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Ren LH, Wong KLY, Wong J, Kleiss S, Berndt A, Mann J, Hussein A, Hu G, Wong L, Khong R, Fu J, Ahmed N, Nolte J, Hung L. Working with a robot in hospital and long-term care homes: staff experience. BMC Nurs 2024; 23:317. [PMID: 38720346 PMCID: PMC11080152 DOI: 10.1186/s12912-024-01983-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Accepted: 04/28/2024] [Indexed: 05/12/2024] Open
Abstract
Although there is a growing literature on the use of telepresence robots in institutional dementia care settings, limited research focused on the perspectives of frontline staff members who deliver dementia care. Our objective was to understand staff perspectives on using telepresence robots to support residents with dementia and their families. Guided by the Consolidated Framework for Implementation Research, we conducted four focus groups and 11 semi-structured interviews across four long-term care (LTC) homes and one hospital in Canada. We included 22 interdisciplinary staff members (e.g., registered nurses, social workers, occupational therapists, recreational therapists) to understand their experiences with telepresence robots. Thematic analysis identified three key themes: 1) Staff Training and Support; 2) Robot Features; 3) Environmental dynamics for Implementation. Our results underscore the imperative of structural support at micro-, meso- and macro-levels for staff in dementia care settings to effectively implement technology. This study contributes to future research and practice by elucidating factors facilitating staff involvement in technology research, integrating staff voices into technology implementation planning, and devising strategies to provide structural support to staff, care teams, and care homes.
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Affiliation(s)
- Lily Haopu Ren
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.
| | - Karen Lok Yi Wong
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Joey Wong
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Sarah Kleiss
- Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075, Göttingen, Germany
| | - Annette Berndt
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Jim Mann
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Ali Hussein
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Grace Hu
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Lily Wong
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Ruth Khong
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Jason Fu
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Nazia Ahmed
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada
| | - Julia Nolte
- Department of Communication and Cognition, Tilburg University, Warandelaan 2, Tilburg, 5037 AB, The Netherlands
| | - Lillian Hung
- Innovation in Dementia and Aging Lab, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada.
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Dosil-Díaz C, Pinazo-Hernandis S, Pereiro AX, Facal D. The impact of the COVID-19 pandemic on nursing home professionals: results of the RESICOVID project. Psicol Reflex Crit 2024; 37:11. [PMID: 38502288 PMCID: PMC10951143 DOI: 10.1186/s41155-023-00284-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 12/16/2023] [Indexed: 03/21/2024] Open
Abstract
OBJECTIVES The situation caused by the COVID-19 pandemic has had an impact on the mental, physical, and social health of nursing home staff. The operations and protocols of long-term care facilities had to be adapted to a new, unforeseen, and unknown situation in which a devastating and highly contagious disease was causing large numbers of deaths. The aim of this study was to determine the cumulative impact of the COVID-19 pandemic on care, technical, coordinating-supervisory, and managerial staff working in nursing homes. METHODS Correlation analysis and between-group comparisons were carried out to study the relationship between burnout scores, emotional balance, and organic and behavioral symptoms. RESULTS The results indicate high levels of burnout and psychological exhaustion. Management professionals displayed higher levels of organic and behavioral symptoms than other professional categories in the same care settings. Despite this negative symptomatology, most professionals showed a positive emotional balance. CONCLUSION The need to develop intervention programs to improve the mental, physical, and occupational health of the staff in nursing homes, considering the needs of different professional categories, is emphasized.
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Affiliation(s)
- Carlos Dosil-Díaz
- Department of Developmental and Educational Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain
| | | | - Arturo X Pereiro
- Department of Developmental and Educational Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - David Facal
- Department of Developmental and Educational Psychology, University of Santiago de Compostela, Santiago de Compostela, Spain.
