scholarly journals The Association Between Parents’ Physical Function and Adult Children’s Caregiving Burden

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 201-201
Author(s):  
Dexia Kong ◽  
XinQi Dong ◽  
Qun Le
Keyword(s):  
Time Dependence ◽  
Physical Function ◽  
Functional Limitations ◽  
Caregiving Burden ◽  
Older Parents ◽  
Five Dimensions ◽  
Social And Emotional ◽  
Physical Burden ◽  
Katz Index ◽  
Using Data

Abstract Using data from 544 older parents-adult children Chinese American dyads, this study aims to understand the association between older parents’ physical function and their adult children’s perceived caregiving burden. Parents’ physical function was assessed by the Katz Index of Activities of Daily Living (ADL) and the Lawton Instrumental ADL (IADL), with higher scores indicating more functional limitations. Adult children’s caregiving burden was assessed in five dimensions, including time dependence, developmental, physical, social, and emotion burden. Logistic regression was used to examine the association. More ADL limitations were associated with a higher likelihood of developmental burden (OR:1.14 (1.06-1.23)) and physical burden (OR:1.14 (1.06-1.23)) burden. More IADL limitations was associated with a higher likelihood of time dependence burden (OR:1.08 (1.03-1.12)), developmental burden (OR:1.06 (1.03-1.09)), and physical burden (OR:1.08 (1.04-1.12)). Parents’ physical function was not related to children’s social and emotional burdens. Practice and research implications will be discussed.

Providing instrumental support to older parents of multi-child families in China: are there different within-family patterns?

2021 ◽  
pp. 1-18
Author(s):  
Jia Chen ◽  
Xiaochen Zhou ◽  
Nan Lu
Keyword(s):  
Adult Children ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Multinomial Logistic Regression ◽  
Adult Child ◽  
Instrumental Support ◽  
Older Parents ◽  
Older Mothers ◽  
Family Patterns ◽  
Using Data

Abstract Older parents in China rely heavily on their adult children for instrumental assistance. In different multi-child families, multiple offspring may co-operate in providing instrumental support to older parents in distinct ways in terms of how much support they provide on average and how much differentiation exists between them when they provide such support within a family. We aimed to identify different within-family patterns in relation to multiple offspring's instrumental support to an older parent in Chinese multi-child families, and to investigate potential predictors for different within-family patterns. Using data from the China Family Panel Studies (2016), we had a working sample of 5,790 older adults aged 60+ (mean = 68.54, standard deviation = 6.60). We employed latent profile analysis (LPA) to classify within-family patterns and multinomial logistic regression to investigate predictors. Our findings identified three within-family patterns: dissociated (59.10%), highly differentiated (29.60%) and united-filial (11.30%). Older parents in the highly differentiated families tended to be older, mothers, divorced/widowed and to have poorer physical health compared to their counterparts in the dissociated families. In contrast, the composition characteristics of multiple adult children played more important roles in determining the united-filial within-family pattern. The united-filial families were more likely to have fewer adult children, at least one adult daughter and at least one co-residing adult child.

scholarly journals Adaptation and validation of the Caregiver Burden Inventory for use with caregivers of elderly individuals

2015 ◽  
Vol 23 (1) ◽  
pp. 130-138 ◽  
Author(s):  
Daiany Borghetti Valer ◽  
Marinês Aires ◽  
Fernanda Lais Fengler ◽  
Lisiane Manganelli Girardi Paskulin
Keyword(s):  
Older Adults ◽  
Correlation Coefficient ◽  
Caregiver Burden ◽  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Expert Committee ◽  
Five Dimensions ◽  
Social And Emotional ◽  
Back Translation ◽  
Student’S T

