Search results

1 – 10 of over 2000
Open Access
Article
Publication date: 15 November 2018

Decha Tamdee, Patrapan Tamdee, Chieko Greiner, Waraporn Boonchiang, Nahoko Okamoto and Tokiko Isowa

The family caregivers play an important role in the good quality of life for the elderly, but most of them can easily have an emotional and psychological effect on…

2774

Abstract

Purpose

The family caregivers play an important role in the good quality of life for the elderly, but most of them can easily have an emotional and psychological effect on caregiving. The purpose of this paper is to explore the correlation between conditions of caring for the elderly in the family and caregiver stress in a community setting, Chiang Mai Province, Thailand.

Design/methodology/approach

A cross-sectional exploratory descriptive research was conducted in Ban Klang Subdistrict, San Pa Tong District, Chiang Mai Province. Simple random sampling was used to collect data by using a structured interview via a questionnaire with 103 elderly caregivers. The χ2 test was used to explain the conditions related to stress as being a caregiver.

Findings

Most of the caregivers were female and still in good health, but at the same time, underwent little stress. However, they did not receive any training beforehand for taking care of the elderly but mainly done by experience, relationship and gratitude. The conditions correlated with stress as being a caregiver were health status of caregivers, confidence of care, the relationship between caregiver and elderly person, and economic burden of care.

Originality/value

A necessary resource such as body of knowledge in elderly caregiving, long-term care system at the community level and social support from family and intimate persons will encourage confidence in taking care of the elderly in the family and also relieve caregiversstress.

Details

Journal of Health Research, vol. 33 no. 2
Type: Research Article
ISSN: 2586-940X

Keywords

Article
Publication date: 7 October 2014

Celia Chow and Agnes Tiwari

The purpose of this paper is to explore the following questions. First, what are the experiences of family caregivers in caring for community-dwelling stroke survivors…

Abstract

Purpose

The purpose of this paper is to explore the following questions. First, what are the experiences of family caregivers in caring for community-dwelling stroke survivors? Second, what services help or do not help the caregivers in managing their caregiving role?

Design/methodology/approach

A qualitative study was conducted with a total of six focus group interviews with 29 stroke caregivers selected using convenience sampling in a local community centre. All interviews were recorded and transcribed for content analysis.

Findings

The results pointed to three main themes working together to facilitate desirable outcomes in caregiving and prevent elder abuse: factors contributing to caregiver stress and factors that have a buffering effect on caregiver stress and unmet needs identified from caregivers’ experiences.

Research limitations/implications

The authors found that there were a number of factors contributing to caregiver stress. The findings matched with the concept that caregiver stress should not be considered as the primary cause of elder abuse. Findings provided information for further research to investigate positive coping and adjustment for stroke survivors, caregivers and their families.

Practical implications

Policy makers and service providers may consider specific policies and tailor-made services to enhance the effectiveness of current practice. The themes emerging from the study could be further reviewed in a longitudinal way to explore the cost-effectiveness, the outcomes and trajectory of interventional programmes.

Social implications

Education would be essential to let the public understand caregivers’ difficulties and needs. Prevention of elder abuse may be approached with a range of risk factors for both perpetrating and being elder abuse victim.

Originality/value

From the findings of the study, the authors found that there were service gaps within policy and interventions. Concrete suggestions for improving the public's attitude and public facilities/transport for the disabled were captured in the study. In addition to personal resilience, caregivers had a strong wish for a supportive environment and services that would facilitate a better caregiving outcome.

Details

The Journal of Adult Protection, vol. 16 no. 5
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 11 August 2021

João Filipe Fundinho, Diana Cunha Pereira and José Ferreira-Alves

The study of theoretical models explaining elder abuse has been one of the main gaps in the literature of the field. The extent of support of each theory is not clear…

Abstract

Purpose

The study of theoretical models explaining elder abuse has been one of the main gaps in the literature of the field. The extent of support of each theory is not clear. This study aims to conduct a systematic review to examine research supporting or opposing six theories of elder abuse: caregiver stress theory, social exchange theory, social learning theory, bidirectional theory, dyadic discord theory and the psychopathology of the caregiver.

