TY - JOUR
T1 - Stressors and Resources of Caregivers of Patients With Incurable Progressive Illness in Sub-Saharan Africa
AU - Streid, Jocelyn
AU - Harding, Richard
AU - Agupio, Godfrey
AU - Dinat, Natalya
AU - Downing, Julia
AU - Gwyther, Liz
AU - Ikin, Barbara
AU - Mashao, Thandi
AU - Mmoledi, Keletso
AU - Moll, Anthony P
AU - Sebuyira, Lydia Mpanga
AU - Higginson, Irene J
AU - Selman, Lucy
PY - 2014/3
Y1 - 2014/3
N2 - Family caregivers are central to palliative care in sub-Saharan Africa. Yet although supporting caregivers requires a comprehensive understanding of caregiver burden, there has been little research into this topic in Africa. Using the Stress Process Model to investigate the burden experienced by caregivers in South Africa and Uganda, we interviewed 37 caregivers and analyzed the data thematically. Caregivers' primary stressors related to day-to-day patient care and emotional support; secondary stressors included financial hardship, family responsibilities, and social isolation. Caregivers' social, relational, spiritual, and psychological resources mediated the effects of these stressors. Strengthening one resource strengthened others, but the failure of one resource hindered other resources, exacerbating burden. In providing caregiver support, policymakers and service providers should focus on enhancing caregivers' resources as well as alleviating their stressors.
AB - Family caregivers are central to palliative care in sub-Saharan Africa. Yet although supporting caregivers requires a comprehensive understanding of caregiver burden, there has been little research into this topic in Africa. Using the Stress Process Model to investigate the burden experienced by caregivers in South Africa and Uganda, we interviewed 37 caregivers and analyzed the data thematically. Caregivers' primary stressors related to day-to-day patient care and emotional support; secondary stressors included financial hardship, family responsibilities, and social isolation. Caregivers' social, relational, spiritual, and psychological resources mediated the effects of these stressors. Strengthening one resource strengthened others, but the failure of one resource hindered other resources, exacerbating burden. In providing caregiver support, policymakers and service providers should focus on enhancing caregivers' resources as well as alleviating their stressors.
U2 - 10.1177/1049732314523682
DO - 10.1177/1049732314523682
M3 - Article
C2 - 24583654
SN - 1049-7323
VL - 24
SP - 317
EP - 328
JO - Qualitative Health Research
JF - Qualitative Health Research
IS - 3
ER -