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Karaman S, Özdemir ÖÇ. The effect of low back and neck pain on posture, burnout, and quality of life in formal caregivers of children with disabilities and the elderly. Ir J Med Sci 2023; 192:2059-2064. [PMID: 36689068 DOI: 10.1007/s11845-023-03286-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 01/14/2023] [Indexed: 01/24/2023]
Abstract
BACKGROUND Caregiving, which is often described as a stressful job due to the patience and dedication it requires, affects the physical and mental health of the employees of the profession due to various factors. AIMS This study was conducted to investigate the effects of lower back and neck pain on posture, burnout level, and quality of life of the formal caregivers of children with disability and the elderly. METHODS The study included 64 formal caregivers of children with disability and the elderly. The socio-demographic characteristics of the participants were recorded. The Oswestry Disability Index, the Neck Disability Index, the Maslach Burnout Inventory, and the Short Form-36 were used to evaluate low back pain, neck pain, burnout levels, and quality of life, respectively. Participants' spinal posture values were measured with the Spinal Mouse device. RESULTS When the groups were combined and examined, it was found that neck pain caused changes in the spinal posture (p < 0.05) and that low back pain did not affect spinal posture (p > 0.05). Also, low back and neck pain had an increasing effect on emotional burnout and desensitization and a decreasing effect on the quality of life (p < 0.05). CONCLUSIONS In this study, it was observed that low back and neck pain experience has negative effects on individuals' posture, burnout levels, and quality of life.
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Affiliation(s)
- Seda Karaman
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Ondokuz Mayıs University, Samsun, Türkiye
| | - Özlem Çinar Özdemir
- Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Izmir Democracy University, İzmir, Türkiye.
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Stuart-Röhm K, Clark I, Baker FA. Development of a person-centered caregiver singing model for formal caregivers of people living with dementia in South Africa. Geriatr Nurs 2023; 53:261-269. [PMID: 37598430 DOI: 10.1016/j.gerinurse.2023.08.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 08/04/2023] [Accepted: 08/04/2023] [Indexed: 08/22/2023]
Abstract
This action research study explored the co-design of a person-centered caregiver singing (PCCS) protocol and caregivers' experiences of applying the PCCS intervention with people living with dementia. Eight caregivers across two care homes participated in four iterative cycles aimed at refining the training. Qualitative data collected from semi-structed group interviews, individual interactions and researcher reflections were analysed via thematic analysis which informed the refinements to the training protocol. A Person-Centered Caregiver Singing Model was developed from the thematic findings relating to caregivers' experiences of applying the PCCS intervention: enhanced caregiver capabilities, resident's wellbeing, improved relationship, the positive ecological shift, and ease of caregiving. PCCS fostered caregivers' empathy and self-efficacy, helping them better attune to and meet the needs of people with dementia. Findings suggest music therapists could share music therapy-informed skills with caregivers for use in daily care. Further research would be beneficial to understand the relationship between live music interventions and caregivers' self-efficacy and empathy, and to explore the training barriers in South Africa.
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Affiliation(s)
| | | | - Felicity A Baker
- The University of Melbourne; Norwegian Academy of Music, Oslo, Norway
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Hu R, Lai B, Ma W, Zhang Y, Deng Y, Liu L, Lv Z, Chan C, Zhang F, Tao Q. How formal caregiver's BPSD knowledge influences positive aspects of caregiving: the mediating role of attitude and the moderating role of self-efficacy. BMC Geriatr 2022; 22:731. [PMID: 36064326 PMCID: PMC9444087 DOI: 10.1186/s12877-022-03417-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2022] [Accepted: 08/23/2022] [Indexed: 11/17/2022] Open
Abstract
Background The current study investigated the relationship between behavioural and psychological symptoms of dementia (BPSD) knowledge and positive aspects of caregiving (PAC), in addition, how caregiving attitude and self-efficacy mediate or moderate this relationship. Methods Two hundred twenty-nine formal caregivers (51males and 178females) who has worked in nursing homes for more than a month were recruited.With a cross-sectional, face-to-face survey, structural questionnaires were implemented to evaluate formal caregiver’s BPSD knowledge, attitude, self-efficacy and PAC.A 13-item self-developed questionnaire was used to assess caregiver’s BPSD knowledge about disease characteristics, care and risks, and treatment needs. Dementia attitude, self-efficacy and positive aspects of caregiving were measured by dementia attitude scale, the General self-efficacy scale, and Chinese version of positive aspects of caregiving respectively. Model 5 in the PROCESS micro was employed in order to verify the mediating effect of attitude and the moderating effect of self-efficacy on the relationship between BPSD knowledge and PAC. Results The results showed that greater BPSD knowledge was associated with increased PAC, and this relationship was fully mediated by increased friendly attitude toward people with dementia. Moreover, direct effect was moderated by self-efficacy, and that only among those with high self-efficacy, the direct effect of BPSD knowledge was found on promoting PAC. Conclusions By elucidating the knowledge-attitude-practice pathway in handling patient’s BPSD, the current study extends existing literature and provides insights for developing psychoeducation programs among formal caregivers.
