1
|
Hogan L, Boron JB, Masters J, MacArthur K, Manley N. Characteristics of dementia family caregivers who use paid professional in-home respite care. Home Health Care Serv Q 2022; 41:310-329. [DOI: 10.1080/01621424.2022.2098083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Lakelyn Hogan
- Department of Gerontology, University of Nebraska, Omaha, Nebraska, USA
| | | | - Julie Masters
- Department of Gerontology, University of Nebraska, Lincoln, Nebraska, USA
| | - Kelly MacArthur
- Department of Sociology & Anthropology, University of Nebraska, Omaha, Nebraska, USA
| | - Natalie Manley
- Division of Geriatrics, University of Nebraska Medical Center, Omaha, Nebraska, USA
| |
Collapse
|
2
|
Reblin M, Ketcher D, McCormick R, Barrios-Monroy V, Sutton SK, Zebrack B, Wells KJ, Sahebjam S, Forsyth P, Byrne MM. A randomized wait-list controlled trial of a social support intervention for caregivers of patients with primary malignant brain tumor. BMC Health Serv Res 2021; 21:360. [PMID: 33865382 PMCID: PMC8052543 DOI: 10.1186/s12913-021-06372-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 04/09/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Informal family caregivers constitute an important and increasingly demanding role in the cancer healthcare system. This is especially true for caregivers of patients with primary malignant brain tumors based on the rapid progression of disease, including physical and cognitive debilitation. Informal social network resources such as friends and family can provide social support to caregivers, which lowers caregiver burden and improves overall quality of life. However, barriers to obtaining needed social support exist for caregivers. To address this need, our team developed and is assessing a multi-component caregiver support intervention that uses a blend of technology and personal contact to improve caregiver social support. METHODS We are currently conducting a prospective, longitudinal 2-group randomized controlled trial which compares caregivers who receive the intervention to a wait-list control group. Only caregivers directly receive the intervention, but the patient-caregiver dyads are enrolled so we can assess outcomes in both. The 8-week intervention consists of two components: (1) The electronic Social Network Assessment Program, a web-based tool to visualize existing social support resources and provide a tailored list of additional resources; and (2) Caregiver Navigation, including weekly phone sessions with a Caregiver Navigator to address caregiver social support needs. Outcomes are assessed by questionnaires completed by the caregiver (baseline, 4-week, 8-week) and the cancer patient (baseline, and 8-week). At 8 weeks, caregivers in the wait-list condition may opt into the intervention. Our primary outcome is caregiver well-being; we also explore patient well-being and caregiver and patient health care utilization. DISCUSSION This protocol describes a study testing a novel social support intervention that pairs a web-based social network visualization tool and resource list (eSNAP) with personalized caregiver navigation. This intervention is responsive to a family-centered model of care and calls for clinical and research priorities focused on informal caregiving research. TRIAL REGISTRATION clinicaltrials.gov , Registration number: NCT04268979 ; Date of registration: February 10, 2020, retrospectively registered.
Collapse
Affiliation(s)
- Maija Reblin
- Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 Magnolia Dr, Tampa, FL, 33612, USA.
| | - Dana Ketcher
- Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 Magnolia Dr, Tampa, FL, 33612, USA
| | - Rachael McCormick
- Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 Magnolia Dr, Tampa, FL, 33612, USA
| | - Veronica Barrios-Monroy
- Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 Magnolia Dr, Tampa, FL, 33612, USA
| | - Steven K Sutton
- Department of Biostatistics and Bioinformatics, Moffitt Cancer Center, Tampa, FL, USA
| | - Bradley Zebrack
- School of Social Work, University of Michigan, Ann Arbor, MI, USA
| | - Kristen J Wells
- Department of Psychology, San Diego State University, San Diego, CA, USA
- SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA
| | - Solmaz Sahebjam
- Department of Neuro-Oncology, Moffitt Cancer Center, Tampa, FL, USA
| | - Peter Forsyth
- Department of Neuro-Oncology, Moffitt Cancer Center, Tampa, FL, USA
| | - Margaret M Byrne
- Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 Magnolia Dr, Tampa, FL, 33612, USA
| |
Collapse
|
3
|
Feldman SJ, Solway E, Kirch M, Malani P, Singer D, Roberts JS. Correlates of Formal Support Service Use among Dementia Caregivers. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2021; 64:135-150. [PMID: 32921273 PMCID: PMC9048125 DOI: 10.1080/01634372.2020.1816589] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 08/24/2020] [Accepted: 08/26/2020] [Indexed: 06/11/2023]
Abstract
Informal caregivers for persons with dementia frequently report needing assistance, yet formal support service use has been low. To better understand factors associated with service use, correlates of self-reported service use (e.g., support groups, family mediation, family leave, classes/trainings, and respite care) among dementia caregivers were assessed. The National Poll on Healthy Aging conducted a nationally representative web-based survey of adults aged 50-80 (N = 2,131) using Ispos' KnowledgePanel®; 148 reported caregiving for an adult with memory loss [61.5% female; 25% nonwhite, 54.1% aged 50-64]. Multivariable logistic regression analyzes assessed caregiver and care recipient characteristics associated with service use within the prior year. Nearly 25% of caregivers used at least one service. Caregiver characteristics associated with greater likelihood of service use included not working [7.5 OR; 2.73, 20.62 CI]; income <$30,000/year [5.9 OR; 1.27, 27.17 CI]; and residing in Western US [7.5 OR; 2.73, 20.62 CI]. Ability of care recipient to be left alone safely for only three hours or less [5.1 OR; 1.66, 15.46 CI] was associated with greater likelihood of use. Support service use remains low. Findings suggest need to consider caregivers' employment status, income, and geographical location in service design and implementation.