Design/methodology/approach

This study conducts a systematic review of the literature. Seven databases were searched six times using different keywords about each theory.

Findings

This paper finds 26,229 references and then organised and analysed these references using pre-established criteria. In total, 89 papers were selected, which contained 117 results of interest; these papers were summarised and assessed for conceptual, methodological and evidence quality. The results showed evidence in favour of all the explored theories, except for social learning theory, whose results indicate multiple interpretations of the theory. This study finishes this paper by proposing that each of these theories might explain different facets of elder abuse and that more research is necessary to understand how the predictions of these different theories interact.

Originality/value

This paper presents an extensive review of the literature on theoretical explanations of elder abuse. The findings can be of value for selecting theories for prevention programmes or providing a summary of the evidence for researchers and practitioners interested in the theoretical explanation of elder abuse.

Details

The Journal of Adult Protection, vol. 23 no. 6
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 5 August 2014

Lyda C. Arévalo-Flechas, Gayle Acton, Monica I. Escamilla, Peter N. Bonner and Sharon L. Lewis

The purpose of this paper is to describe the perception and psychosocial impact of caregiving for Latino family caregivers of patients with Alzheimer's disease and related…

Abstract

Purpose

The purpose of this paper is to describe the perception and psychosocial impact of caregiving for Latino family caregivers of patients with Alzheimer's disease and related dementias and compare them to non-Hispanic (NH) white caregivers.

Design/methodology/approach

The paper opted for a survey design using the Screen for Caregiver Burden, Perceived Stress Scale, Short Form 36 Health Survey, Symptom Questionnaire, Center for Epidemiologic Depression, Sense of Coherence, Coping Resources Inventory, and the Personal Resource Questionnaire (PRQ-85). A total of 202 participants with 53 Latino caregivers (majority were Mexican-Americans) and 149 NH white caregivers also completed an in-depth qualitative interview describing their experience as caregivers.

Findings

Latino caregivers, as compared to NH white caregivers, have higher subjective and objective caregiver burden and lower general health, social function, and physical function. They also reported higher levels of bodily pain and somatic symptoms. Caregivers experience a great deal of stress that can adversely affect their emotional and physical well-being. Latino cultural values influence the meaning ascribed to caregiving and how caregivers attempt to balance a perceived duty to family.

Research limitations/implications

The sample was a convenience sample of caregivers responding to an invitation to participate. The Latino sample included primarily caregivers of Mexican-American descent and represented Latinos living in the South West section of the USA. Future research needs to include Latinos of diverse nationalities.

Practical implications

The paper points out crucial differences between NH white and Latino caregivers. Understanding how Latino cultural values influence how Latinos perform and feel about caregiving duties may facilitate support for caregivers.

Originality/value

This paper fulfills an identified need to study Latino caregiving. Two bilingual and bicultural researchers were part of the research team facilitating the collection and analysis of qualitative data.

Details

Journal of Managerial Psychology, vol. 29 no. 6
Type: Research Article
ISSN: 0268-3946

Keywords

Article
Publication date: 21 October 2020

Naval Bajpai, Gunjan Sharma, Prince Dubey and Kushagra Kulshreshtha

The purpose of this paper is to examine elder abuse (EA) tendency in the context of social integration and caregiver stress (CGS). Afterward, the attempt has been made to…

Abstract

Purpose

The purpose of this paper is to examine elder abuse (EA) tendency in the context of social integration and caregiver stress (CGS). Afterward, the attempt has been made to examine the role of mens rea or intention in the incidence of EA.

Design/methodology/approach

For examining the opinion on EA through the perspective of the elderly and caregiver, a questionnaire was developed using exploratory factor analysis and confirmatory factor analysis. Afterward, a z-test was used for analyzing the results obtained from the elderly and caregivers.