OBJECTIVE: to adapt and validate the Caregiver Burden Inventory for use with caregivers of older adults in Brazil.METHOD: methodological study involving initial translation, synthesis of translations, back translation, expert committee review, pre-testing, submission of the final version to the original authors, and assessment of the inventory's psychometric properties. The inventory assesses five dimensions of caregiver burden: time-dependence, developmental, physical, social and emotional dimensions.RESULTS: a total of 120 family caregivers took part in the study. All care-receivers were older adults dependent on assistance to perform activities of daily living, and lived in the central region of the city of Porto Alegre, RS, Brasil. Cronbach's alpha value for the inventory was 0.936, and the Pearson correlation coefficient for the relationship between the scores obtained on the Caregiver Burden Inventory and the Burden Interview was 0.814. The intraclass correlation coefficient was 0.941, and the value of Student's T-test comparing test and retest scores was 0.792.CONCLUSION: the instrument presented adequate reliability and the suitability of its items and factors was confirmed in this study.

scholarly journals “Boundary-Maintenance” or “Boundary-Crossing”? Name-Giving Practices among Immigrants in Germany

Names ◽  
2021 ◽  
Vol 69 (3) ◽  
pp. 28-40
Author(s):  
Jurgen Gerhards ◽  
Julia Tuppat
Keyword(s):  
Host Country ◽  
Home Country ◽  
Panel Study ◽  
Boundary Crossing ◽  
Social And Emotional ◽  
Cultural Proximity ◽  
Boundary Maintenance ◽  
Origin Group ◽  
Using Data ◽  
Symbolic Boundary

This study investigates why some immigrants choose names for their children that are common in their home country whereas others opt for names used by natives in the host country. Drawing on the sociological literature on symbolic boundaries, the first strategy can be described as boundary-maintenance whereas the second can be classified as boundary-crossing. Using data from the German Socio-Economic Panel Study and applying bivariate and multivariate methods, two broader explanations for name-giving practices are tested: (1) cultural proximity and the permeability of the symbolic boundary between home and host country; and (2) immigrants’ levels of linguistic, structural, social, and emotional integration in the host country. Overall, the theoretical model explains the differences very satisfactorily. Whilst both sets of factors proved relevant to immigrants’ name-giving practices, the immigrants’ level of integration in the host country was less important than the cultural proximity between the origin group and host country.

scholarly journals Refining a Taxonomy of Goals for Older Adults With Functional Limitations and Their Caregivers to Inform Care Planning

2020 ◽  
pp. 073346482094432
Author(s):  
Catherine A. Clair ◽  
Maureen Henry ◽  
Lee A. Jennings ◽  
David B. Reuben ◽  
Shana F. Sandberg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Daily Living ◽  
Functional Limitations ◽  
Complex Needs ◽  
Social And Emotional ◽  
Caregiver Needs ◽  
New Codes ◽  
Services And Supports

Purpose: The purpose of the study is to capture goals expressed by older adults with functional limitations and their caregivers. Methods: Through focus groups and interviews, 76 older adults with ≥1 activity of daily living limitation and 28 family/friend caregivers were asked about what mattered most to them and their goals for care. Transcripts were coded using an existing taxonomy. Goals that did not fit the taxonomy were assigned new codes. Results: We identified more than 50 goals in eight domains. Domains included (a) Medical Care; (b) Quality of Life: Physical; (c) Quality of Life: Social and Emotional; (d) Access to Services and Supports; (e) Caregiver Needs and Concerns; (f) End of Life; (g) Independence; and (h) Acceptable Housing. Conclusion: While there is overlap between identified goals and the existing taxonomy, new goals emerged. The goal domains identified could serve as a framework to improve and measure the quality of goal-oriented care for older adults with complex needs.