Collapse
Affiliation(s)
- Sara J Feldman
- Department of Health Behavior and Health Education, University of Michigan School of Public Health , Ann Arbor, MI, USA
| | - Erica Solway
- Institute for Healthcare Policy & Innovation, University of Michigan , Ann Arbor, MI, USA
| | - Matthias Kirch
- Institute for Healthcare Policy & Innovation, University of Michigan , Ann Arbor, MI, USA
| | - Preeti Malani
- Institute for Healthcare Policy & Innovation, University of Michigan , Ann Arbor, MI, USA
- Department of Medicine, University of Michigan, Michigan Medicine , MI, USA
| | - Dianne Singer
- Institute for Healthcare Policy & Innovation, University of Michigan , Ann Arbor, MI, USA
- Department of Pediatrics, University of Michigan, Michigan Medicine , MI, USA
| | - J Scott Roberts
- Department of Health Behavior and Health Education, University of Michigan School of Public Health , Ann Arbor, MI, USA
| |
Collapse
|
4
|
Leocadie MC, Roy MH, Rothan-Tondeur M. Barriers and enablers in the use of respite interventions by caregivers of people with dementia: an integrative review. ACTA ACUST UNITED AC 2018; 76:72. [PMID: 30479766 PMCID: PMC6249779 DOI: 10.1186/s13690-018-0316-y] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Accepted: 10/09/2018] [Indexed: 01/06/2023]
Abstract
Background Due to the increase in the number of people with dementia, relatives often provide in-home care. This care constitutes a cornerstone of the healthcare system, and maintaining these caregivers’ well-being is therefore of paramount importance. Although respite interventions are generally considered an effective support system, they tend to be underutilized. The aim of this integrative literature review is to highlight the factors that promote and impede the use of respite interventions. Methods Searches were conducted on the PubMed and CINAHL databases for studies of respite interventions from 1980 to 2016, and they yielded 51 articles of relevance. Results Analysis of these articles revealed modifiable and immutable factors that influence the use of respite. The most cited topic categories in the literature were attributes of respite services and workload managed by caregivers, which is characterized by the onset of burden. Conclusion The factors promoting or impeding the use of respite interventions identified by our analysis highlight the need to adapt respite service attributes and use caregivers’ skills to foster the partnership between healthcare teams and caregivers and to ensure the accompanying dyad’s quality and safety. Electronic supplementary material The online version of this article (10.1186/s13690-018-0316-y) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Marie-Conception Leocadie
- School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Avenue de Champel 47, CH 1206 Geneva, Switzerland
| | - Marie-Hélène Roy
- Mont Champagnat Residence, CIO 7141 Royal Avenue Château-Richer, Quebec, GOA 1N0 Canada
| | - Monique Rothan-Tondeur
- 3University of Paris, 13 Sorbonne Paris Cite, Nursing Sciences Research chair, Laboratory Educations and Health Practices (LEPS), (EA 3412), UFR SMBH, F-93017 Bobigny, France.,4Assistance Publique - Hôpitaux de Paris, Nursing Sciences Research Chair Paris, Bobigny, France
| |
Collapse
|
5
|
Reblin M, Ketcher D, Forsyth P, Mendivil E, Kane L, Pok J, Meyer M, Wu YP, Agutter J. Outcomes of an electronic social network intervention with neuro-oncology patient family caregivers. J Neurooncol 2018; 139:643-649. [PMID: 29808340 PMCID: PMC6126960 DOI: 10.1007/s11060-018-2909-2] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Accepted: 05/19/2018] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Informal family caregivers (FCG) are an integral and crucial human component in the cancer care continuum. However, research and interventions to help alleviate documented anxiety and burden on this group is lacking. To address the absence of effective interventions, we developed the electronic Support Network Assessment Program (eSNAP) which aims to automate the capture and visualization of social support, an important target for overall FCG support. This study seeks to describe the preliminary efficacy and outcomes of the eSNAP intervention. METHODS Forty FCGs were enrolled into a longitudinal, two-group randomized design to compare the eSNAP intervention in caregivers of patients with primary brain tumors against controls who