Findings

The results showed that in the context of EA, the opinion of caregivers differs from the elderly. This finding was attributed to the theory of ignorance. Based on this, the legal action for every incidence of EA was discouraged by seeking endorsement from the attachment theory especially for the EA incidences arising due to factors such as social isolation or CGS.

Research limitations/implications

This research addresses the presence and non-presence of mens rea or intention in the incidence of EA. Future studies may be conducted by taking a sample from two more developed and developing economies. Moreover, based on the findings the recommended framework can be empirically examined by future researchers.

Practical implications

Understanding the study through the perspective of the caregiver may facilitate the academicians and practitioners in keeping the fabric of relationships stronger among the elderly and caregiver.

Originality/value

Based on the results obtained from the elderly and caregiver, this study proposes a conceptual framework for examining the EA through the lens of mens rea/intention of the caregiver. It is recommended that initiating legal action for every incidence of EA must be discouraged. However, the incidences such as physical abuse (assault), financial abuse, sexual abuse and alike for which the law itself assumes the presence of intention must not be exempted.

Details

The Journal of Adult Protection, vol. 22 no. 5
Type: Research Article
ISSN: 1466-8203

Keywords

Article
Publication date: 1 January 2006

Ami R. Moore, Mark Vosvick and Foster K. Amey

This study examined factors associated with depression in 125 informal caregivers to adults living with HIV/AIDS in Lomé, Togo.

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Abstract

Purpose

This study examined factors associated with depression in 125 informal caregivers to adults living with HIV/AIDS in Lomé, Togo.

Methodology

Each caregiver completed a questionnaire that assessed primary and secondary stressors, social support and depression. Most of the participants were women (78 per cent), married (53 per cent), and had been giving care to nuclear family members (63 per cent) for about 11 months. OLS regression was used to examine the association of primary and secondary stressors with self‐reported depression.

Findings

The analysis showed that caregiving demand, role captivity, and job conflict were positively associated with self‐reported depression. This suggests that work‐related strains and role strains were associated with depression levels among caregivers in our sample.

Research limitations/implications

The study is based on a small convenience sample of volunteers and this may limit the generalisability of the results.

Practical implications

This knowledge can benefit HIV/AIDS service providers in counselling caregivers who need to maintain a healthy quality of life and well‐being for their difficult and challenging task.

Originality/value

This paper contributes to knowledge on caregiving role to people with chronic illnesses by incorporating an understudied population into the knowledge base.

Details

International Journal of Sociology and Social Policy, vol. 26 no. 1/2
Type: Research Article
ISSN: 0144-333X

Keywords

Open Access
Article
Publication date: 4 March 2014

Rita Ouseph, Calvin Croy, Crystal Natvig, Teresa Simoneau and Mark L. Laudenslager

Caregivers are known to experience increased morbidity when compared to noncaregivers. Does an intervention targeting caregiver distress affect their health care…

Abstract

Caregivers are known to experience increased morbidity when compared to noncaregivers. Does an intervention targeting caregiver distress affect their health care utilization? One hundred forty-eight caregivers of allogeneic hematopoietic stem cell transplant patients were randomized to treatment as usual (TAU) or a psychoeducation, paced respiration, and relaxation (PEPRR) intervention. Assessments of caregivers' service utilization were collected at baseline and 1, 3, and 6 months post-transplant. During the first 30 days after patient transplant, caregiver medical and mental health professional service use decreased while support group attendance peaked. Mixed model regressions showed a significant decrease in mental health service use by the PEPRR group (P=0.001). At six months caregivers in TAU had predicted marginal probabilities of mental health services utilization over 10 times as high as caregivers in PEPRR (18.1% vs 1.5%). Groups failed to differ in medical service (P=0.861) or support group (P=0.067) use. We can conclude that participation in PEPRR compared to TAU was associated with reduced mental health service utilization. Caregiver psychosocial support services are critical to improve caregiver outcomes.

