Sociocultural Factors Influencing Caregiver Appraisals Following Traumatic Brain Injury

Angelle M. Sander, Robin A. Hanks, Phillip A. Ianni, Nicholas R. Boileau, Anna L. Kratz, Elizabeth A Hahn, David S. Tulsky, Noelle E. Carlozzi

Research output: Contribution to journalArticle

Abstract

Objective: To investigate the association of the sociocultural variables race/ethnicity, education, and poverty level to caregivers’ positive and negative appraisals following traumatic brain injury. Design: Survey. Setting: Community. Participants: Caregivers (N=344; 216 white; 69 black; 39 Hispanic) of persons with complicated mild to severe TBI at least 1-year postinjury. Intervention: Not applicable. Main Outcome Measures: Modified Caregiver Appraisal Scale (M-CAS); Zarit Burden Interview (ZBI). Results: Black caregivers reported lower levels of perceived burden on both the M-CAS and the ZBI. Black and Hispanic caregivers reported more traditional caregiver ideology (caregiving as a responsibility) than did whites. Greater poverty was associated with higher burden on the M-CAS, lower caregiver satisfaction, and less mastery. Higher education was associated with higher burden on the ZBI and with lower caregiver mastery. Conclusions: Treatment professionals should be culturally sensitive to the different perspectives that caregivers may have based on sociocultural factors. Sociocultural factors should be considered in research investigating caregiver outcomes, including appraisals.

Original languageEnglish (US)
Pages (from-to)S58-S64
JournalArchives of physical medicine and rehabilitation
Volume100
Issue number4
DOIs
StatePublished - Apr 1 2019

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Caregivers
Interviews
Poverty
Hispanic Americans
Traumatic Brain Injury
Education
Outcome Assessment (Health Care)

Keywords

  • Brain injuries, traumatic
  • Caregivers
  • Cultural competency
  • Rehabilitation
  • Surveys and questionnaires

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Sander, Angelle M. ; Hanks, Robin A. ; Ianni, Phillip A. ; Boileau, Nicholas R. ; Kratz, Anna L. ; Hahn, Elizabeth A ; Tulsky, David S. ; Carlozzi, Noelle E. / Sociocultural Factors Influencing Caregiver Appraisals Following Traumatic Brain Injury. In: Archives of physical medicine and rehabilitation. 2019 ; Vol. 100, No. 4. pp. S58-S64.
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Sander, AM, Hanks, RA, Ianni, PA, Boileau, NR, Kratz, AL, Hahn, EA, Tulsky, DS & Carlozzi, NE 2019, 'Sociocultural Factors Influencing Caregiver Appraisals Following Traumatic Brain Injury' Archives of physical medicine and rehabilitation, vol. 100, no. 4, pp. S58-S64. https://doi.org/10.1016/j.apmr.2018.08.193

Sociocultural Factors Influencing Caregiver Appraisals Following Traumatic Brain Injury. / Sander, Angelle M.; Hanks, Robin A.; Ianni, Phillip A.; Boileau, Nicholas R.; Kratz, Anna L.; Hahn, Elizabeth A; Tulsky, David S.; Carlozzi, Noelle E.

In: Archives of physical medicine and rehabilitation, Vol. 100, No. 4, 01.04.2019, p. S58-S64.

Research output: Contribution to journalArticle

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AU - Hanks, Robin A.

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AU - Kratz, Anna L.

AU - Hahn, Elizabeth A

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AU - Carlozzi, Noelle E.

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N2 - Objective: To investigate the association of the sociocultural variables race/ethnicity, education, and poverty level to caregivers’ positive and negative appraisals following traumatic brain injury. Design: Survey. Setting: Community. Participants: Caregivers (N=344; 216 white; 69 black; 39 Hispanic) of persons with complicated mild to severe TBI at least 1-year postinjury. Intervention: Not applicable. Main Outcome Measures: Modified Caregiver Appraisal Scale (M-CAS); Zarit Burden Interview (ZBI). Results: Black caregivers reported lower levels of perceived burden on both the M-CAS and the ZBI. Black and Hispanic caregivers reported more traditional caregiver ideology (caregiving as a responsibility) than did whites. Greater poverty was associated with higher burden on the M-CAS, lower caregiver satisfaction, and less mastery. Higher education was associated with higher burden on the ZBI and with lower caregiver mastery. Conclusions: Treatment professionals should be culturally sensitive to the different perspectives that caregivers may have based on sociocultural factors. Sociocultural factors should be considered in research investigating caregiver outcomes, including appraisals.

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