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Affiliation(s)
- Rui Hu
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.,Division of Medical Psychology and Behavior Science, School of Basic Medicine, Guangdong Province, Jinan University, Guangzhou, 510632, China
| | - Bingbing Lai
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.,Division of Medical Psychology and Behavior Science, School of Basic Medicine, Guangdong Province, Jinan University, Guangzhou, 510632, China
| | - Wenhao Ma
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.,Division of Medical Psychology and Behavior Science, School of Basic Medicine, Guangdong Province, Jinan University, Guangzhou, 510632, China
| | - Yuan Zhang
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.,Division of Medical Psychology and Behavior Science, School of Basic Medicine, Guangdong Province, Jinan University, Guangzhou, 510632, China
| | - Yujiao Deng
- Home for the Aged Guangzhou, Guangzhou, China
| | - Lianqi Liu
- Department of Rehabilitation, Psychiatric Hospital of Guangzhou Civil Affairs Bureau, Guangzhou, China
| | - Zeping Lv
- Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
| | - Chetwyn Chan
- Department of Psychology, the Education University of Hong Kong, Hong Kong, Hong Kong
| | - Fan Zhang
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China. .,Division of Medical Psychology and Behavior Science, School of Basic Medicine, Guangdong Province, Jinan University, Guangzhou, 510632, China.
| | - Qian Tao
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China. .,Division of Medical Psychology and Behavior Science, School of Basic Medicine, Guangdong Province, Jinan University, Guangzhou, 510632, China. .,Center for Brain Science and Brain-Inspired Intelligence, Guangdong-Hong Kong-Macao Greater Bay Area, Guangzhou, China. .,Neuroscience and Neurorehabilitation Institute, University of Health and Rehabilitation Science, Qingdao, China.
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Sangsaikaew A, Junsevg K, Thong-On R, Pilayon B. Perceived factors contributing to the care provided by informal (family) and formal caregivers of older adults with noncommunicable diseases in rural communities: A qualitative focus group study. J Educ Health Promot 2022; 11:228. [PMID: 36177408 PMCID: PMC9514241 DOI: 10.4103/jehp.jehp_1104_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 01/20/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Informal and formal caregivers of older adults with noncommunicable diseases (NCDs) are important in every aspect of current caregiving for older adults by understanding reality specific to direct experiences perceived by each person in caring for older adults in order to develop nursing knowledge and using knowledge to plan care for older adults with NCDs to have a good quality of life. The current study aimed to investigate the points of view on factors concerning the care provided by informal and formal caregivers providing care for older adults with chronic diseases in the community. MATERIALS AND METHODS This study was conducted with a qualitative design. The sample was 5 informal and 20 formal caregivers providing care for patients with chronic diseases, namely hypertension and diabetes mellitus. Furthermore, a qualitative approach was used with four focus groups (FGs) with 25 informants. Data were collected during March-August 2021 in rural communities of Nakhon Phanom Province, Thailand. Finally, the qualitative analysis used content analysis; FG data were analyzed using content analysis in which a preliminary set of codes was determined according to other documented experiences of patients. RESULTS The findings revealed three main themes emerging in the data obtained on the perceived factors contributing to the care provided by informal and formal caregivers: "caregivers' knowledge," "factors related to caregivers" and "community factors." CONCLUSION Points of view on the factors correlated with the care provided by informal and formal caregivers of older adults with chronic diseases that explain and confirm the findings can be used to plan care with effects on quality of life among older adults with chronic diseases.
