Differential response to a multicomponent telehealth intervention by spouses and adult child caregivers of older adults

2011 ◽  
Author(s):  
Kathleen Chwalisz ◽  
Stephanie M. Clancy Dollinger ◽  
Eiei Hlaing
Keyword(s):  
Older Adults ◽  
Adult Child ◽  
Differential Response ◽  
Child Caregivers ◽  
Telehealth Intervention

scholarly journals Effects of Relationship Type on Quality of Life in Older Adults with Cognitive Impairment and the Informal Caregivers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1010-1010
Author(s):  
Aiping Lai ◽  
Julie Richardson ◽  
Lauren Griffith ◽  
Ayse Kuspinar ◽  
Jenna Smith-Turchyn
Keyword(s):  
Older Adults ◽  
Cognitive Function ◽  
Informal Caregivers ◽  
Adult Child ◽  
Spousal Caregivers ◽  
Care Recipient ◽  
Relationship Type ◽  
Lower Odds ◽  
Social Strain ◽  
Child Caregivers

Abstract Purpose The purpose of this study was to assess whether there was an association between care-recipient relationship type and the QoL of older adults and their informal caregivers, and whether this association pertained to older adults’ cognitive function. Methods This was a secondary data analysis. Older adults (n=1230) and their informal caregivers (n=1871) were identified from participants in the National Health and Aging Trends Study (NHATS) Round 5 and the National Study of Caregiving (NSOC) II. A series of bivariate and multivariable regression models examined the associations among the care-recipient relationship type and QoL in older adults and their informal caregivers, adjusted for socio-demographic variables as well as cognitive functioning. Results Both older adults and caregivers’ QoL outcomes varied by the type of relationship. Recipients cared for by adult-child caregivers or multiple caregivers experienced higher functional limitation than those cared by spousal caregivers (β=.79, CI [.39, 1.19]; β=.50, CI [.17, .82], respectively). “Other” caregivers, such as siblings, friends, etc., had lower odds of experiencing negative emotional burden than spousal caregivers (OR=.26, CI [.13, .52]; OR=.53, CI [.35, .81], respectively). "Other" caregivers were also 51% less likely to experience social strain than spousal caregivers. Lower odds of experiencing negative emotional burdens were also found with multiple caregivers. The association between adult-child caregivers and social strain was explained by the recipients’ cognitive function. Conclusions Care-recipient relationship type impacts the QoL in both recipients and their informal caregivers. This association appears to be affected by care recipients' cognitive function level.

scholarly journals Caregiving Between Spouse and Adult Child Caregivers of Older Adults with Cognitive Impairment

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 797-797
Author(s):  
Nicole Garcia ◽  
Anna Papazyan ◽  
Sarah Choi ◽  
Yeonsu Song
Keyword(s):  
Older Adults ◽  
Adult Children ◽  
Intervention Program ◽  
Sleep Problems ◽  
Adult Child ◽  
Care Recipients ◽  
Falling Asleep ◽  
Child Caregivers ◽  
Spouse Caregivers ◽  
Measure Of Dependence

Abstract Prior studies of caregiving characteristics by type of caregivers are inconsistent, particularly those who are spouses and adult children. This study examined caregiving characteristics between spouses and adult children of cognitively impaired older adults. We analyzed phone-screening data from an ongoing trial of a dyadic sleep intervention program for persons with dementia and their caregivers. Data included spouse caregivers (n=52) and adult child caregivers (n=24). Nearly all participants (95%) lived with their care recipients (91% with dementia). Types of caregiving activities were measured by activities of daily living [ADLs] and instrumental ADLs [IADLs] with their levels of intensity (0 [total independent] to 3 [total dependent]). Care recipients’ sleep was measured by the Neuropsychiatric Inventory-Nighttime Behavioral Subscale (8 items). Analyses included Pearson correlations and t-tests. Adult child caregivers helped their care recipients at significantly higher levels as indicated by their measure of dependence in dressing (1.46±1.22 vs. 0.87±1.16, p=0.044), continence (1.22±1.38 vs. 0.54±1.04, p=0.021), laundry (2.87±0.46 vs. 2.13±1.24, p=0.007), and transportation (3.00±0.00 vs. 2.63±0.79, respectively; p=0.031) than spouse caregivers. Adult child caregivers also reported their care recipients having more difficulty falling asleep (56% vs. 19%, respectively; p=0.004) and having more numbers of sleep problems than spouse caregivers (3.54±2.08 vs. 2.48±1.51, respectively; p=0.014). The findings suggest that adult child caregivers may involve higher levels of caregiving responsibilities during daytime and nighttime, compared to spouse caregivers. Further research needs to explore complimentary ways to involve spouse and adult child caregivers in the care of this vulnerable population.