did not receive the intervention. Participants were followed for six weeks with questionnaires to assess demographics, caregiver burden, anxiety, depression, and social support. Questionnaires given at baseline (T1) and then 3-weeks (T2), and 6-weeks (T3) post baseline questionnaire. RESULTS FCGs reported high caregiver burden and distress at baseline, with burden remaining stable over the course of the study. The intervention group was significantly less depressed, but anxiety remained stable across groups. CONCLUSIONS With the lessons learned and feedback obtained from FCGs, this study is the first step to developing an effective social support intervention to support FCGs and healthcare providers in improving cancer care.
Collapse
Affiliation(s)
- Maija Reblin
- Moffitt Cancer Center, 12902 Magnolia Dr., Tampa, FL, USA.
| | - Dana Ketcher
- Moffitt Cancer Center, 12902 Magnolia Dr., Tampa, FL, USA
| | - Peter Forsyth
- Moffitt Cancer Center, 12902 Magnolia Dr., Tampa, FL, USA
| | | | | | - Justin Pok
- University of Utah, Salt Lake City, UT, USA
| | | | - Yelena P Wu
- University of Utah, Salt Lake City, UT, USA
- Hunstman Cancer Institute, Salt Lake City, UT, USA
| | | |
Collapse
|
6
|
|
7
|
Kelly CM, Williams IC. Providing Dementia-Specific Services to Family Caregivers: North Carolina's Project C.A.R.E. Program. J Appl Gerontol 2016. [DOI: 10.1177/0733464807304598] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Although options for family caregivers in the United States have expanded, many families are not reached by support services because of geographical and cultural isolation. North Carolina, one of 38 states participating in the Alzheimer's Disease Demonstration Grants to the States program, targets underserved rural and minority caregivers through Project C.A.R.E. (Caregiver Alternatives to Running on Empty). Under this program, families can receive up to $2,000 annually for services ranging from community-based respite to more comprehensive care (in-home and overnight respite, training, and emotional support). Services are coordinated by a family consultant (FC) at each of the program's three sites (Asheville, Charlotte, and Winston-Salem). Since the program's inception in 2001, the FCs have successfully developed a network of support services where none previously existed. Project C.A.R.E. serves as a model to other states in delivering dementia-specific services to vulnerable populations.
Collapse
|
8
|
Moon H. Predictors of perceived benefits and drawbacks of using paid service among daughter and daughter-in-law caregivers of people with dementia. J Women Aging 2016; 28:161-9. [DOI: 10.1080/08952841.2014.954505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
9
|
Dean S, Libby K, McAuley WJ, Van Nostrand J. Access to bereavement services in hospice. OMEGA-JOURNAL OF DEATH AND DYING 2014; 69:79-92. [PMID: 25084710 DOI: 10.2190/om.69.1.e] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Hospice bereavement services, though often overlooked in hospice research, are an important area of study due not only to the potential value of bereavement support but also the emphasis placed on such services by the Centers for Medicare and Medicaid Services. Moreover, access to these services is seldom understood or researched. Therefore, using the patient public use file of the 2007 National Home and Hospice Care Survey, we explored the relationships between patient, informal caregiver, and agency characteristics as well as discharges from hospice to gain perspective into bereavement service access to informal caregivers. Findings suggested that death at discharge from hospice may be an important moderator variable between access to hospice bereavement support and many other factors. However, even under controls for death at discharge, two agency characteristics remain significantly associated with access. Bereavement access tends to be more likely in agencies that provide only hospice care as opposed to other services, and in micropolitan agencies. Furthermore, death at discharge is less likely among African Americans, suggesting the value of enhanced culturally-appropriate and more targeted hospice care and hospice bereavement support for this population. Future research should explore the strategies used to effectively deliver bereavement services and how these strategies may benefit from targeted and culturally sensitive approaches.