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Affiliation(s)
- Amornrat Sangsaikaew
- Department of Adult and Aging Nursing, Boromarajonani College of Nursing Nakhon Phanom, Nakhon Phanom University, Nakhon Phanom, Thailand
| | - Khunphitha Junsevg
- Department of Adult and Aging Nursing, Boromarajonani College of Nursing Nakhon Phanom, Nakhon Phanom University, Nakhon Phanom, Thailand
| | - Rattiya Thong-On
- Department of Adult and Aging Nursing, Boromarajonani College of Nursing Nakhon Phanom, Nakhon Phanom University, Nakhon Phanom, Thailand
| | - Benjayamas Pilayon
- Department of Community Health Nursing, Boromarajonani College of Nursing Nakhon Phanom, Nakhon Phanom University, Nakhon Phanom, Thailand
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Li Y, Zhang X, Su J, Li H, Meng X, Zhang S, Fang S, Wang W, Bao L, Sun J. Optimizing mealtime care for people with dementia from the perspective of formal caregivers: A systematic review of qualitative research. Int J Nurs Stud 2021; 123:104046. [PMID: 34407465 DOI: 10.1016/j.ijnurstu.2021.104046] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2021] [Revised: 06/28/2021] [Accepted: 07/17/2021] [Indexed: 12/31/2022]
Abstract
BACKGROUND As dementia progresses, people with dementia experience many problems during mealtimes that seriously affect their physical, psychological, and social health and quality of life. Formal caregivers play an important role in optimizing mealtime care. OBJECTIVE To systematically review and synthesise relevant qualitative studies exploring the experience and perceptions of formal caregivers regarding optimizing mealtime care for people with dementia. DESIGN A systematic review of qualitative research. DATA SOURCES The PubMed, Web of Science, Cochrane Library, Embase, CINAHL, CNKI, WanFang and Vip databases were systematically searched. REVIEW METHODS Two reviewers independently screened the titles and abstracts, extracted the data and performed critical appraisals of each included study. The data synthesis was conducted using thematic analysis. FINDINGS A total of 10 studies were included. The formal caregivers included nursing assistants, nurses, speech and language therapists, nursing students, dietitians, a social worker, a professional educator, physiotherapists, health care aides, kitchen staff, diversional therapy assistants and other unidentified care staff. The findings were synthesised into the following 3 analytical themes: (1) tailored rather than standardized; (2) emotional nurturance; and (3) beyond the individual level. CONCLUSIONS Mealtimes involve complex physiological and psychological processes. Formal caregivers should develop tailored care practices based on individual patients' preferences and needs. Emotional connection plays a key role and has a positive impact on the mealtime experience. Further research is needed to explore the specific effects of emotional connections on optimizing mealtime care.
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Affiliation(s)
- Yijing Li
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China
| | - Xu Zhang
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China
| | - Jianping Su
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China; School of Nursing, Xinjiang Medical University, No.400 Gejiagou East Road, Urumqi Municipality 830017, Xinjiang, People's Republic of China
| | - Huanhuan Li
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China
| | - Xiangfei Meng
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China
| | - Shuang Zhang
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China
| | - Shuyan Fang
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China
| | - Wenxia Wang
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China
| | - Lier Bao
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China
| | - Jiao Sun
- School of Nursing, Jilin University, No.965 Xinjiang Street, Changchun 130021, Jilin, People's Republic of China.
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Shotwell JL, Wool E, Kozikowski A, Pekmezaris R, Slaboda J, Norman G, Rhodes K, Smith K. "We just get paid for 12 hours a day, but we work 24": home health aide restrictions and work related stress. BMC Health Serv Res 2019; 19:907. [PMID: 31779613 PMCID: PMC6883531 DOI: 10.1186/s12913-019-4664-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Accepted: 10/21/2019] [Indexed: 11/21/2022] Open
Abstract
Background Home-bound patients in New York State requiring long-term care services have seen significant changes to their benefits due to turmoil in the Managed Long Term Care (MLTC) market. While there has been research conducted regarding the effect of MLTC challenges on beneficiaries, the impact of MLTC regulatory changes on home health aides has not been explored. Methods Qualitative interviews were conducted with formal caregivers, defined as paid home health aides (HHAs) (n = 13) caring for patients in a home-based primary care program in the New York City metropolitan area. HHAs were asked about their satisfaction with the home based primary care program, their own job satisfaction, and whether HHA restrictions affect their work in any way. Interviews were audio-recorded, transcribed, and analyzed. Results Two main themes emerged: (1) Pay, benefits and hours worked and (2) Concerns about patient well-being afterhours. HHAs are working more hours than they are compensated for, experience wage stagnation and loss of benefits, and experience stress related to leaving frail clients alone after their shifts end. Conclusions HHAs experience significant job-related stress when caring for frail elderly patients at home, which may have implications for both patient care and HHA turnover. As government bodies contemplate new policy directions for long-term care programs which rely on HHAs the impact of these changes on this vulnerable workforce must be considered.