Depressive symptoms among informal caregivers of older adults: insights from the Singapore Survey on Informal Caregiving

2012 ◽  
Vol 24 (8) ◽  
pp. 1335-1346 ◽  
Author(s):  
Chetna Malhotra ◽  
Rahul Malhotra ◽  
Truls Østbye ◽  
David Matchar ◽  
Angelique Chan
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Emotional Support ◽  
Adult Child ◽  
Self Esteem ◽  
Negative Reaction ◽  
Care Recipient ◽  
Domestic Worker ◽  
Caregiver Health ◽  
Child Caregivers

ABSTRACTBackground: This paper determines care recipient and caregiver characteristics and caregiving dimensions – associated with depression among caregivers of older adults, using path analysis and assesses whether the identified path model differs between spousal and adult child caregivers.Methods: Data from 1,190 dyads comprising care recipients (community-dwelling adults aged ≥75 years with at least one activity of daily living (ADL) limitation) and caregivers (family member/friend most involved in providing care/ensuring provision of care to care recipient), who were interviewed through the Singapore Survey on Informal Caregiving (2010–2011), were used. Using path analysis, we assessed the direct and indirect associations between primary stressors (care recipient's ADL and instrumental ADL status, and memory and behavior problems), caregiver health status, receipt of assistance from a foreign domestic worker/maid, amount of caregiving, negative reaction to caregiving, caregiver's self-esteem, perceived emotional support, and caregiver depressive symptoms.Results: Our analysis showed that primary stressors, receipt of assistance from a foreign domestic worker/maid, perceived emotional support, and caregiver health status were directly or indirectly associated with caregiver depressive symptoms, and this association was mediated by negative reaction to caregiving. Caregiver self-esteem mediated the relationship between perceived emotional support and negative reaction to caregiving only among adult child caregivers.Conclusions: The results provide insights into factors associated with depressive symptoms among spousal and adult child caregivers, and help identify targeted interventions for improving caregiver mood.

How to relieve stress in adult child caregivers of the older adults with disabilities: a survey study from the city of Nanjing, China

2019 ◽  
Vol 58 (3) ◽  
pp. 291-303 ◽  
Author(s):  
Suyan Shen ◽  
Zhe Chen ◽  
Mengying Xue ◽  
Fang Li ◽  
Ruixia Zhang
Keyword(s):  
Older Adults ◽  
Adult Child ◽  
Survey Study ◽  
Adults With Disabilities ◽  
Child Caregivers ◽  
The City

Korean Adult Child Caregivers of Older Adults with Dementia: Predictors of Burden and Satisfaction

2003 ◽  
Vol 29 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Gwi-Ryung Son ◽  
May L Wykle ◽  
Jaclene A Zausniewski
Keyword(s):  
Older Adults ◽  
Adult Child ◽  
Child Caregivers ◽  
Korean Adult

scholarly journals Intergenerational Relationships, Social Support, and Psychological Well-Being Among Korean Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 498-498
Author(s):  
Yooumi Lee ◽  
Janet Wilmoth
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Living Arrangements ◽  
Linear Models ◽  
Depression Scale ◽  
Adult Child ◽  
Intergenerational Relationships ◽  
Well Being ◽  
Psychological Well Being

Abstract This study investigates whether intergenerational relationships and social support improve the psychological well-being of Korean older adults. We examine whether intergenerational relationships and social support directly influence psychological well-being and the extent to which they mediate the distressing consequences of life events such as declining health and recent widowhood. Using longitudinal data from the 2006 to 2016 Korean Longitudinal Study of Aging, we explore depression trajectories among individuals who are 60 or older with at least one living adult child at baseline. Specifically, we converted data from 5,383 older adults into a person-period file with 24,726 observations over a ten-year period. Then we estimated linear growth curve models of depression trajectories separately for men and women using the Center for Epidemiologic Studies Depression Scale (CES-D). Results from the hierarchical linear models indicate that declining health and recent widowhood are positively related to depressive symptoms. Satisfactory intergenerational relationships and social support in the form of personal interactions and proximate living arrangements with adult children decrease depressive symptoms of older parents, especially among women. We conclude that the psychological benefits of intergenerational relationships and social support are contingent upon the vulnerability of older adults and discuss the implications for public policy.