Details

Mental Illness, vol. 6 no. 1
Type: Research Article
ISSN: 2036-7465

Keywords

Book part
Publication date: 30 December 2004

Neale R. Chumbler, John Fortney, Marisue Cody and Cornelia Beck

The purpose of the present study is to investigate whether family caregivers with a stronger sense of coherence (SOC) who are caring for community dwelling older adults…

Abstract

The purpose of the present study is to investigate whether family caregivers with a stronger sense of coherence (SOC) who are caring for community dwelling older adults with cognitive impairment are less likely to use mental health services. An adaptation of the Anderson behavioral model of access to health care was employed as a conceptual framework. Data were collected for 304 impaired older adult/family caregiver dyads. Caregiver mental health service use and sense of coherence were measures as well as predisposing factors (age, gender, race, education, type of familial relationship, family size, and co-residence with impaired family member), enabling factors (self-reported awareness of services, travel times to mental health services, social support, and insurance), and need factors (chronic health conditions and distress). The impaired elder’s age, level of physical impairment, and level of memory impairment were also examined. Logistic regression results indicated that caregivers who have a stronger SOC were less likely to use mental health services (OR=0.91, p=0.006). Other significant independent predictors of mental health service use were social support (OR=0.34, p=0.032) and caregivers aiding family members with higher levels of physical impairment (OR=1.14, p=0.033). The results of this study support clinicians and planners developing mental health services that use SOC to mitigate the detrimental effects of caregiving. Future research is needed to target effective measures to positively manipulate this variable.

Details

Chronic Care, Health Care Systems and Services Integration
Type: Book
ISBN: 978-1-84950-300-6

Open Access
Article
Publication date: 18 October 2018

Li Wang, Allison Williams and Peter Kitchen

The purpose of this paper is to investigate the impact of various employment characteristics on the health of Canadian caregiver-employees (CEs), who are working full-time…

1374

Abstract

Purpose

The purpose of this paper is to investigate the impact of various employment characteristics on the health of Canadian caregiver-employees (CEs), who are working full-time in the labor market while also providing informal/family care to adults.

Design/methodology/approach

Framed with Pearlin et al.’s (1990) stress model and using data from Statistic Canada’s General Social Survey Cycle 26 (2012), several work-related variables for caregivers were considered, including the availability of various forms of caregiver-friendly workplace policies (CFWPs), and a series of work interferences (WIs) experienced as a result of the caregiving role.

Findings

This study provides evidence for the value of CFWPs in all workplaces. Counter-intuitively, family and other forms of support were found to negatively relate to both physical and mental health.

Originality/value

This suggests that CFWPs will not only have an impact on CEs’ physical health outcomes, but will likely decrease the effect of the WIs experienced.

Details

International Journal of Workplace Health Management, vol. 11 no. 6
Type: Research Article
ISSN: 1753-8351

Keywords

Article
Publication date: 4 February 2014

Jonathan Williams, Frances Vaughan, Jaci Huws and Richard Hastings

– The purpose of this paper is to understand the experiences of acquired brain injury (ABI) family caregivers who attended an acceptance based group intervention.

Abstract

Purpose

The purpose of this paper is to understand the experiences of acquired brain injury (ABI) family caregivers who attended an acceptance based group intervention.

Design/methodology/approach

A qualitative design and interpretative phenomenological analysis methodology were used.

Findings

Five key themes were identified: increasing personal awareness; the dialectic of emotional acceptance vs emotional avoidance; integration of acceptance and commitment therapy (ACT) principles; peer support; and moving forward after the group. It seemed that some individuals found the ACT exercises distressing, whereas others reported benefits. All participants described experiences of acceptance vs avoidant means of coping, and attempts to integrate new approaches into existing belief systems.

Originality/value

This study is the first to explore the experiences of ABI caregivers undertaking an ACT group intervention.

Details

Social Care and Neurodisability, vol. 5 no. 1
Type: Research Article
ISSN: 2042-0919

Keywords

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