scholarly journals COVID-19 Silver Linings - Experience of Spousal Caregivers of Persons with Dementia Engaged in Support Program

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1037-1038
Author(s):  
Andrew Nguyen ◽  
Elizabeth Stevenson ◽  
Mary Mittelman ◽  
Roscoe Nicholson ◽  
Tiffany Donley ◽  
...  

Abstract Caring for a person with dementia (PWD) has been consistently associated with negative effects on health, including increases in caregiver depression, anxiety, and burden. Emerging studies have shown that the COVID-19 pandemic has increased these factors due to reported increases in caregiver workload and cognitive and behavioral symptoms of the PWD. We interviewed 10 spousal caregivers of PWD from the NYU Langone Alzheimer’s Disease and Related Dementias Family Support Program in Summer 2020 during the COVID-19 pandemic in order to gain feedback about their experiences during the pandemic and the transition from in-person to videoconferencing that could be used to improve services and support. Caregivers discussed the challenges faced during the pandemic but also the unique opportunities the situation presented. We report here on those positive aspects of COVID-19 from the perspective of the caregivers we interviewed. Methods Interviews of caregivers residing with their spouses in the New York City area were conducted via videoconferencing, transcribed, deidentified, and analyzed using framework analysis methods. Results We found that caregivers reported some positive reaction to videoconferencing that included increased support group cohesion, increased convenience, feeling less obligated to participate in events, and new opportunities for social contact. Participants also discussed positive inter-couple relationship changes such as increased quality time spent together. Our findings resonate with a body of literature focused on understanding the positive aspects of caregiving. Understanding the full presentation of the caregiver experience, including both positive and negative aspects, is important for developing interventions and resources for this unique group.

2016 ◽  
Vol 53 (5) ◽  
pp. 868-897
Author(s):  
Kristin L. Perkins ◽  
Michael J. Lear ◽  
Elyzabeth Gaumer

Recent research suggests that foreclosures have negative effects on homeowners and neighborhoods. We examine the association between concentrated foreclosure activity and the risk of a property with a foreclosure filing being scheduled for foreclosure auction in New York City. Controlling for individual property and sociodemographic characteristics of the neighborhood, being located in a tract with a high number of auctions following the subject property’s own foreclosure filing is associated with a significantly higher probability of scheduled foreclosure auction for the subject property. Concentration of foreclosure filings prior to the subject property’s own foreclosure filing is associated with a lower probability of scheduled foreclosure auction. Concentrated foreclosure auctions in the tract prior to a subject property’s own filing is not significantly associated with the probability of scheduled foreclosure auction. The implications for geographic targeting of foreclosure policy interventions are discussed.


Author(s):  
Samantha M. Riedy ◽  
Desta Fekedulegn ◽  
Bryan Vila ◽  
Michael Andrew ◽  
John M. Violanti

PurposeTo characterize changes in work hours across a career in law enforcement.Design/methodology/approachN = 113 police officers enrolled in the BCOPS cohort were studied. The police officers started their careers in law enforcement between 1994 and 2001 at a mid-sized, unionized police department in northwestern New York and continued to work at this police department for at least 15 years. Day-by-day work history records were obtained from the payroll department. Work hours, leave hours and other pay types were summarized for each calendar year across their first 15 years of employment. Linear mixed-effects models with a random intercept over subject were used to determine if there were significant changes in pay types over time.FindingsA total of 1,617 individual-years of data were analyzed. As the police officers gained seniority at the department, they worked fewer hours and fewer night shifts. Total paid hours did not significantly change due to seniority-based increases in vacation time. Night shift work was increasingly in the form of overtime as officers gained seniority. Overtime was more prevalent at the beginning of a career and after a promotion from police officer to detective.Originality/valueShiftwork and long work hours have negative effects on sleep and increase the likelihood of on-duty fatigue and performance impairment. The results suggest that there are different points within a career in law enforcement where issues surrounding shiftwork and long work hours may be more prevalent. This has important implications for predicting fatigue, developing effective countermeasures and measuring fatigue-related costs.


2020 ◽  
Vol 56 (7) ◽  
pp. 1391-1405
Author(s):  
Morgan Haselden ◽  
Bartholt Bloomfield-Clagett ◽  
Suzanne Robinson ◽  
Teri Brister ◽  
Samantha E. Jankowski ◽  
...  

Dementia ◽  
2016 ◽  
Vol 16 (1) ◽  
pp. 9-28 ◽  
Author(s):  
Michelle DiLauro ◽  
Amanda Pereira ◽  
Jennifer Carr ◽  
Mary Chiu ◽  
Virginia Wesson

Spousal caregivers of persons with dementia often have difficulty engaging persons with dementia in leisure activities. This qualitative descriptive study identifies how caregivers perceive their spouses’ participation in leisure activities since dementia onset and the professional guidance caregivers require to increase persons with dementia participation in shared leisure activities. Nine spousal caregivers from a hospital-based caregiver intervention attended one of three focus groups. Using symbolic interactionism and selective optimization with compensation theory as guiding frameworks, thematic content analysis was performed. Three major themes were identified: Recognizing and acknowledging changes, Making sense of changes and conflicts, and Embracing changes and forging ahead. Findings can be used by healthcare providers to better understand caregivers’ needs for engaging persons with dementia in shared leisure activities, and inform development of feedback protocols to enhance caregiver interventions.


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