Activity Adherence and Physical Function in Older Adults with Functional Limitations

2007 ◽  
Vol 39 (11) ◽  
pp. 1997-2004 ◽  
Author(s):  
ROGER A. FIELDING ◽  
JEFFREY KATULA ◽  
MICHAEL E. MILLER ◽  
KARI ABBOTT-PILLOLA ◽  
ALEXANDER JORDAN ◽  
...  
Keyword(s):  
Older Adults ◽  
Physical Function ◽  
Functional Limitations

scholarly journals Multidimensional sleep health and subsequent health-care costs and utilization in older women

SLEEP ◽  
2019 ◽  
Vol 43 (2) ◽  
Author(s):  
Kristine E Ensrud ◽  
Allyson M Kats ◽  
John T Schousboe ◽  
Lisa Langsetmo ◽  
Tien N Vo ◽  
...  
Keyword(s):  
Health Care ◽  
Depressive Symptoms ◽  
Older Women ◽  
Health Care Costs ◽  
Functional Limitations ◽  
Community Dwelling ◽  
Medical Conditions ◽  
Sleep Health ◽  
Five Dimensions ◽  
Care Costs

Abstract Study Objectives Determine the association of poor multidimensional sleep health with health-care costs and utilization. Methods We linked 1,459 community-dwelling women (mean age 83.6 years) participating in the Study of Osteoporotic Fractures Year 16 visit (2002–2004) with their Medicare claims. Five dimensions of sleep health (satisfaction, daytime sleepiness, timing, latency, and duration) were assessed by self-report. The number of impaired dimensions was expressed as a score (range 0–5). Total direct health-care costs and utilization were ascertained during the subsequent 36 months. Results Mean (SD) total health-care costs/year (2017 dollars) increased in a graded manner across the sleep health score ranging from $10,745 ($15,795) among women with no impairment to up to $15,332 ($22,810) in women with impairment in three to five dimensions (p = 0.01). After adjustment for age, race, and enrollment site, women with impairment in three to five dimensions vs. no impairment had greater mean total costs (cost ratio [CR] 1.34 [95% CI = 1.13 to 1.60]) and appeared to be at higher risk of hospitalization (odds ratio (OR) 1.31 [95% CI = 0.96 to 1.81]). After further accounting for number of medical conditions, functional limitations, and depressive symptoms, impairment in three to five sleep health dimensions was not associated with total costs (CR 1.02 [95% CI = 0.86 to 1.22]) or hospitalization (OR 0.91 [95% CI = 0.65 to 1.28]). Poor multidimensional sleep health was not related to outpatient costs or risk of skilled nursing facility stay. Conclusions Older women with poor sleep health have higher subsequent total health-care costs largely attributable to their greater burden of medical conditions, functional limitations, and depressive symptoms.

On the Measurement of Creep by Nanoindentation with Continuous Stiffness Techniques

2004 ◽  
Vol 841 ◽  
Author(s):  
Andrei Rar ◽  
Sangjoon Sohn ◽  
Warren C. Oliver ◽  
David L. Goldsby ◽  
Terry E. Tullis ◽  
...  
Keyword(s):  
Time Dependence ◽  
Contact Area ◽  
Indentation Depth ◽  
Contact Stiffness ◽  
Point Of View ◽  
Hard Material ◽  
Thermal Drift ◽  
Material Creep ◽  
Creep Measurements ◽  
Using Data

ABSTRACTMeasurement of material creep parameters by means of nanoindentation using continuous stiffness techniques avoids the problems associated with thermal drift that often plague creep measurements based on the time dependence of the indentation depth alone [1, 2]. Problems with thermal drift are negligible from a practical point of view during continuous stiffness measurements because the contact stiffness can be measured over a short time period, typically less than one second, during which time the displacements due to thermal drift are minimal. Determination of the time dependence of the indentation depth from the stiffness data relies on the well-known relation between contact stiffness and the square root of the contact area. For pyramidal indenters, the true indentation contact depth must be proportional to the contact stiffness, leading to the assumption that indentation depth is also proportional to the contact stiffness. In this study, we critically examine this assumption using data obtained from experiments on a relatively soft material, epoxy, and a relatively hard material, fused quartz. The results show that just after initial load application, the change in contact area may be different than that expected from the change in indentation depth. One possible explanation for the observed behavior is examined by finite element modeling.

scholarly journals Inter-vivos giving by older people in the United States: who received financial gifts from the childless?

