Kontakt 2021, 23(3):200-206 | DOI: 10.32725/kont.2021.039

Typology of informal carers providing care to family members after cerebrovascular accidentSocial Sciences in Health - Original article

Miroslav Paulíček1, Lenka Krhutová1, *, Iva Kuzníková1, Kamila Vondroušová1, Iva Tichá1, Hana Lukšová1, Petra Anna-Marie Blahová1, Veronika Valoušková1, Marcela Dabrowská2, Jarmila Kristiníková2, Petr Šaloun3
1 University of Ostrava, Faculty of Social Studies, Department of Health and Social Studies, Ostrava, Czech Republic
2 University of Ostrava, Faculty of Medicine, Department of Rehabilitation, Ostrava, Czech Republic
3 VSB - Technical University of Ostrava, Faculty of Electrical, Engineering and Computer Science, Department of Computer Science, Ostrava, Czech Republic

Introduction: The study is underpinned by the research of people providing care to relatives after a cerebrovascular accident outside the sphere of public institutions - so called informal carers. The aim was to create a typology of these carers, reflecting their way of constructing identity, their attitude to their own emotions, their reflections on and experience with caring, their forms of communication, and how they work with information.

Methods: The research was led by a qualitative approach with the use of the principles of biographical research. It is based on thirty semi-structured interviews. Areas were identified within these interviews in which the carers reflected on themselves. Through these areas, the carers differ in the ways in which they experience their roles of carers. The research was complemented with a questionnaire survey in order to acquire demographic and other data from the same sample.

Results: The result of the study is a typology which contains five pure types of informal carers who provide care to family members after a Cerebrovascular Accident (CVA): (1) rational, (2) self-construing, (3) depressive, (4) traditional and (5) optimistic.

Discussion: The results of the study are discussed in the context of caregiving in general, and in comparison with research focusing on the ways in which carers cope with decreased autonomy, emotions, gender, or their approach to obtaining information.

Conclusions: Within the above types, carers differed in the variety of ways in which they controlled their emotions, in the different relationships to self, or in their reflections on the future. Which category an individual carer fell into depended on the volume of care they provided, how long they had been providing it, the possibilities to obtain support or assistance, and the personality of the carer. This typology may be useful from the analytical perspective, as well as from the perspective of potential interventions aimed at the dissemination of information and the sharing of the carers' experience.

Keywords: Cerebrovascular accident; Informal carer; Typology
Grants and funding:

This research was supported by the Technology Agency of the Czech Republic within the framework of the project “Research and development of support networks and information systems for informal carers for persons after stroke” – implemented by the University of Ostrava and VSB – Technical University of Ostrava, project ID: TACR/TL02000050, project duration: 2019–2021. We would also like to express our gratitude to the application guarantors of the project – The Association for Rehabilitation of People after Cerebrovascular Accidents and the Moravian- Silesian Region.

Conflicts of interest:

The authors have no conflict of interests to declare.

Received: January 31, 2021; Revised: May 24, 2021; Accepted: August 3, 2021; Prepublished online: August 23, 2021; Published: September 3, 2021  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Paulíček M, Krhutová L, Kuzníková I, Vondroušová K, Tichá I, Lukšová H, et al.. Typology of informal carers providing care to family members after cerebrovascular accident. Kontakt. 2021;23(3):200-206. doi: 10.32725/kont.2021.039.
Download citation