Collapse
|
10
|
Casado BL, Lee SE. Access Barriers to and Unmet Needs for Home- and Community-Based Services Among Older Korean Americans. Home Health Care Serv Q 2012; 31:219-42. [DOI: 10.1080/01621424.2012.703540] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
|
11
|
Iecovich E, Biderman A. Attendance in adult day care centers of cognitively intact older persons: reasons for use and nonuse. J Appl Gerontol 2012; 32:561-81. [PMID: 25474762 DOI: 10.1177/0733464811432141] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The article aims to (a) examine the reasons for nonuse of ADCC, and (b) explore the reasons for use of adult day care centers (ADCCs) among users. The sample includes 819 respondents of whom 417 are users of 13 day care centers and 402 are nonusers, matched by age, gender, and family physician in the southern region of Israel. Data collection includes interviews that used a structured questionnaire. The most frequent reasons for nonuse of ADCCs are accessibility barriers, characteristics of participants and of the ADCCs, "no need for this service," and personal difficulties. Those who use this service report that it improved their well-being, met their needs, enabled them to establish social relationships, and alleviated their family caregivers' burden. ADCCs should be more responsive to the needs of various constituencies of frail older adults and be more accessible to those who do not use this type of service.
Collapse
|
12
|
|
13
|
Mensie LC, Steffen AM. Depressive symptoms and use of home-based respite time in family caregivers. Home Health Care Serv Q 2011; 29:120-37. [PMID: 20845174 DOI: 10.1080/01621424.2010.511514] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
This study investigated the relationship between activities during respite time and depressive symptoms in family caregivers (N = 74) of older adults receiving in-home respite services. Contrary to prior research, demographic contextual variables (caregiver gender, household income, and dyad relationship) and care recipient problems (behavioral dysfunction and functional impairment) were not associated with caregiver depressive symptoms, nor was total minutes engaged in discretionary activities during respite. Self-reported depressive symptomatology in family caregivers was significantly and inversely related to both past service usage and total minutes of chore time completed on a typical home-based respite day. Implications for research in this area and service delivery are discussed.
Collapse
Affiliation(s)
- Lauren C Mensie
- St. Louis VA Medical Center, St. Louis, Missouri 63125, USA.
| | | |
Collapse
|
14
|
Iecovich E, Carmel S. Differences Between Users and Nonusers of Day Care Centers Among Frail Older Persons in Israel. J Appl Gerontol 2010. [DOI: 10.1177/0733464810372771] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Day care centers are one of the core community-based services for frail older persons. The purpose of the study is to examine differences in characteristics of users and nonusers of day care centers among frail older people and factors that explain service utilization. Personal interviews are conducted with 333 respondents, of whom 81 were users. Based on the behavioral model of Andersen, the results show that both groups significantly differed in most predisposing (age, marital status), enabling (having a homecare worker), and need (IADL [instrumental activities of daily living]) factors. The findings lend support to Andersen’s behavioral model and suggest that further research is needed to assess underutilization of day care centers. Implications for research, policy, and practice are discussed.
