{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T09:25:41Z","timestamp":1787563541667,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Caring Sciences"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In a changing world where populations are ageing and older people need assistance to live at home, caring for an older relative can be challenging and have various consequences for caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, caregiver distress in six European countries\u2014Iceland, Belgium, Finland, Germany, Italy and the Netherlands\u2014was examined and compared. The study aimed to determine the prevalence of distress among caregivers of older people receiving home care in these six countries and identify if factors related to the older person's condition, such as health or function, predict it. The analysis drew on data collected from 2014 to 2016 for the IBenC study (Identifying Best Practices for care\u2010dependent elderly by Benchmarking Costs and Outcomes of Community Care), using the interRAI\u2010Home Care (HC) instrument. A total of 2884 home care clients &gt;\u200965\u2009years from the six countries participated in the study. Descriptive statistics indicated the characteristics of the sample, and bivariate and multivariate logistic regression models established predictive independent variables for caregiver distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The percentage of caregiver distress was highest among Icelandic caregivers (34%). In the other countries, it varied from 9% to 22% and was lowest in Finland. Caregivers of clients with signs of depression, clients who have bladder incontinence or who had stayed in hospital in the last 90\u2009days were more likely to experience caregiver distress. Caregiver distress was more prevalent if a client was at risk of severe health decline and had increased care needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Using data from interRAI\u2010HC assessments makes it possible to relate indications of caregiver distress to the characteristics of the older person cared for. Hence, improving their condition might have favourable effects on caregivers. Alertness to caregiver distress is crucial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scs.70005","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T06:31:57Z","timestamp":1741933917000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence and Predictors of Caregiver Distress in Six European Communities: Data From the\n                    <scp>IBenC<\/scp>\n                    Study, Using\n                    <scp>interRAI<\/scp>\n                    \u2010Home Care Assessments"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7086-0757","authenticated-orcid":false,"given":"Inga Valgerdur","family":"Kristinsdottir","sequence":"first","affiliation":[{"name":"Faculty of Nursing and Midwifery University of Iceland  Reykjavik Iceland"},{"name":"The Primary Health Care of the Capital Area  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7174-2274","authenticated-orcid":false,"given":"Palmi V.","family":"Jonsson","sequence":"additional","affiliation":[{"name":"The Primary Health Care of the Capital Area  Reykjavik Iceland"},{"name":"Faculty of Medicine University of Iceland  Reykjav\u00edk Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1193-1380","authenticated-orcid":false,"given":"Ingibjorg","family":"Hjaltadottir","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Midwifery University of Iceland  Reykjavik Iceland"},{"name":"Geriatric and Rehabilitation Services Landsp\u00edtali\/National University Hospital  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7388-3244","authenticated-orcid":false,"given":"Kristin","family":"Bjornsdottir","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Midwifery University of Iceland  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Caring for Frail Elderly People: New Directions in Care","author":"OECD","year":"1996"},{"key":"e_1_2_10_3_1","volume-title":"Home Care Across Europe. 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