{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T23:00:09Z","timestamp":1769641209580,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Occupational Therapy International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Family caregivers often face significant challenges, such as insufficient sleep, fatigue due to aging, difficulty engaging in social activities, and fewer interactions with friends and neighbors. However, some family caregivers manage to maintain active lifestyles while providing home care. This study is aimed at exploring the relationship between family caregivers\u2032 sense of coherence (SOC) and their perception of caregiving burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study recruited 74 family caregivers of community\u2010dwelling older adults who used day\u2010care insurance services; 64 were included in the final analysis. Data were collected using a questionnaire that included the SOC\u201013 scale, rated on a 5\u2010point Likert scale. Multiple regression analysis was conducted to identify the factors influencing caregivers\u2032 perception of caregiving burden, with SOC subfactors serving as explanatory variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Comprehensibility, one of the SOC subscales, showed a significant negative association with caregiver burden, and the association was strengthened after adjustment (Model 2:\n                      <jats:italic>B<\/jats:italic>\n                      = \u22120.376,\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22120.534,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005). Daily caregiving hours were positively associated with burden, whereas meaningfulness and manageability were not significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study highlights the importance of comprehensibility in influencing caregivers\u2032 sense of burden. The findings provide valuable insights into the relationship between caregivers\u2032 SOC and their perceived caregiving burden. Moreover, they emphasize the relevance of this relationship to the field of occupational therapy, as occupational therapists can play a key role in enhancing caregivers\u2032 comprehensibility, thereby helping them alleviate the caregiving burden through targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Implications<\/jats:title>\n                    <jats:p>These findings underscore the importance of promoting comprehensibility among family caregivers to alleviate their perceived burden and support sustained caregiving. Occupational therapy interventions focused on improving caregivers\u2032 understanding of the caregiving process can contribute to better mental and physical health outcomes, benefiting both caregivers and care recipients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/oti\/6638411","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T10:09:07Z","timestamp":1769594947000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relationship Between Caregiver Burden and Sense of Coherence in Home\u2010Based Family Caregivers"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8090-7840","authenticated-orcid":false,"given":"Yasuo","family":"Yamamoto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_2_10_1_2","unstructured":"Ministry of Health Labor and Welfare Family Caregiver Support Manual at Municipalities and Community-Based Comprehensive Support Centers - Supporting the Life of the Caregiver Himself\/Herself 2024 https:\/\/www.mhlw.go.jp\/content\/12300000\/000307003.pdf."},{"key":"e_1_2_10_2_2","unstructured":"Japan Association of Public Health Nursing Care Centers 2006 Edition of the Caregiving White Paper - Medical System Reform and the Reorganization of Long-Term Care Beds 2007 Gyosei."},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.9891"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1074840715573870"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182212101"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/57.3.p233"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.1997.tb03199.x"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.2007.19.1.43"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1300\/J084v17n01_04"},{"key":"e_1_2_10_10_2","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4135\/9781446221129.n9","volume-title":"The Health Psychology Reader","author":"Antonovsky A.","year":"2002"},{"key":"e_1_2_10_11_2","first-page":"479","article-title":"The Concept and Definition of Stress Coping Ability (SOC)","volume":"42","author":"Yamazaki Y.","year":"2009","journal-title":"Nursing Research"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.3143\/geriatrics.45.59"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.3143\/geriatrics.41.204"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.2486\/indhealth.45.402"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2017.11.013"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2007.02066.x"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_2_10_18_2","volume-title":"The EQUATOR Network Reporting Guideline Platform","author":"Elm E. 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