{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:43:48Z","timestamp":1792478628269,"version":"4.5.0"},"reference-count":39,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"unspecified","delay-in-days":292,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103368_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify factors associated with caregiver burden among caregivers of patients enrolled in a home-based palliative care program in Bogot\u00e1, Colombia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103368_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This analytic cross-sectional study included 208 caregivers of patients receiving home-based palliative care in Bogot\u00e1 between 2022 and 2024. Data were collected on caregivers\u2019 sociodemographic, psychological, and caregiving-related characteristics. Caregiver burden was assessed using the\n                      <jats:italic>Zarit Burden Interview<\/jats:italic>\n                      (\n                      <jats:italic>ZBI<\/jats:italic>\n                      ), while depression, anxiety, and stress symptoms were assessed using the Depression, Anxiety and Stress Scale-21. Patient sociodemographic and clinical data were also collected. Multiple linear regression analysis was used to identify caregiver- and patient-level variables associated with caregiver burden.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103368_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median age of caregivers was 56\u00a0years. Most caregivers were women (86%) and relatives (74%). Although 69.2% had higher education, 79.8% lacked formal caregiving training and 73.6% provided care without financial compensation. The mean ZBI score was 42.5\u00a0\u00b1\u00a012.9, with 40.4% of caregivers experiencing mild to intense burden. Additionally, 40.4% reported depressive symptoms, 38.9% anxiety, and 47.1% stress. Caregiving support (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a0\u22126.31;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.009) was associated with lower burden scores, whereas caregiver motor limitations (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a04.78;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.045) and caregiver depression (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u00a0=\u00a03.81;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.034) were associated with higher burden scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103368_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Caregiver burden was associated with caregiver depression and motor limitations. Interventions aimed at strengthening caregiving networks, providing psychological support, and addressing caregivers\u2019 physical health are essential to reduce burden and improve the well-being of both caregivers and patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103368","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:37:07Z","timestamp":1792478227000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Factors associated with caregiver burden in home-based palliative care in Bogot\u00e1, Colombia: A cross-sectional study"],"prefix":"10.1017","volume":"24","author":[{"given":"Xiomara Andrea","family":"Hern\u00e1ndez-Bernal","sequence":"first","affiliation":[{"name":"Clinica Colsanitas S. 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A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,20]]},"reference":[{"key":"S1478951526103368_ref6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0123012"},{"key":"S1478951526103368_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780198806677.003.0007"},{"key":"S1478951526103368_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06340-4"},{"key":"S1478951526103368_ref27","first-page":"97","article-title":"The hierarchical factor structure of the Spanish version of Depression Anxiety and Stress Scale - 21","volume":"17","author":"Ruiz","year":"2017","journal-title":"International Journal of Psychology and Psychological Therapy"},{"key":"S1478951526103368_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2020.10.013"},{"key":"S1478951526103368_ref34","unstructured":"Tripodoro, V , Veloso, V and Llanos, V (2015) Sobrecarga del cuidador principal de pacientes en cuidados paliativos. Argumentos. Revista de Cr\u00edtica Social (17). https:\/\/publicaciones.sociales.uba.ar\/index.php\/argumentos\/article\/view\/1324 (accessed 29 August 2025 )."},{"key":"S1478951526103368_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.aprim.2011.09.007"},{"key":"S1478951526103368_ref30","doi-asserted-by":"publisher","DOI":"10.17533\/udea.iee.v39n1e10"},{"key":"S1478951526103368_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medipa.2015.08.001"},{"key":"S1478951526103368_ref17","first-page":"e57815","article-title":"Navigating the caregiving pathway: Understanding the contextual influences on sense of coherence among family caregivers","volume":"16","author":"Kochuvilayil","year":"2024","journal-title":"Cureus"},{"key":"S1478951526103368_ref13","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-015-0466-5"},{"key":"S1478951526103368_ref36","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2570-z"},{"key":"S1478951526103368_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313488812"},{"key":"S1478951526103368_ref18","first-page":"1","volume-title":"Encyclopedia of Gerontology and Population Aging","author":"Li","year":"2019"},{"key":"S1478951526103368_ref11","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12328"},{"key":"S1478951526103368_ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s12126-020-09396-5"},{"key":"S1478951526103368_ref8","doi-asserted-by":"publisher","DOI":"10.1080\/13607860802607322"},{"key":"S1478951526103368_ref4","article-title":"Caracter\u00edsticas psicoafectivas y sobrecarga de los cuidadores informales de pacientes oncol\u00f3gicos terminales en Monter\u00eda, Colombia","volume":"46","author":"Amador Ahumada","year":"2020","journal-title":"Revista Cubana de Salud P\u00fablica"},{"key":"S1478951526103368_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/0269216313510588"},{"key":"S1478951526103368_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.03.017"},{"key":"S1478951526103368_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951517000232"},{"key":"S1478951526103368_ref24","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2024.2314284"},{"key":"S1478951526103368_ref9","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00560-x"},{"key":"S1478951526103368_ref1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00691-1"},{"key":"S1478951526103368_ref29","article-title":"Hospital at home: Home-based end-of-life care","volume":"2021","author":"Shepperd","year":"2021","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"S1478951526103368_ref37","doi-asserted-by":"publisher","DOI":"10.1007\/s40271-013-0030-3"},{"key":"S1478951526103368_ref39","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2024.102509"},{"key":"S1478951526103368_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnss.2020.07.012"},{"key":"S1478951526103368_ref33","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-050185"},{"key":"S1478951526103368_ref21","unstructured":"Ministerio de Salud y Protecci\u00f3n Social (2015) Manual de cuidado a cuidadores de personas con trastornos mentales y\/o enfermedades cr\u00f3nicas discapacitantes . 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e247"}}