2009 ◽  
Vol 29 (8) ◽  
pp. 1207-1225 ◽  
Author(s):  
MICHAEL HURD
Keyword(s):  
United States ◽  
Older People ◽  
The United States ◽  
Financial Transfers ◽  
Older Parents ◽  
The Gift ◽  
Using Data ◽  
Sense Of Obligation ◽  
Retirement Study ◽  
Inter Vivos

ABSTRACTInter-vivos financial transfers from older parents to their adult children are widespread in the United States. Childless people may simply make fewer transfers. On the other hand, because their giving is away from children, their decisions are more complex in that there are multiple potential targets of approximately equal attractiveness. Using data for 1996 to 2004 from the United States Health and Retirement Study, this article examines the differences between parents and childless older people in financial transfers to people other than their children. The results show that, overall, parents tend to give less than the childless to other people. However, some variation is found depending on the nature and target of the gift. Having children does not affect giving to charities but does reduce the prevalence of giving to parents, but not nearly as much as the reduction in giving to family and friends. It can therefore be concluded, first that there is little substitution between personal and impersonal transfers; secondly, that the sense of obligation to parents is not reduced by giving to charities or to children; and thirdly, that having children reduces the need to satisfy the desire for family and social ties by means of links to family and friends.

Determinants of caregiving burden and quality of life of informal caregivers of African stroke survivors: literature review

2017 ◽  
Vol 16 (3) ◽  
Author(s):  
Umaru M. Badaru ◽  
Omoyemi O. Ogwumike ◽  
Ade F. Adeniyi ◽  
Ekechukwu E. Nelson
Keyword(s):  
Quality Of Life ◽  
Functional Status ◽  
Physical Function ◽  
Informal Caregivers ◽  
Stroke Survivors ◽  
Inclusion Criteria ◽  
Caregiving Burden ◽  
Provision Of Care ◽  
And Training

AbstractBackground:The involvement of informal caregivers (CGs) in the provision of care for stroke survivors always ensures the success of stroke rehabilitation.Aims:The aim of this review was to find the determinants of caregiving burden and quality of life (QOL) of CGs of African stroke survivors.Methods:The literature was searched in Google Scholar and PUBMED, AJOL and Cochrane Databases using selected search strategies without date restriction.Results:A total of eight African studies met the inclusion criteria. There were more female stroke CGs (55.6%) than their male counterparts. The determinants of CG QOL were duration and burden of caregiving, the CG’s age and functional status of the stroke survivors. The determinants of caregiving burden were functional status of stroke survivors and having intimate relationship with them.Conclusion:Impairment of physical function in African stroke survivors was the consistent determinant of increased caregiving burden and deterioration of CG QOL. CG education and training is needed in order to enhance their ability to cope effectively with the burden of providing care to stroke survivors who have impairment of physical function and this may help to improve CG QOL.

Linking Leader Skills, Follower Attitudes, and Contextual Variables via an Integrated Model of Charismatic Leadership

2005 ◽  
Vol 31 (2) ◽  
pp. 255-277 ◽  
Author(s):  
Kevin S. Groves
Keyword(s):  
Organizational Change ◽  
Leadership Effectiveness ◽  
Charismatic Leadership ◽  
Future Research ◽  
Emotional Expressivity ◽  
Leadership Model ◽  
Social And Emotional ◽  
Social And Emotional Skills ◽  
Using Data ◽  
The Relationship

A charismatic leadership model consisting of leader social and emotional skills, follower openness to organizational change, and organizational-change magnitude was tested using data from 108 leaders and 325 direct followers in 64 organizations. Leader social control and emotional expressivity skills predicted charismatic leadership whereas follower openness to change mediated the relationship between charismatic leadership and leadership effectiveness. Surprisingly, organizational-change magnitude did not moderate the relationship between charismatic leadership and leadership effectiveness. Implications for leadership theory, practice, and future research are discussed.

Sign in / Sign up

Export Citation Format

Share Document