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Affiliation(s)
| | - Eve Wool
- Northwell Health Solutions, Manhasset, NY, USA
| | - Andrzej Kozikowski
- Northwell Health Center for Innovations and Outcomes Research, Manhasset, NY, USA
| | - Renee Pekmezaris
- Northwell Health Center for Innovations and Outcomes Research, Manhasset, NY, USA
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Jacobs MT, Broese van Groenou MI, Aartsen MJ, Deeg DJH. Diversity in Older Adults' Care Networks: The Added Value of Individual Beliefs and Social Network Proximity. J Gerontol B Psychol Sci Soc Sci 2019; 73:326-336. [PMID: 26912490 DOI: 10.1093/geronb/gbw012] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Accepted: 01/30/2016] [Indexed: 11/13/2022] Open
Abstract
Objectives Policy reforms in long-term care require an increased share of informal caregivers in elderly care. This may be more feasible for older adults who (believe they) can organize the care themselves and have a local social network. This study describes care network types, how they vary in the share of informal caregivers, and examines associations with characteristics of community-dwelling older adults, including individual beliefs and network proximity. Method Latent class analyses were applied to a subsample of older care receivers (N = 491) from the Longitudinal Aging Study Amsterdam, in order to identify homogeneous subgroups of people with similar care networks. Multinomial regression analysis explored associations between network type and care receiver characteristics. Results Privately paid, coresidential, large informal, and publicly paid care network types were distinguished. Variation in informal care appeared mostly related to health, partner status, income, and proximity of children. Proximity of other potential informal caregivers did not affect the network type. Perceived control of care was highest in the privately paid network. Discussion The results suggest that local (non-)kin could be mobilized more often in coresidential networks. Increasing informal or alternative care in publicly paid networks is less likely, due to limited social and financial resources.
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Affiliation(s)
| | | | - Marja J Aartsen
- Department of Sociology, VU University, Amsterdam, The Netherlands
| | - Dorly J H Deeg
- Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU Medical Centre, Amsterdam, The Netherlands
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Cohen-Mansfield J. Do Reports on Personal Preferences of Persons with Dementia Predict Their Responses to Group Activities? Dement Geriatr Cogn Disord 2018; 46:100-108. [PMID: 30145591 DOI: 10.1159/000491746] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2018] [Accepted: 07/02/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND We examine the utility of individualizing activities for persons with dementia (PwD) on the basis of congruence with preferences. Previous studies demonstrated only limited evidence of individualization of activity content to improve response, tended not to consider group activities, or were inconclusive. METHODS Participants were 90 PwD residing in a nursing home or attending a day center. After family and staff caregivers rated preferences for music, exercise, reading, brain games, and baking, group activities were conducted, and the impact on mood and engagement was monitored. We tested whether participants showed more engagement and better mood when group activities were related to topics they liked, in comparison to topics they did not like (within-person analysis), and whether persons who liked certain topics showed better outcomes in comparison to persons who did not like those topics (between-person analyses). RESULTS Within-person analysis found a relationship between the report of liking the topic and engagement and mood during the group activity, confirming the benefit of individualizing activities to persons' preferences. Between-person analyses were statistically significant only when based on staff preference ratings. CONCLUSION Despite the fact that each topic represents a wide range of possible activities, individualizing group activities based on participants' preferences can optimize the impact.
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Danilovich MK, Diaz L, Ciolinio JD, Corcos DM. Functional resistance activities to impact frailty: A protocol for a randomized controlled trial involving home care aide and frail older adult dyads. Contemp Clin Trials Commun 2017; 7:28-32. [PMID: 29696165 PMCID: PMC5898564 DOI: 10.1016/j.conctc.2017.05.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2016] [Revised: 04/18/2017] [Accepted: 05/09/2017] [Indexed: 01/22/2023] Open
Abstract
Background A growing number of older adults use in-home Medicaid Waiver Home and Community Based services (HCBS) to facilitate aging-in-place. A primary service of this program is Home Care Aide assistance with activities of daily living and homemaker needs. Despite the known benefits of exercise, exercise programs are currently not offered to clients in the Medicaid Waiver system. Thus, the purpose of this paper is to describe a six-month Home Care Aide-led resistance exercise intervention protocol for frail older adults receiving Medicaid waiver services. Methods/design A randomized controlled trial will be used. We will enroll 126 Home Care Aide-client dyads for a 6-month exercise intervention. The intervention will consist of training phases to promote muscle strength, power, and endurance. We will use an intention to treat principle using mixed effects models for the quantitative outcomes. To analyze qualitative outcomes, we will use conventional content analysis to examine themes from participant program evaluations. Discussion As greater numbers of adults age in place with frailty and employ Home Care Aides to help manage functional limitations, interventions embedded within usual care services play a critical role in bringing exercise into the home setting. The research described in this protocol will provide important knowledge about the impact of a Home Care Aide-led exercise intervention in reducing frailty in older adults. Clinical Trials Registration ClinicalTrials.gov Identifier: NCT02942992.
