcare-seeking behaviour: A study of informal caregivers of older adults in Ghana
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Authors
Agyemang-Duah, Williams
Date
2024-05-03
Type
thesis
Language
eng
Keyword
Informal Caregiving , Informal Caregivers , Caregiver Burden , Caregiving Motivation , Health-Related Quality of Life , Healthcare Utilization , Older Adults , Ghana
Alternative Title
Abstract
Research to understand the caregiving and health(care) experiences among informal caregivers of older adults in sub-Saharan Africa is limited. This thesis examines caregiving motivation, caregiver burden, health-related quality of life (HRQoL), and healthcare utilization among informal caregivers of older adults in Ghana. This thesis is framed within the informal care model, the stress process model, the conceptual model of HRQoL, and the health belief model (HBM).
This study recruited a sample of 1,853 informal caregivers (aged ≥ 18 years; mean age =39.15 years) of older adults (aged ≥ 50 years; mean age =75.08 years) from 13 districts comprising 18 rural and 21 urban communities in the Ashanti Region of Ghana between July and September 2022. Key variables, including caregiver burden, HRQoL, caregiving motivation, and domains of HBM, were measured using standardized and validated instruments. Analytical frameworks such as generalized multivariable linear regression models, and Poisson regression models estimated the hypothesized associations. Beta values (β), standard errors (SE), confidence intervals (CI), and incidence rate ratio (IRR) were reported (p-value ≤ 0.05 as statistically significant).
The analysis indicated that rural informal caregivers have an increased caregiving motivation (β =.542, SE= .2242, p-value < .05) and a decreased caregiver burden (β = -1.64; SE= 0.41, p-value < .01) compared to urban participants. Caregiver burden was negatively associated with HRQoL (β = -0.286, SE=.0123, p-value < .001). Perceived susceptibility to a health problem (β=0.054, IRR =1.056, p-value < .001), cues to action (β=0.076, IRR =1.079, p-value < .001), and self-efficacy (β= 0.042, IRR =1.043, p-value < .01) were positively associated with healthcare utilization. The findings support the hypotheses that rural informal caregivers have an increased caregiving motivation, and perceived susceptibility, cues to action, and self-efficacy are positively associated with healthcare utilization.
In contributing to social and global health policy discussions, policymakers should develop policies and programs to reduce caregiver burden and improve caregiving motivation as well as informal caregivers’ HRQoL and healthcare-seeking behaviour. This study further makes a strong argument for strengthening the caregiving and healthcare-seeking capacities of informal caregivers of older adults across different geographical scales through adequate training and social support.
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Copying and Preserving Your Thesis
This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.
Attribution-NonCommercial-NoDerivatives 4.0 International
ProQuest PhD and Master's Theses International Dissemination Agreement
Intellectual Property Guidelines at Queen's University
Copying and Preserving Your Thesis
This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner.
Attribution-NonCommercial-NoDerivatives 4.0 International