Psychometric properties of the caregiver inventory for measuring caregiving self-efficacy of caregivers of patients with palliative care needs

Taking care of patients with palliative care needs could be a stressful event. While caregiving was associated with decreases in psychological health in caregivers, increased caregiving self-efficacy associated with reduced burden. Yet, there is no instrument available in Chinese for assessing caregiving self-efficacy in the palliative care setting. This study aimed to examine the psychometric properties of a Chinese version of Caregiver Inventory (CGI) in Chinese caregivers of patients with palliative care needs. The CGI was translated to the Chinese language, validated by an expert panel, and tested. A convenience sample of 232 patient-caregiver dyads recruited from three hospitals in Hong Kong was included in the analysis. A high completion rate of 95.5% in caregivers and no floor or ceiling effects were noted for the CGI. In contrast to the four-factor structure identified in the original 21- item CGI, our EFA produced an 18-item solution accounting for 57% of the total variation comprising three factors: (1) Care of the care recipient, (2) Managing information and self-care, and (3) Managing emotional interaction with care recipient (C-CGI-18). Separate dimensions for Managing information and Self-care were not supported. For the three domains of the C-CGI-18, Cronbach’s alphas ranged from 0.84 to 0.90 and 2-week testretest reliability ranged from 0.71 to 0.76. Correlations of the three domains with caregiver strain (r: -0.31 to -0.42, p-values<0.01) and total scores in perceived social support (r: 0.24 to 0.36, p-values<0.01). Correlation between the Care of the care recipient domain and patient’s physical functioning (r=0.17, p-value<0.05) indicated acceptable construct validity. In conclusion, the C-CGI-18 has suitable factor structure and psychometric properties for use in assessing caregiving self-efficacy among Chinese caregivers of patients with palliative care needs. It is simply and easy to use and can be recommended for clinical and research practice for the Hong Kong Chinese populations

[Editorial] Palliative and end-of-life care : more work is required

202101 bcrcVersion of RecordPublishe

Tai chi qigong as a means to improve night-time sleep quality among older adults with cognitive impairment: a pilot randomized controlled trial

Aileen WK Chan, Doris SF Yu, KC Choi, Diana TF Lee, Janet WH Sit, Helen YL Chan The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, People&rsquo;s Republic of China Purpose: Age-related cognitive decline is a growing public health concern worldwide. More than a quarter of adults with cognitive impairment experience sleep disturbance. The objective of this pilot study was to evaluate the preliminary effects of tai chi qigong (TCQ) on improving the night-time sleep quality of older adults with cognitive impairment. Participants: Older adults with cognitive impairment who complain of sleep disturbance. Methods: A randomized controlled trial with two groups. Fifty-two subjects were recruited from two district elderly community centers and randomly assigned to either the TCQ group (n=27) or the control group (n=25). The intervention group received TCQ training consisting of two 60-minute sessions each week for 2 months. The control group was advised to maintain their usual activities. Sleep quality was measured by the Chinese Pittsburgh Sleep Quality Index. Quality of life was measured by Short-form 12, cognitive functions measured by mini-mental state examination, and subjective memory deficits measured by the memory inventory for Chinese. Results: Data were collected at baseline, 2 months, and 6 months. Significant results were noted at 6 months in the Chinese Pittsburgh Sleep Quality Index global score (P=0.004), sleep duration (P=0.003), habitual sleep efficiency (P=0.002), and the Short-form 12 mental health component (P&lt;0.001). The TCQ participants reported better sleep quality and a better (quality of life) mental health component than the control group. Conclusion: TCQ can be considered a useful nonpharmacological approach for improving sleep quality in older adults with cognitive impairment.Clinical trial registration: CUHK_CCT00448 (https://www2.ccrb.cuhk.edu.hk/registry/public/287). Keywords: cognitive decline, mind&ndash;body exercise, nonpharmacological approach, sleep disturbance

Source of social support and caregiving self-efficacy on caregiver burden and patient’s quality of life : a path analysis on patients with palliative care needs and their caregivers

202010 bcmaVersion of RecordOthersHMRF (No: 13141241)Publishe

Effects of a nurse-led post-discharge advance care planning programme for community-dwelling patients nearing the end of life and their family members : a randomised controlled trial

Title on author’s file: Effects of a nurse-led advance care planning programme for community-dwelling patients nearing the end of life and their family members: A randomised controlled trial202311 bckwAccepted ManuscriptOthersHMRFPublishedGreen (AAM

Perceived quality of end-of-life communication provided by healthcare professionals among frail older Chinese patients

British Geriatrics Society Abstracts from the Autumn meeting, 25-27 November 2020, Online202212 bckwAccepted ManuscriptRGCPublishe

A video-supported nurse-led advance care planning on end-of-life decision-making among frail older patients : protocol for a randomized controlled trial

201906 bcrcAccepted ManuscriptRGCPolyU14162617HPublishe

Experiences of older adults with frailty not completing an advance directive : a qualitative study of ACP conversations

202208 bckwVersion of RecordRGCPublishe