Collapse
Affiliation(s)
| | - Sara Carmel
- Ben-Gurion University of the Negev, Beer-Sheva, Israel
| |
Collapse
|
15
|
Kelly M, McSweeney E. Re‐visioning respite: a culture change initiative in a long‐term care setting in Eire. QUALITY IN AGEING AND OLDER ADULTS 2009. [DOI: 10.1108/14717794200900020] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
16
|
Miller EA, Schneider LS, Rosenheck RA. Assessing the relationship between health utilities, quality of life, and health services use in Alzheimer's disease. Int J Geriatr Psychiatry 2009; 24:96-105. [PMID: 19016254 DOI: 10.1002/gps.2160] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
OBJECTIVES To examine the relationship between use of multiple health services and health utilities, quality of life and other factors in Alzheimer's disease (AD). DESIGN Data were obtained via caregiver proxy at baseline and 3- 6- and 9-months post-random assignment among 421 community-dwelling AD patients participating in the CATIE-AD trial of anti-psychotic medications. Service use includes both institutional and outpatient services. Correlates include the AD-Related Quality of Life Scale (ADRQoL), Health Utilities Index (HUI)-III, Neuropsychiatric Inventory, Mini Mental Status Examination, and AD-Cooperative Study Activities of Daily Living Scale. Chi squared tests, t-tests and logistic regression (using general estimating equations) were used to examine the correlates of service use. RESULTS Three quarters (74.2%) used at least one service each month. Average monthly utilization rates for specific service types were: 4.5%, inpatient hospital; 5.6%, nursing home; 3.9%, residential care; 44.0%, AD-related outpatient; 9.4%, mental health outpatient; and 45.5%, medical-surgical outpatient. The likelihood of using any service was higher among older patients [Odds Ratio (OR) = 1.03] and non-Hispanic Whites (OR = 1.61). Each 0.10 increment on the Health Utilities Index (HUI)-III was associated with a 7.0% decrease in the odds of using one or more service (OR = 0.93). The odds of using outpatient and institutional services were 6.0% and 10.0% lower, respectively, for each 0.10 increment on the HUI-III (OR = 0.94, OR = 0.90). The AD-Related Quality of Life Scale proved significantly related to outpatient medical-surgical services only (OR = 1.01). CONCLUSION Findings suggest that the HUI-III could be combined with other known correlates of service use to inform population planning associated with AD.
Collapse
Affiliation(s)
- Edward Alan Miller
- Department of Political Science, Centers for Public Policy and Gerontology, Brown University, Providence, RI 02912-1977, USA.
| | | | | |
Collapse
|
17
|
Scharlach AE, Gustavson K, Dal Santo TS. Assistance received by employed caregivers and their care recipients: who helps care recipients when caregivers work full time? THE GERONTOLOGIST 2008; 47:752-62. [PMID: 18192629 DOI: 10.1093/geront/47.6.752] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
PURPOSE This study examined the association among caregiver labor force participation, employees' caregiving activities, and the amount and quality of care received by care recipients. DESIGN AND METHODS Telephone interviews were conducted with 478 adults who were employed full time and 705 nonemployed adults who provided care to a family member or friend aged 50 or older, identified through random sampling of California households. We assessed care recipient impairment and service problems; the amounts and types of assistance received from caregivers, family and friends, and paid providers; and caregiver utilization of support services. RESULTS Care recipients of caregivers employed full time were less likely to receive large amounts of care from their caregivers, more likely to receive personal care from paid care providers, more likely to use community services, and more likely to experience service problems than were care recipients of nonemployed caregivers. Employed caregivers were more likely to use caregiver support services than were nonemployed caregivers. IMPLICATIONS Accommodation to caregiver full-time employment involves selective supplementation by caregivers and their care recipients, reflecting increased reliance on formal support services as well as increased vulnerability to service problems and unmet care recipient needs. These findings suggest the need for greater attention to the well-being of disabled elders whose caregivers are employed full time.
Collapse
Affiliation(s)
- Andrew E Scharlach
- School of Social Welfare, University of California, Berkeley, 120 Haviland, Berkeley, CA 94720, USA.
| | | | | |
Collapse
|
18
|
Dal Santo TS, Scharlach AE, Nielsen J, Fox PJ. A stress process model of family caregiver service utilization: factors associated with respite and counseling service use. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2007; 49:29-49. [PMID: 17953061 DOI: 10.1300/j083v49n04_03] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
This study examines whether caregivers' differential utilization of respite and counseling support services is associated with different situational stress processes. A multinomial regression analysis was conducted to compare respite users, counseling users, and those who used neither service, using data collected on a statewide random sample of 1,643 California caregivers providing assistance to individuals aged 50 or older. Compared with caregivers who used neither service, respite service users were more likely to have demanding care situations giving rise to physical symptoms of stress, and were more likely to use community services for the care recipient to augment their care. In contrast, counseling service users were more likely to be managing the meaning of their care situation by seeking out information about services and talking with a confidant about their situation, while coping with both emotional and physical symptoms of stress. Tailoring caregiver interventions to meet the support needs and coping strategies stemming from diverse caregiving situations and caregiver characteristics may increase the likelihood that those interventions will be effective in alleviating or preventing deleterious secondary stress frequently experienced by family caregivers.
Collapse
Affiliation(s)
- Teresa S Dal Santo
- Center for the Advanced Study of Aging Services, University of California, 120 Haviland Hall, #7400, Berkeley, CA 94720-7400, USA.
| | | | | | | |
Collapse
|