Predictors of resilience and burden in family caregivers of individuals with opioid use disorder: a dissertation in Nursing

Mirinda Brown Tyo

doi:10.62791/19853

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Predictors of resilience and burden in family caregivers of individuals with opioid use disorder: a dissertation in Nursing

Mirinda Brown Tyo

Doctor of Philosophy (PHD), University of Massachusetts Dartmouth

2019

DOI:

https://doi.org/10.62791/19853

Abstract

Background: Family caregivers are an essential resource for individuals with opioid use disorder (OUD); however, caregivers who are overburdened may suffer detrimental effects on their emotional and physical well-being that prevent them from providing the necessary care. Method: A cross-sectional, non-experimental, correlational study was used to identified correlates and predictors of resilience and burden in caregivers of care recipients with OUD. Pearson product-moment correlation and multiple regression analysis were used to explore the relationships between caregiver characteristics, care recipient characteristics, the caregiver-care recipient dyad characteristics, and resilience and burden among caregivers of individuals with OUD and to determine the best predictive model. Participants (N=152) completed the study using an online electronic survey. Results: The standardized regression coefficients indicated that caregiver mental health (β = -.31) and physical health (β = .30) were the strongest predictors of care giver resilience; while, supervision of care recipient behavioral problems (β = .29), dyadic interaction (β = .29), caregiver stress (β = .28), and care recipient opioid use (β = .12)were the strongest predictors of caregiver burden. Conclusions: Caregiver and care recipient characteristics, and their dyadic interaction, directly influence the degree of burden and resilience reported by family caregivers. Caregivers experiencing increased stress who are tasked with supervising problematic care recipient behaviors are more likely to experience higher levels of burden. In contrast, caregivers with good physical and mental health and adequate resources demonstrate higher levels of resilience.

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Title: Predictors of resilience and burden in family caregivers of individuals with opioid use disorder
Creators: Mirinda Brown Tyo
ORCID: 0000-0002-9730-3344
Contributors: Mary McCurry (Advisor) - University of Massachusetts Dartmouth, Department of Adult Nursing
June Andrews Horowitz (Committee Member) - University of Massachusetts Dartmouth
Kathleen M. Elliott (Committee Member) - University of Massachusetts Dartmouth, Department of Adult Nursing
Number of pages: x, 103 pages
Illustrations: illustrations
Table of contents: List of figures -- List of tables -- Section 1. Introduction -- Section 2. Problem statement -- Introduction -- background -- Problem statement -- Significance of the study -- Theoretical framework -- Purpose -- Research questions -- Summary of methodology -- Section 3. Review of the literature and theoretical framework -- Introduction -- Informal caregivers -- Theoretical perspectives -- The resiliency model -- Family Involvement with co-occurring substance and mental disorders -- Model of caregiver resilience and burden in family caregivers of Individuals with opioid use disorder -- Empirical literature -- Section summary -- Section 4. Methodology -- Research design -- Sample setting -- Data collection procedures -- Independent and dependent variables and Instruments -- Data analysis -- Research questions and analysis plan -- Ethical considerations -- Limitations -- Section 5. Executive summary -- References -- Appendix A. Demographic questionnaire -- Appendix B. Flyer -- Appendix C. Institutional review board approval Letters -- Appendix D. Consent form -- Appendix E. PROMIS global physical health scale-2 -- Appendix F. Patient health questionnaire-4 -- Appendix G Interpersonal support evaluation list-12 -- Appendix H Kingston Caregiver stress scale, care giving Issues subscale -- Appendix I Alcohol use disorders Identification test questionnaire -- Appendix J Montgomery Borgatta caregiver burden scale measurement of subjective burden subscale -- Appendix K Family experiences Interview scale: supervision subjective control subscale -- Appendix L Family Experiences Interview Scale: Stigma Subscale -- Appendix M Short Form Zarit Burden Interview -- Appendix N Connor Davidson resilience scale 25 -- Appendix O Permission to use the KCSS -- Appendix P Permission to use family experiences Interview scale -- Appendix Q Permission to use the Montgomery Borgatta caregiver burden subject burden subscale -- Appendix R: Permission to use CD-RISC-25 -- Appendix S Permission to reprint conceptual framework for studying family Involvement with adults with co-occurring substance and mental disorders -- Appendix T Permission to use the resiliency model figure -- Appendix U Permission to use the resiliency model figure 2.
References: Includes bibliographical references (pages 62-75).
Awarding Institution: University of Massachusetts Dartmouth
Degree Awarded: Doctor of Philosophy (PHD)
Degree in: Nursing
Academic Unit: College of Nursing and Health Sciences
Language: English
Resource Type: Dissertation
DOI: https://doi.org/10.62791/19853
Record Identifier: 9914424877101301