References

  1. Albrecht D, Wollensak T, Ernst C, Becker C, Hautzinger M, Pfeiffer K (2015). Costs of informal care in a sample of German geriatric stroke survivors. Eur J Ageing 13(1): 49-61. DOI: 10.1007/s10433-015-0356-x. Go to original source... Go to PubMed...
  2. Araújo O, Lage I, Cabrita J, Teixeira L (2015). Intervention in informal caregivers who take care of older people after a stroke (InCARE): study protocol for a randomised trial. J Adv Nurs 71(10): 2435-2443. DOI: 10.1111/jan.12697. Go to original source... Go to PubMed...
  3. Barbic SP, Mayo NE, White CL, Bartlett SJ (2014). Emotional vitality in family caregivers: content validation of a theoretical framework. Qual Life Res 23(10): 2865-2872. DOI: 10.1007/s 11136-014-0718-4. Go to original source... Go to PubMed...
  4. Brémault-Phillips S, Parmar J, Johnson M, Huhn A, Mann A, Tian V, Sacrey L-A (2016). The voices of family caregivers of seniors with chronic conditions: a window into their experience using a qualitative design. Springerplus 5: 620. DOI: 10.1186/s40064-016-2244-z. Go to original source... Go to PubMed...
  5. Casado-Marín D, García-Gómez P, López-Nicolás Á (2011). Informal care and labour force participation among middle-aged women in Spain. SERIEs 2: 1-29. DOI: 10.1007/s13209-009-0008-5. Go to original source...
  6. Chen P, Fyffe DC, Hreha K (2017). Informal caregivers' burden and stress in caring for stroke survivors with spatial neglect: an exploratory mixed-method study. Top Stroke Rehabil 24(1): 24-33. DOI: 10.1080/10749357.2016.1186373. Go to original source... Go to PubMed...
  7. Dudová R (2015). Postarat se ve stáří. Rodina a zajištění péče o seniory. Praha: Sociologické nakladatelství (SLON).
  8. Dudová R, Vohlídalová M (2018). Muži a ženy pečující o seniory v rodině. Sociologický časopis / Czech Sociological Review 54(2): 219-251. DOI: 10.13060/00380288.2018.54.2.400. Go to original source...
  9. Fischer-Rosenthal W, Rosenthal G (2001). Analýza narativně- -biografických rozhovorů. Biograf 24: 9-20.
  10. Geissler H (2021). Neformální péče v datech. In: Fryč V, Chmelová M, Adámková P (Eds) (2021). Neformální péče v teorii a praxi. Sborník odborných statí. Praha: Pasparta publishing, pp. 56-64.
  11. Geissler H, Holeňová A, Horová T, Jirát D, Schlanger J, Solnářová D, et al. (2015a). Výstupní analytická zpráva o současné situaci a potřebách pečujících osob a bariérách pro poskytování neformální péče v ČR. Praha: Fond dalšího vzdělávání.
  12. Geissler H, Holeňová A, Horová T, Jirát D, Solnářová D, Svobodová K, et al. (2015b). Neformální péče ve vybraných státech Evropské unie. Komparativní rešerše a identifikace příkladů dobré praxe. Praha: Fond dalšího vzdělávání.
  13. Greenwood N, Mackenzie A (2010). Informal caring for stroke survivors: Meta-ethnographic review of qualitative literature. Maturitas 66(3): 268-276. DOI: 10.1016/j.maturitas.2010.03.017. Go to original source... Go to PubMed...
  14. Greenwood N, Mackenzie A, Cloud G, Wilson N (2010). Loss of autonomy, control and independence when caring: A qualitative study of informal carers of stroke survivors in the first three months after discharge. Disabil Rehabil 32(2): 125-133. DOI: 10.3109/09638280903050069. Go to original source... Go to PubMed...
  15. Horová J, Bártlová S, Hajduchová H, Motlová L, Trešlová M, Záškodná H, Brabcová I (2021). Mezinárodní přehled podpory neformálního (rodinného) pečovatelství. Sociální práce / Sociálna práca 21(2): 20-43.
  16. Hubíková O (2021). Rozvoj sociální práce zaměřené na neformální pečující. In: Fryč V, Chmelová M, Adámková P (Eds) (2021). Neformální péče v teorii a praxi. Sborník odborných statí. Praha: Pasparta publishing, pp. 84-12.