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Affiliation(s)
- Margaret K Danilovich
- Northwestern University, Feinberg School of Medicine, Department of Physical Therapy and Human Movement Science, 645 N. Michigan, Suite 1100, Chicago, IL, USA
| | - Laura Diaz
- Northwestern University, Feinberg School of Medicine, Department of Physical Therapy and Human Movement Science, 645 N. Michigan, Suite 1100, Chicago, IL, USA
| | - Jody D Ciolinio
- Northwestern University, Feinberg School of Medicine, Department of Preventative Medicine (Biostatistics) and Medicine (General Internal Medicine and Geriatrics), 680 N Lake Shore Drive, Suite 1400, Chicago, IL, USA
| | - Daniel M Corcos
- Northwestern University, Feinberg School of Medicine, Department of Physical Therapy and Human Movement Science, 645 N. Michigan, Suite 1100, Chicago, IL, USA
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Abstract
Given the worldwide aging of the population, the projected increase of older people diagnosed with cancer, and the changes in the structure of society and family, it is predictable that larger numbers of aged cancer patients will be supported by formal caregivers. This exploratory study attempts to gain insight into and to make recommendations to oncologists based on the comparison of two groups of foreign formal caregivers-those providing care to elderly cancer patients and those providing care to the elderly suffering from other chronic illnesses. Our sample included 108 Filipino formal caregivers to older persons (age 65+) suffering from cancer or other chronic diseases. Participants completed a short questionnaire targeting background information, subjective perception of distress, attachment to the care recipient family, and the Distress Thermometer. Participants reported extreme levels of distress, with only seven (6.48%) scoring less than 5 on the Distress Thermometer. Caregivers to cancer patients reported significantly higher levels of distress and tended to feel less attached to the family of the patient in comparison to caregivers to patients with other chronic illnesses. Cultural differences regarding cancer among the elderly may explain the higher levels of distress reported among Filipino formal caregivers and need to be acknowledged by oncologists. As a precondition for simultaneously improving the caregiver's well-being and the patient's quality of care, it is recommended that oncologists relate directly to formal caregivers, specifically to their extreme distress and apprehension regarding cancer.
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Affiliation(s)
- G Goldzweig
- School of Behavioral Sciences, The Academic College of Tel- Aviv-Yaffo, Rabenu Yerucham St. POB 8401, 61083, Tel-Aviv, Israel.
| | - Yakir Rottenberg
- Sharett Institute of Oncology, Hadassah- Hebrew University Medical Center, Jerusalem, 91120, Israel
| | - Tamar Peretz
- Sharett Institute of Oncology, Hadassah- Hebrew University Medical Center, Jerusalem, 91120, Israel
| | - Lea Baider
- Oncology Department, Assuta Medical Center, Tel-Aviv, Israel
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DePasquale N, Bangerter LR, Williams J, Almeida DM. Certified Nursing Assistants Balancing Family Caregiving Roles: Health Care Utilization Among Double- and Triple-Duty Caregivers. Gerontologist 2015. [PMID: 26224763 DOI: 10.1093/geront/gnv081] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
PURPOSE OF THE STUDY This study examines how certified nursing assistants (CNAs) balancing family caregiving roles-child care (double-duty child caregivers), elder care (double-duty elder caregivers), and both child and elder care (triple-duty caregivers)-utilize health care services relative to nonfamily caregiving counterparts (formal-only caregivers). DESIGN AND METHODS A sample of 884 CNAs from the Work, Family and Health Study was drawn on to assess the number of acute care (i.e., emergency room or urgent care facility) and other health care (i.e., outpatient treatment or counseling) visits made during the past 6 months. RESULTS Double-duty elder and triple-duty caregivers had higher acute care utilization rates than formal-only caregivers. CNAs with and without family caregiving roles had similar rates of other health care visits. IMPLICATIONS CNAs providing informal care for older adults have higher acute care visit rates. Given the increasing need for family caregivers and the vital importance of the health of the nursing workforce for the health of others, future research on how double- and triple-duty caregivers maintain their health amidst constant caregiving should be a priority.
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Affiliation(s)
- Nicole DePasquale
- Department of Human Development and Family Studies, College of Health and Human Development, The Pennsylvania State University, University Park.
| | - Lauren R Bangerter
- Department of Human Development and Family Studies, College of Health and Human Development, The Pennsylvania State University, University Park
| | - Jessica Williams
- Harvard School of Public Health Center for Population and Development Studies, Cambridge, Massachusetts
| | - David M Almeida
- Department of Human Development and Family Studies, College of Health and Human Development, The Pennsylvania State University, University Park
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