O2-07-01: IN-HOME TELEHEALTH SUPPORT: EFFECTS ON DEMENTIA CAREGIVER CONFIDENCE

Abstract Technology can enhance support for families caring for persons with dementia but must be acceptable to be adopted. In the FamTechCare trial, caregivers used an app to videorecord care encounters that were reviewed by an expert panel who provided tailored feedback. The intervention reduced caregiver depression and improved caregiver competence. This mixed methods study reports caregiver satisfaction and utilization of the intervention and evaluation of the intervention by the expert panel. A convergent parallel mixed methods design was used to evaluate the satisfaction, usability, and feasibility of the intervention. Caregiver-person with dementia dyads were randomized to the FamTechCare video support or telephone attention control support groups. Caregivers completed a satisfaction survey at the completion of the 3-month trial. The number and duration of videos submitted and calls received by caregivers were used to evaluate utilization. Relationships between participant characteristics and satisfaction and utilization were evaluated. Feasibility and future directions for the intervention were assessed through interviews with the expert panel. The majority of caregivers in both groups reported benefits from participation. More FamTechCare caregivers found the interventionist support to be helpful (p=.001) and effective (p=.020) compared to attention control caregivers. FamTechCare caregivers of persons with more severe dementia were more likely to report that video recording intruded on their privacy (p=.050). Age, gender, education, dyad relationship, rural status, and type and severity of dementia were not associated with ratings of acceptability, ease of use, or intervention utilization. The expert panel rated FamTechCare as useful and identified adaptations to enhance feasibility.

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Structural and Kinetics Understanding of Support Effects in Pd-catalyzed Semi-hydrogenation of Acetylene

Engineering ◽

10.1016/j.eng.2020.06.023 ◽

2020 ◽

Author(s):

Yueqiang Cao ◽

Xiaohu Ge ◽

Yurou Li ◽

Rui Si ◽

Zhijun Sui ◽

...

Keyword(s):

Support Effects

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Clinician Experiences Delivering Dementia Caregiver Support Services During COVID-19

American Journal of Geriatric Psychiatry ◽

10.1016/j.jagp.2021.01.002 ◽

2021 ◽

Author(s):

Emma D Quach ◽

Emily Franzosa ◽

Lauren R. Moo ◽

Christine W Hartmann

Keyword(s):

Support Services ◽

Caregiver Support ◽

Dementia Caregiver ◽

Clinician Experiences

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The Generational Impact on Meaning Making and Well-being of Adult Children Caregivers in Dementia Caregiving

Innovation in Aging ◽

10.1093/geroni/igaa057.3341 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 908-908

Author(s):

Vivian Lou ◽

Daniel W L Lai ◽

Daniel Fu-Keung Wong ◽

Doris Yu ◽

Shuangzhou Chen ◽

...

Keyword(s):

Generation X ◽

Meaning Making ◽

Well Being ◽

Ageing Society ◽

Making Sense ◽

Dementia Caregiver ◽

Care Recipients ◽

Care And Support ◽

Significant Difference ◽

Two Generations

Abstract Children caregivers contributed significantly to care and support dementia parents globally. In the caregiving journey, making sense of providing care plays significant role in their caregiving journey. In an ageing society such as Hong Kong, different generations of children caregivers take up dementia caregiver roles. We hypothesized that from studying baby boomers (BB, born in 1946-1964) and generation X (GX, born in 1965-1980), generations have impacts on their meaning making and well-being outcomes. 601 Caregivers completed a paper or online battery of questionnaires on burden (ZBI-4), mental well-being (PHQ-9), caregiving factors (ADL, IADL, caregiving hours, Positive Aspect of Caregiving; PAC) and the meaning making factors (Finding Meaning Through Caregiving; FMTC). Results showed that significant difference between caregivers from two generations. GX have significantly lower meaning made, measured by PAC affirming self and enriching life, as well as FMTC provisional meaning. While they spent less caregiving hours for the more independent care recipients, they suffered from higher burden, higher FMTC loss/powerless and worse psychological well-being (PHQ). The findings demonstrated generation X caregiver suffered from lower level of the meaning made and worse psychological wellbeing outcomes than BB caregivers. Future caregiver studies should take generational effect into account and services shall be provided in a generation-responsive approach.

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Factors of Dementia Caregiver Burden Differentially Contribute to Desire to Institutionalize

Journal of Geriatric Psychiatry and Neurology ◽

10.1177/08919887211036183 ◽

2021 ◽

pp. 089198872110361

Author(s):

John T. Martin ◽

Kimberly R. Chapman ◽

Christopher Was ◽

Mary Beth Spitznagel

Keyword(s):

Factor Analysis ◽

Linear Regression ◽

Factor Structure ◽

Caregiver Burden ◽

Living Arrangements ◽

Regression Analyses ◽

Loved One ◽

Dementia Caregiver ◽

Future Work ◽

Made In

The experience of dementia caregiver burden is multidimensional. Little is known about how different aspects of burden contribute to the consideration of moving a loved one to a structured living facility. In the present study, caregiver burden (Zarit Burden Interview; ZBI) and consideration of structured living arrangements (Desire to Institutionalize Scale; DIS) were self-reported by 339 caregivers. Exploratory factor analysis was used to determine the ZBI factor structure; these factors were then examined via hierarchical linear regression for prediction of DIS. Factor analysis indicated a 4-factor ZBI solution: Impact on Life, Guilt, Embarrassment/Frustration, and Escape/Uncertainty. Regression analyses indicated that only Escape/Uncertainty ( p < .001) was associated with DIS. Of the 4 identified factors of caregiver burden, desire to escape the caregiving role was most related to consideration of structured living arrangements. Future work should explore longitudinal contribution of this factor to determine its role in actual changes made in living arrangements.

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