Occupational performance of frail elderly people and caregiver overburden
Bibliographic record
Abstract
Population aging is already a consensus in the literature. Along with this process, there are changes resulting from chronic non-communicable diseases (NCDs) that compromise the occupational performance of the elderly, becoming a predictor of frailty syndrome. Thus, the need for assistance from a caregiver arises during the performance of activities of daily living (ADLs) and instrumental activities of daily living (IADLs). Care provided at home is complex and can generate physical, psychological, and emotional overload and social isolation. Thus, there is a need for in-depth studies on the impacts that care can generate on the quality of life of informal caregivers, verifying the relationship between these, especially the overload, and the occupational performance of the elderly person. Therefore, the objective of this research is to analyze the relationship between the occupational performance of the frail elderly person and the overload of the caregiver. The research is characterized as observational, crosssectional and with a mixed approach – quantitative and qualitative. Data collection was carried out with elderly individuals treated at the Occupational Therapy Outpatient Clinic of the Santa Maria University Hospital, and the informal caregivers who accompanied them, from August 2023 to April 2024. Elderly individuals who were not accompanied by their caregivers or for whom it was not possible to apply all the instruments, as well as formal caregivers, were excluded. For the collection with the elderly, the Mini Mental State Examination (MMSE), the Comprehensive Geriatric Assessment (CGA); the Frail Scale and the Canadian Occupational Performance Measure (COPM) were applied. For the collection with the caregivers, a questionnaire regarding sociodemographic data, health profile and aspects inherent to care and the Zarit Burden Scale were applied. The association between Frail and Zarit was analyzed by the Chi-Square test. The correlation between COPM and Zarit was analyzed by Pearson's correlation coefficient. p<0.05 was considered a significant difference. All analyses were performed using the Statistical Package for Social Science Windows - 26. Qualitative analysis was performed using Bardin's content analysis, through thematic categories. The final research sample consisted of 20 frail elderly individuals accompanied by their caregivers. Regarding the sociodemographic and health profile of the elderly, women predominated, with a mean age of 76.7 years, low education level, cardiovascular NCDs, occupational performance with a mean of 4.9 and satisfaction 5.1. Regarding caregivers, women predominated, spouses or children, with a mean age of 57.6 years, married marital status, cardiovascular NCDs and burden score 2.0. Among the changes and difficulties of care are family relationships, assistance during ADLs, the need to abandon work and the lack of rest/leisure moments. There was a correlation between the occupational performance of the elderly and the burden of the caregiver. The results of this research point to a possible relationship of security and trust between those who provide care and those who receive care, since as the elderly feel satisfied, caregivers feel less overwhelmed.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".