2.50
Hdl Handle:
http://hdl.handle.net/10755/157496
Type:
Presentation
Title:
BODY MAP ASSESSMENT OF STRESS IN MEXICAN AMERICAN CAREGIVERS
Abstract:
BODY MAP ASSESSMENT OF STRESS IN MEXICAN AMERICAN CAREGIVERS
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Evans, Bronwynne C., RN, PhD, FNGNA, ANEF
P.I. Institution Name:Arizona State University
Title:Associate Professor
Contact Address:500 N. 3rd St., Phoenix, AZ, 85004, USA
Co-Authors:Neva L. Crogan; Michael Belyea; David Coon; Felipe Gonzalez Castro; Ebere Ume
PURPOSES/AIMS: The purpose of this mixed method presentation is to describe the use of body maps as a case-oriented adjunct to variable-oriented measures of caregiver stress and strain in a stratified purposive sample of Mexican-American caregivers in Arizona.
RATIONALE/CONCEPTUAL BASIS/BACKGROUND: Stress and strain interact in a devastating cycle for these caregiving families. Stress is the psychological, physical, and financial weight assumed by caregivers, along with their subjective appraisals of caregiving effects on their lives. Stressors include vigilance and lack of preparation required to provide care and the quality of caregiver-care recipient relationships. An important predictor of strain (enduring problems that potentially harm the individual) is poor caregiver health; 36% of caregivers have fair-to-poor health or a serious health condition as a result of strain, which acts as an additional stressor. Appraisals of stress and strain are shaped by physiological variables but also are mediated by emotions and by the sociocultural aspects of being human. Our mixed-METHODS: study uses the body map as a ôcartography that recognizes the lived experience of illnessö (Brett-MacLean, 2009) as an adjunct to semi-structured interview data about health and illness. Industry has used body maps for almost two decades to address workplace hazards and body maps occasionally have been used in health care to assess for distress in conditions such as fibromyalgia and chronic low back pain. More widespread use includes the McGill Pain Questionnaire and routine assessment in health records. Use of such maps in caregiver research has not been documented.
METHODS: Caregivers marked areas of distress during the last month on a body map (line drawings of the front and back of the body) and described distress associated with each area. Individual caregiver data from body maps were displayed in a cross-case matrix, quantitized, and entered into SPSS for comparison with scores on the Zarit Burden Interview (ZBI), Center for Epidemiologic Studies Depression Scale (CES-D), Activities of Daily Living/Instrumental Activities of Daily Living Scale (ADL/IADL), and General Well-Being Schedule (GWB) across cases.
RESULTS: Relationships among areas of distress and individual scores on the body map, ZBI, CES-D, ADL/IADL, and GWB will be presented using descriptive statistics. Comparison of high and low group means on body map scores indicates that caregivers with lower scores (fewer locations of distress) function at a higher level than those with higher scores. Verbatim exemplars from both groups will be presented, including minimizing of health conditions as a possible prerequisite for caregiving continuance.
IMPLICATIONS: Data suggest that using body maps with Mexican-American caregivers is a helpful adjunct to standardized instrumentation in the determination of stress, strain, depression, ADLs, and general well-being. Additionally, body maps facilitate discussion of health conditions and referral for further evaluation.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBODY MAP ASSESSMENT OF STRESS IN MEXICAN AMERICAN CAREGIVERSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157496-
dc.description.abstract<table><tr><td colspan="2" class="item-title">BODY MAP ASSESSMENT OF STRESS IN MEXICAN AMERICAN CAREGIVERS</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Evans, Bronwynne C., RN, PhD, FNGNA, ANEF</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Arizona State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">500 N. 3rd St., Phoenix, AZ, 85004, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bronwynne.evans@asu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Neva L. Crogan; Michael Belyea; David Coon; Felipe Gonzalez Castro; Ebere Ume</td></tr><tr><td colspan="2" class="item-abstract">PURPOSES/AIMS: The purpose of this mixed method presentation is to describe the use of body maps as a case-oriented adjunct to variable-oriented measures of caregiver stress and strain in a stratified purposive sample of Mexican-American caregivers in Arizona.<br/>RATIONALE/CONCEPTUAL BASIS/BACKGROUND: Stress and strain interact in a devastating cycle for these caregiving families. Stress is the psychological, physical, and financial weight assumed by caregivers, along with their subjective appraisals of caregiving effects on their lives. Stressors include vigilance and lack of preparation required to provide care and the quality of caregiver-care recipient relationships. An important predictor of strain (enduring problems that potentially harm the individual) is poor caregiver health; 36% of caregivers have fair-to-poor health or a serious health condition as a result of strain, which acts as an additional stressor. Appraisals of stress and strain are shaped by physiological variables but also are mediated by emotions and by the sociocultural aspects of being human. Our mixed-METHODS: study uses the body map as a &ocirc;cartography that recognizes the lived experience of illness&ouml; (Brett-MacLean, 2009) as an adjunct to semi-structured interview data about health and illness. Industry has used body maps for almost two decades to address workplace hazards and body maps occasionally have been used in health care to assess for distress in conditions such as fibromyalgia and chronic low back pain. More widespread use includes the McGill Pain Questionnaire and routine assessment in health records. Use of such maps in caregiver research has not been documented. <br/>METHODS: Caregivers marked areas of distress during the last month on a body map (line drawings of the front and back of the body) and described distress associated with each area. Individual caregiver data from body maps were displayed in a cross-case matrix, quantitized, and entered into SPSS for comparison with scores on the Zarit Burden Interview (ZBI), Center for Epidemiologic Studies Depression Scale (CES-D), Activities of Daily Living/Instrumental Activities of Daily Living Scale (ADL/IADL), and General Well-Being Schedule (GWB) across cases. <br/>RESULTS: Relationships among areas of distress and individual scores on the body map, ZBI, CES-D, ADL/IADL, and GWB will be presented using descriptive statistics. Comparison of high and low group means on body map scores indicates that caregivers with lower scores (fewer locations of distress) function at a higher level than those with higher scores. Verbatim exemplars from both groups will be presented, including minimizing of health conditions as a possible prerequisite for caregiving continuance. <br/>IMPLICATIONS: Data suggest that using body maps with Mexican-American caregivers is a helpful adjunct to standardized instrumentation in the determination of stress, strain, depression, ADLs, and general well-being. Additionally, body maps facilitate discussion of health conditions and referral for further evaluation.<br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:55:31Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:55:31Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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