Objective  Thailand is experiencing demographic changes owing to an increase of the older population. Family members feel responsible for providing care and are required to offer a broad range of assistance despite insufficiency of the necessary skills, knowledge, and resources. Therefore, family caregivers go through a considerable amount of distress in their efforts to provide long-term care for older people. The aim of this study was to identify the factors which lead to perceivings of burden for family caregivers caring for varied dependent older people in Thailand, and to determine the magnitude of Caregiver Burden Inventory (CBI) they experienced in order to develop appropriate strategies for burden alleviation.Methods  A cross-sectional descriptive study was conducted in August 2017. A total of 314 subjects were recruited from ten randomly selected sub-districts in Nakhon Ratchasima Province. The CBI was employed to assess family caregiver burden. Chi-square tests and multiple logistic regression were utilized to examine the association between independent variables and family caregiver burden. One-way Analysis of Variance (ANOVA) was performed to test differences among the five factors of the Caregiver Burden Inventory (CBI).Results  The prevalence of high caregiving burden was moderate (41.7%). Among CBI factors, time constraint was a significant and major cause of burden. Increased caregiver burden was significantly related to the caregiver’s own health problems (adjusted odds ratio (AOR) = 3.60, 95% confidence interval (CI) = 2.06-6.27), caregiver’s poor sleep quality (AOR = 2.71, 95% CI = 1.43-5.11), daily hours providing care ≥ eight hours (AOR = 2.81, 95% CI = 1.61-4.91), care-recipient’s low ADL level (AOR = 3.98, 95% CI = 2.29-6.92), and care-recipient’s low cognition level (AOR = 2.12, 95% CI = 1.23-3.67), even after adjusting for other factors.Conclusion  The research finding showed that the prevalence high caregiver burden was moderate. Among the five CBI variables, time constraint was the major cause of burden. Further, caregiver’s own health problems, caregiver’s poor sleep quality, daily hours of providing care ≥ eight hours, care-recipient’s low ADL level, and care-recipient’s low cognition level, were regarded as factors affecting caregiver’s major burden. Thus, both caregivers’ and care-recipients’ factors adversely influenced caregivers’ burden.

Objective
  The trend of population aging in the 21^st century is especially prominent in Thailand. Hence, age related diseases such as diabetes, hypertension and chronic obstructive pulmonary disease has become top ranked causes of mortality in Thailand. As those functional limitations increase, the assistance by village health volunteers (VHVs) has become more necessary. However there is high turnover rate of VHVs in Thailand. This study, therefore, aimed to identify predictors that lead to the VHVs’ intention to leave their roles as elderly caregivers.
Methods
  A cross-sectional descriptive study was conducted in February, 2014. A total of 415 self-administered questionnaires were distributed to the VHVs who have engaged in elderly home care in Mueang district in Nakhon Ratchasima province, Thailand. Chi-square tests and multiple logistic regression analyses were employed to identify significant predictors of the VHVs’ turnover intention.
Results
  Approximately one-third of VHVs (33.5%) intended to leave volunteering in elderly care. Significant predictors of VHVs’ intention to leave elderly care were: volunteering duration of≤6 years (Adjusted Odds Ratio (AOR)＝2.69, 95% CI＝1.33-5.40), having no other responsibilities (AOR＝2.40, 95% CI＝1.38-4.18), being absent more than once a month (AOR＝2.25, 95% CI＝1.28-3.95) and low level of job satisfaction (AOR＝5.62, 95% CI＝2.26-13.99). VHVs who were poorly satisfied with their roles were 5.62 times more likely to leave elderly care than those who highly satisfied when adjusting for other factors.
Conclusion
  Improving work place supports and incentives to promote job satisfaction will result in a reduction in VHVs’ turnover intention.