Journal of Isfahan Medical School

Journal of Isfahan Medical School

Enhancing the Resilience of Elderly Caregivers in Iran: The Imperative of Social Determinants and Support Strategies

Document Type : policy brief

Authors
1 Assistant Professor, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Vice-Chancellery for Research and Technology, Isfahan University of Medical Sciences, Isfahan, Iran
3 Social Determinants of Health Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
10.48305/jims.v44.i861.0701
Abstract
Social shifts and the accelerating trend of population aging have imposed significant pressure and concern on informal and home-based care systems. This is primarily due to the increased responsibilities, rising costs, and substantial time required for the care of elderly family members. Left unaddressed, these pressures lead to caregiver burnout, the weakening of family dynamics, and an escalation in formal healthcare expenditures. This policy brief analyzes the challenges faced by elderly caregivers and delineates policy options aimed at enhancing their resilience and quality of life. According to the proposed strategies, educational interventions focused on improving "caregiving literacy" and "self-efficacy" through the design of targeted support packages and counseling services are recommended as the primary priority, given their cost-effectiveness and broad reach. Concurrently, revising labor laws to provide workplace facilities, alongside the development of adult day care centers, are essential actions required to alleviate the physical burden of care and reform insurance coverage. Furthermore, the strengthening of formal and semi-formal social support networks must be integrated into the policy agenda. Implementing these policies necessitates a paradigm shift from a "duty-based" to a "rights-based" approach to safeguard the psychosocial health of caregivers, mitigate life stressors, and empower the overall health system. The effectiveness of these strategies depends on robust intersectoral coordination and a balanced distribution of individual responsibilities and government support, which will ultimately promote the health and quality of life for both caregivers and the elderly while effectively managing health system costs.

Highlights

Rahele Samouei: Google Scholar

Keywords
Subjects

1.     Samouei R, Keyvanara M, Daei A. Population aging management from the perspective of the health field of Iran and other countries: A scoping review. J Edu Health Promot 2024; 13: 401.
2.     Lotfalinezhad E, Abolfathi Momtaz Y, Nazaripanah NS, Honarvar MR, Arab Ameri F, Azimi MS. Effectiveness of integrated and comprehensive geriatric care program of ministry of health on physical and mental health of older adults in Golestan Province [in Persian]. Salmand: Iranian Journal of Ageing 2021; 16(3): 438-51.
3.     Bahador F, Mahfoozpour‌ S, Masoudiasl I, Vahdat S. A systematic review of the management of preventive health care for the elderly in the world. Salmand: Iranian Journal of Ageing, 2022; 16 (4):592-607
4.     Yari Z, Samouei R. Predicting the level of resilience of adults aged 25–65 relation to the elderly according to their interpersonal problem‑solving methods. J Edu Health Promot 2024; 13: 179.
5.     Rezavandi M, Ariapooran S, Karami J. The effect of cognitive therapy based on mindfulness on resilience and suicidal thoughts of older adult’s home caregiver [in Persian]. Journal of Gerontology 2023; 8(1): 1-9.
6.     Dehnavi M, Sanaei H, Shariatnezhad K, Ayatnia M, Mohammadi M, Ghanbari Moghadam A. The level of resilience of elderly family caregivers in the COVID-19 pandemic [in Persian]. Iranian Nursing Journal 2023; 35(139): 534-43.
7.     Samouei R, Yari Z. Psychometric properties of a resilience questionnaire for in-home caregivers of aged people [in Persian]. J Mazandaran Univ Med Sci 2022; 31(206): 130-42.
8.     Samouei R. Samouei Sh. Social determinants of resilience of elderly caregivers and social satisfaction with care in employees of Isfahan University of Medical Sciences 2022. [Thesis]. Isfahan, Iran: Isfahan University of Medical Sciences; 2026. [in Persian].
9.     Khalaila R. Does emotional empathy moderate the association between caregiver burden and burnout among Arab family caregivers of older relatives. Health Soc Care Community 2022; 30(5): e2478-88.
 
Volume 44, Issue 861
1st Week, July (Policy Brief)
July and August 2026
Pages 701-705

  • Receive Date 28 March 2026
  • Accept Date 18 April 2026