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Participants included patients aged 65+ with at least two chronic illnesses, excluding those with cancer or dementia, and caregivers identified as the primary caregiver by the patient. Dyadic Symptom Management Type assessed care-type appraisal and congruence, while QOL was measured using the Short Form-12. Results from 871 dyads showed care-type congruence patterns related differently to patients’ and caregivers’ mental and physical QOL, depending on whether congruence was patient-oriented, caregiver-oriented, or collaborative-oriented.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/dyadic-care-types-and-quality-of-life-of-patient-caregiver-dyads-in-multiple-chronic-conditions-research-findings/425134/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/dyadic-care-types-and-quality-of-life-of-patient-caregiver-dyads-in-multiple-chronic-conditions-research-findings/425134.png","ImageObject",300,407,{"name":92,"@type":93},"Himbo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the study purpose regarding dyadic care types and quality of life?","Question",{"text":112,"@type":113},"The study examined how congruence in the appraisal of dyadic MCC care type affected quality of life in patient-caregiver dyads over one year.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who participated in the study, and what were the eligibility criteria?",{"text":117,"@type":113},"Patients were age 65 or older with at least two chronic illnesses, and patients with cancer or dementia were excluded. Caregivers were eligible if identified by the patient as the primary caregiver.",{"name":119,"@type":110,"acceptedAnswer":120},"How did different types of congruence relate to mental and physical QOL?",{"text":121,"@type":113},"Patient-oriented and collaborative-oriented congruence were associated with higher patient mental QOL, while collaborative congruence related to higher caregiver mental QOL; caregiver-oriented congruence was linked to lower patient mental QOL. For physical QOL, patient-oriented congruence was linked to better patient outcomes and caregiver-oriented congruence to worse patient outcomes, with caregiver outcomes showing worse QOL only under caregiver-oriented congruence.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},425134,1790764551,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","Innovation in Aging, 2025, Vol. 9, No. S2 867  \nAbstract citation ID: igaf122.2933  \nDYADIC CARE TYPES AND QUALITY OF LIFE OF  \nPATIENT-CAREGIVER DYADS IN MULTIPLE CHRONIC  \nCONDITIONS  \nMaddalena De Maria1, Jeffrey Stokes2, Harleah Buck3, and Elliane Irani4, 1. Link Campus University, Rome, Lazio, Italy, 2. University of Massachusetts Boston, Boston, Massachusetts, United States, 3. University of Iowa, Iowa City, Iowa, United States, 4. Case Western Reserve University, Cleveland, Ohio, United States  \nPurpose: To examine how congruence in the appraisal of dyadic Multiple Chronic Condition (MCC) care type affects the quality of life (QOL) in patient-caregiver dyads for one year. Methods:  \nPatient-caregiver dyads were recruited. Patients aged 65 years and older with a diagnosis of at least two chronic illnesses were enrolled. Those affected by cancer or dementia were excluded.  \nCaregivers were eligible if they were identified by the patient asthe primary caregiver. Patient and caregiver appraisal of dyadic care type was assessed using the Dyadic Symptom Management Type instrument. Congruence occurred when patients and caregivers agreed in their appraisal of who is responsible for MCC management. QOL was measured with the Short Form-12 .  \nControlled longitudinal multilevel dyadic models were applied to assess how congruence in dyadic care type influenced both patients’and caregivers’ mental and physical QOL over one year. Results:  \nA convenience sample of 2,343 observations from 871 patient-caregiver dyads participated (mean age of 77 and 52 years, respectively) . Both patient-oriented and collaborative-oriented congruence in care type were associated with higher levels of mental QOL for patients, while collaborative congruence was linked to higher levels of mental QOL for caregivers. In contrast, caregiver-oriented congruence was associated with lower Mental QOL for patients. For Physical QOL, patient-oriented congruence was associated with better and caregiver-oriented congruence with worse QOL for patients, whereas for caregivers only caregiver-oriented congruence was associated with worse QOL.  \nConclusion: Congruence itself was not a predictor of QOL, but rather the type of congruence played a key role.","cbCairJh97f4Rr2L","https://ap.wps.com/l/cbCairJh97f4Rr2L","pdf",774695,"English","# Purpose\n# Methods\n## Participants\n## Measures\n## Analysis\n# Results\n# Conclusion","[{\"question\":\"What was the study purpose regarding dyadic care types and quality of life?\",\"answer\":\"The study examined how congruence in the appraisal of dyadic MCC care type affected quality of life in patient-caregiver dyads over one year.\"},{\"question\":\"Who participated in the study, and what were the eligibility criteria?\",\"answer\":\"Patients were age 65 or older with at least two chronic illnesses, and patients with cancer or dementia were excluded. Caregivers were eligible if identified by the patient as the primary caregiver.\"},{\"question\":\"How did different types of congruence relate to mental and physical QOL?\",\"answer\":\"Patient-oriented and collaborative-oriented congruence were associated with higher patient mental QOL, while collaborative congruence related to higher caregiver mental QOL; caregiver-oriented congruence was linked to lower patient mental QOL. For physical QOL, patient-oriented congruence was linked to better patient outcomes and caregiver-oriented congruence to worse patient outcomes, with caregiver outcomes showing worse QOL only under caregiver-oriented congruence.\"}]","DYADIC CARE TYPES AND QUALITY OF LIFE OF PATIENT-CAREGIVER DYADS IN MULTIPLE CHRONIC CONDITIONS - Research Findings | PDF",1790636354]