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Browsing by Subject "Burden"

Now showing 1 - 3 of 3
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    Engaging Older Adults with Alzheimer's Disease in Exercise: Impact on Caregivers
    (2022-05) Sims, Tai
    In 2020, over 11 million informal caregivers cared for 6.5 million older adults with Alzheimer’s disease in America. By 2050 the number of older adults with Alzheimer’s disease is projected to double, which will demand the need for more informal caregivers. Family most often serve as informal caregivers. Informal caregiving is associated with increased burden, and poorer wellbeing and overall health. Interventions that target family caregivers of people with Alzheimer’s disease have shown minimal benefit on caregiver outcomes. Interventions that target people with Alzheimer’s disease, often neglect examining the intervention’s impact on family caregivers. In particular, exercise interventions have shown some promise in improving cognition and physical function of people with Alzheimer’s disease; however, little is known on how such interventions impact family caregivers. The purpose of this mixed methods study was to evaluate the impact of a 6 month, moderate intensity aerobic exercise intervention for community-dwelling older adults with Alzheimer’s disease on caregiver burden, wellbeing and general health. The study results were mixed across quantitative and qualitative data for caregiver burden and wellbeing. However, the findings suggest that improved caregiver burden and wellbeing may have been a consequence of perceived benefits of respite time and social support received by both study groups, rather than changes in care-recipients as a result of the exercise intervention. Both quantitative and qualitative data indicated the exercise intervention did not influence caregivers’ general health. This study provides some insight that integrating a family caregiver component into community-based exercise programs has the potential to benefit both people with Alzheimer’s disease and their family caregivers.
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    Estimating the burden of serious farm-related Injury in Minnesota
    (2014-05) Landsteiner, Adrienne Marie
    Minnesota was ranked 6th in the United States for total sales of agricultural product, with just over $13 billion in sales in the year 2011. Only 1.1% of Minnesota's workforce was employed in agriculture for the year 2011. However, this small portion of Minnesota's workforce has one of the highest fatality rates, with 28 (40%) of the 70 work-related deaths that occurred in the year 2010. While the number of agricultural fatalities that have occurred in Minnesota is well documented, non-fatal injuries are not. To address this issue the Minnesota hospital discharge data set was used to create counts, rates, and trends of agricultural injury for 2000-2011. The Cost of Illness model was then used to create estimates of the economic burden of agricultural injuries in Minnesota for 2004-2010.Using a set of seven E codes, more than 2,000 injuries annually with a relationship to agriculture were identified. The identified cases were categorized into probable or possible depending upon the E code present in the record. These designations were created as two of the E codes, E849.1 (occurred on a farm) and E919.0 (a relationship to agricultural machinery), have a greater specificity for a relationship to agriculture than the remaining E codes. Over 500 cases were identified annually with a probable case designation. Trend analysis of all identified cases found a non-significant average increase of 1.5% annually for the time period, 2000-2011. Estimated annual costs (2010 dollars) for agricultural injury ranged between $21 and $31 million annually for 2004-2010. The majority of the costs are attributed to the indirect costs and the costs associated with fatal injuries. These estimated costs were found to be of similar magnitude to costs for motor vehicle and bicycle accidents, diabetes, and heart disease in Minnesota. This research demonstrates that hospital discharge data provides a readily available source of information for tracking agricultural injury, allowing for limited surveillance and evaluation of future intervention endeavors and policy implementation. The magnitude of the associated costs argue for better surveillance of these injuries, as well as evaluation of future interventions and policy to prevent agricultural injury.
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    Left ventricular assist device therapy: family caregivers' stress, perceived burden and quality of life.
    (2011-04) Petty, Michael Glenn
    Background: Individuals implanted with left ventricular assist devices (LVADs) as bridge to transplant or as destination therapy expect to be discharged home. Responsibility for providing care to those patients has fallen almost exclusively to family caregivers. Yet there is a paucity of research on the experience of family caregivers of LVAD patients. This study assessed the burden and quality of life (QOL) of caregivers over a period of up to 6 months. The influence of stress and select demographic variables on those outcomes was also evaluated. Methods: Subjects recruited from a single LVAD center in the upper Midwest were required to be > 18 years old, the identified primary caregiver of an LVAD patient, and able to read and write English. Each was asked to complete a questionnaire at baseline and again at 2, 6, 14 and 22 weeks after the baseline measure. Measures included demographics, the Caregiver Distress Scale, the Caregiver Involvement Instrument, the Caregiver Burden Assessment, the Cantril Ladder scale, the CES-D, and the SF-12. Results: A total of 46 subjects provided data for analysis. The average caregiver was a 58 year old Caucasian female spouse of a bridge-to-transplant patient with a HeartMate II living with the patient and one other adult with an average income of $40,000-$59,999. Stress was mildly to moderately elevated over the entire period. Baseline burden was measured at levels that warranted intervention in up to 41% of participants, but decreased steadily over time (p=.04). Sixty to eighty-five percent of subjects reported below average quality of life that was largely static across the study. Stress was negatively correlated with QOL. (p=.004) Conclusions: Interventions to reduce stress are most likely to improve caregiver quality of life.