Parental Bereavement in Older Age: A Scoping Review

2021 ◽  
pp. 105413732199581
Author(s):  
Patricia Moyle Wright
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Adult Child ◽  
Older Age ◽  
Parental Bereavement ◽  
Older Parents ◽  
Physical Decline ◽  
Scoping Reviews ◽  
Cultural Mores ◽  
Meta Analyses

A scoping review of parental bereavement in older age was conducted to identify the unique needs of older adults after the loss of an adult child. Inclusion and exclusion criteria were developed in accordance with the stated objectives of this review, which was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). In total, 26 research studies were included. The data were then analyzed using a systematic approach for organizing and synthesizing key data. The results indicated that some consequences and mediators of parental bereavement are similar regardless of age. But, older adults experience greater loneliness, isolation, and stigma than their younger counterparts. Older parents are also at greater risk for physical decline, mortality, and institutionalization following the death of an adult child. Religious and cultural mores also have influence on the bereavement process.

scholarly journals Grief and Personal Growth Experience of Spouses and Adult-Child Caregivers of Individuals With Alzheimer's Disease and Related Dementias

2007 ◽  
Vol 47 (6) ◽  
pp. 798-809 ◽  
Author(s):  
C. H. Ott ◽  
S. Sanders ◽  
S. T. Kelber
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Personal Growth ◽  
Adult Child ◽  
Child Caregivers

scholarly journals LIFE RESTORATION AND CARE PREPARATION AMONG OLDER PARENTS WHO LOST THEIR ONLY ADULT CHILD IN SHANGHAI

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S275-S275
Author(s):  
Lin Chen ◽  
Yajun Song ◽  
Yixin You
Keyword(s):  
Older Adults ◽  
Family Caregiving ◽  
Process Model ◽  
Adult Child ◽  
Work Practice ◽  
Social Work Practice ◽  
Government Support ◽  
Dual Process ◽  
Older Parents ◽  
Future Care

Abstract The combination of aging and losing an only adult child challenges an increasing number of older adults in China. Current literature primarily focuses on older parents’ bereavement but seldom examines how they restore their lives. Guided by the Dual Process Model, this study explores how older parents who lost their only adult child restore their lives and prepare for future care in Shanghai. Twenty-four older adults were purposively sampled and participated in face-to-face, in-depth interviews. The findings suggest that participants tried to restore their lives by rationalizing grief and expanding their social networks. Despite their losses, participants remained in favor of family caregiving and reluctantly prepared for future care. They showed ambivalent attitudes toward current government support while proposing their preferred services. This study informs social work practice to incorporate caregiving plan services and emotional support for this vulnerable group.

scholarly journals CORESIDENCE OF OLDER PARENTS AND ADULT CHILDREN BENEFITS OLDER ADULTS’ PSYCHOLOGICAL WELL-BEING: PATH ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S324-S324 ◽  
Author(s):  
Soohyoung r Lee
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Path Analysis ◽  
Adult Children ◽  
Adult Child ◽  
Well Being ◽  
Health Measurement ◽  
Living Situation ◽  
Psychological Well Being ◽  
Older Parents

Abstract Even though the coresidence of older parents and their adult children is no longer a rare phenomenon in current society, a little is known about the benefit of living with adult children from older adults’ perspectives compared to the risk of this living situation. Previous research suggests that older adults’ psychological well-being is low when they live with their adult children, and this become more salient among single parents, such as widowed or divorced. The current paper utilizes the National Health Measurement Study with a sample of age 55 and over, and their SF-36 Mental Health Component score, and psychological well-being self-acceptance score was measured. Path analysis reveals while mental health and psychological well-being scores are lower among single older adults at the time of the survey (e.g., divorced, widowed) than non-single, coresidence of older adults and adult children completely mediates the negative relationship between being single and both mental health psychological well-being. A complete mediation effect of living with an adult child on older adults’ mental health and psychological well-being is consistent with both white and non-white minority older adults. This suggests that living with adult child benefits older adults’ mental health and psychological well-being. The current study seeks to stimulate ideas that might generate the next answer to community-based care in our current aging society.

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