  17. Imarhiagbe FA, Asemota AU, Oripelaye BA, Akpekpe JE, Owolabi AA, Abidakun AO, et al. (2017). Burden of Informal Caregivers of Stroke Survivors: Validation of the Zarit Burden Interview in an African Population. Ann Afr Med 16(2): 46-51. DOI: 10.4103/aam.aam_213_16. Go to original source... Go to PubMed...
  18. Jegermalm M (2006). Informal care in Sweden: a typology of care and caregivers. Int J Soc Welf 15: 332-343. DOI: 10/1111/j.1468-2397.2006.00400.x Go to original source...
  19. Jeřábek H (Ed.) (2013). Mezigenerační solidarita v péči o seniory. Praha: Sociologické nakladatelství (SLON).
  20. Joo H, Dunet DO, Fang J, Wang G (2014). Cost of informal caregiving associated with stroke among the elderly in the United States. Neurology 83(20): 1831-1837. DOI: 10.1212/WNL.0000000000000986. Go to original source... Go to PubMed...
  21. Morris SM, Thomas C (2002). The need to know: informal carers and information. Eur J Cancer Care 11(3): 183-187. DOI: 10.1046/j.1365-2354.2002.00337.x. Go to original source... Go to PubMed...
  22. Mosquera I, Vergara I, Larrañaga I, Machón M, del Río M, Calderón C (2015). Measuring the impact of informal elderly caregiving: a systematic review of tools. Qual Life Res 25(5): 1059-1092. DOI: 10.1007/s11136-015-1159-4. Go to original source... Go to PubMed...
  23. Nemčíková M, Katreniaková Z, Dobríková P, Nagyová I (2020). Efektívne intervencie pre znižovanie záťaže neformálnychopatrovateľov osôb s demenciou pri Alzheimerovej chorobe: systematický prehľad. Sociální práce / Sociálna práca 20(6): 120-140.
  24. Neubert L, Gottschalk S, König H-H, Brettschneider C (2020). Dementia care-giving from a family network perspective in Germany: A typology. Health Soc Care Comm 00: 1-13. DOI: 10.1111/hsc.13161. Go to original source... Go to PubMed...
  25. Pendergrass A, Beische D, Becker C, Hautzinger M, Pfeiffer K (2015). An abbreviated German version of the Sense of Competence Questionnaire among informal caregivers of relatives who had a stroke: development and validation. Eur J Ageing 12(3): 203-213. DOI: 10.1007/s10433-015-0342-3. Go to original source... Go to PubMed...
  26. Pesantes MA, Brandt LR, Ipince A, Miranda JJ, Diez-Canseco F (2017). An exploration into caring for a stroke-survivor in Lima, Peru: Emotional impact, stress factors, coping mechanisms and unmet needs of informal caregivers. eNeurologicalSci 6: 33-50. DOI: 10.1016/j.ensci.2016.11.004. Go to original source... Go to PubMed...
  27. Rosenthal G (2018). Interpretive Social Research, An Introduction. Göttingen: Göttingen University Press. Go to original source...
  28. Simon C, Little P, Birtwistle J, Kendrick T (2003). A questionnaire to measure satisfaction with community services for informal carers of stroke patients: construction and initial piloting. Health Soc Care Community 11(2): 129-137. DOI: 10.1046/j.1365-2524.2003.00408.x. Go to original source... Go to PubMed...
  29. Smith LN, Lawrence M, Kerr SM, Langhorne P, Lees KR (2004). Informal carers' experience of caring for stroke survivors. J Adv Nurs 46(3): 235-244. DOI: 10.1111/j.1365-2648.2004.02983.x. Go to original source... Go to PubMed...
  30. Strang S, Fährn J, Strang P, Ronstad A, Danielsson L (2019). Support to informal caregivers of patients with severe chronic obstructive pulmonary disease: a qualitative study of caregivers' and professionals' experiences in Swedish hospitals. BMJ Open 9(8): e028720. DOI: 10.1136/bmjopen-2018-028720. Go to original source... Go to PubMed...
  31. Weber M (2012). Collected methodological writings. London and New York: Routledge.
  32. White CL, Lauzon S, Yaffe MJ, Wood-Dauphinee S (2004). Toward a model of quality of life for family caregivers of stroke survivors. Qual Life Res 13(3): 625-638. DOI: 10.1023/B:QURE.0000021312.37592.4f. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.