scholarly journals Time to move? Factors associated with burden of care among informal caregivers of cognitively impaired older people facing housing decisions: secondary analysis of a cluster randomized trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Alexandrine Boucher ◽  
Julie Haesebaert ◽  
Adriana Freitas ◽  
Rhéda Adekpedjou ◽  
Marjolaine Landry ◽  
...  
Keyword(s):  
Social Support ◽  
Secondary Analysis ◽  
Cluster Randomized Trial ◽  
Cognitively Impaired ◽  
Burden Of Care ◽  
Older Person ◽  
Factors Associated ◽  
Support Resources ◽  
Cluster Randomized ◽  
Social Support Resources

Abstract Background Making health-related decisions about loved ones with cognitive impairment may contribute to caregiver burden of care. We sought to explore factors associated with burden of care among informal caregivers who had made housing decisions on behalf of a cognitively impaired older person. Methods We conducted a secondary analysis within a cluster randomized trial (cRT) conducted in 16 publicly-funded home care service points across the Province of Quebec. The cRT assessed the impact of training home care teams in interprofessional shared decision making (IP-SDM). We assessed burden of care with the Zarit Burden Interview (ZBI) scale. We adapted Pallett’s framework to inform our data analysis. This framework posits that factors influencing burden of care among caregivers fall within four domains: (a) characteristics of the caregiver, (b) characteristics of the cognitively impaired older person, (c) characteristics of the relationship between the caregiver and the cognitively impaired older person, and (d) the caregiver’s perception of their social support resources. We computed the ZBI score and performed multilevel linear regression modelling. Results Among 296 caregivers included in the dataset, the mean ZBI score was 29.8 (SD = 17.5) out of 88. The typical participant was 62.6 years old (SD = 11.7), female (74.7%), and caring for a mother or father (61.2%). Using multivariate analysis, factors significantly associated with caregiver burden mapped onto: caregiver characteristics (caregivers with higher burden were female, experienced higher decision regret and decisional conflict, preferred that their loved one move into the caregiver’s home, into a private nursing home or a mixed private-public nursing home, and had made the decision more recently); relationship characteristics (spouses and children experienced higher burden); and caregiver’s perception of social support resources (caregivers who perceived that a joint decision making process had occurred had higher burden). Conclusion In line with the proposed framework used, we found that caregiver characteristics, relationship characteristics and caregiver’s perception of social support resources were associated with burden of care. Our results will help design interventions to prevent and/or reduce caregivers’ burden of care. Trial registration NCT02244359. Date of registration: September 18, 2014.

scholarly journals Gaps in social support resources in later life: An adaptational challenge in need of further research

2009 ◽  
Vol 26 (1) ◽  
pp. 103-112 ◽  
Author(s):  
Karen S. Rook
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Later Life ◽  
Future Research ◽  
Support Needs ◽  
Adaptive Responses ◽  
Theoretical Perspectives ◽  
Support Resources ◽  
Further Development ◽  
Social Support Resources

Gaps in social support resources in later life may arise when older adults lose social network members due to illness, death, or residential relocation. Gaps also may arise when social networks remain intact but are not well suited to meet older adults' intensifying support needs, such as needs for extended or highly personal instrumental support. Significant gaps in support resources are likely to require adaptive responses by older adults. This discussion highlights theoretical perspectives and illustrates empirical findings regarding the nature and effectiveness of older adults' responses to gaps in their social support resources. The literature examining these issues is relatively small and, as a result, is ripe for further development. Promising directions for future research are suggested.

scholarly journals Does #Tamojunto alter the dynamic between drug use and school violence among youth? Secondary analysis from a large cluster-randomized trial

2021 ◽  
Author(s):  
Hugo Cogo-Moreira ◽  
Julia D. Gusmões ◽  
Juliana Y. Valente ◽  
Michael Eid ◽  
Zila M. Sanchez
Keyword(s):  
Drug Use ◽  
School Violence ◽  
Causal Effect ◽  
Controlled Trial ◽  
Secondary Analysis ◽  
Cluster Randomized Trial ◽  
Random Intercept ◽  
Carry Over ◽  
Cluster Randomized ◽  
Use Behavior

AbstractThe present study investigated how intervention might alter the relationship between perpetrating violence and later drug use. A cluster-randomized controlled trial design involving 72 schools (38 intervention, 34 control) and 6390 students attending grades 7 and 8 was employed in Brazil. Drug use and violence were assessed at three points. A random-intercept cross-lagged panel model examined the reciprocal association between drug use and school violence domains across the three data collection waves. For both groups, we found that the cross-lagged effect of perpetration on further drug use in adolescents was stronger than the reverse, but the interrelationship was not statistically significant between #Tamojunto and control schools. The carry-over effects of drug use and violence were also not significantly different between groups. There is a lack of evidence showing that #Tamojunto can modify the dynamics between drug use and school violence across the 21-month period. The direction of the causal effect (i.e., the more perpetration behavior, the more subsequent drug use behavior) is present, but weak in both groups. The trial registration protocol at the national Brazilian Register of Clinical Trials (REBEC) is #RBR-4mnv5g.

scholarly journals “If I’m Here, It’s Because I Do Not Have Anyone”: Social Support for the Biological Family during the Foster Care Process

2020 ◽  
Vol 9 (3) ◽  
pp. 31 ◽  
Author(s):  
Eduard Vaquero ◽  
M. Àngels Balsells ◽  
Carmen Ponce ◽  
Aida Urrea ◽  
Alicia Navajas
Keyword(s):  
Social Support ◽  
Foster Care ◽  
Child Protection ◽  
Care Process ◽  
Protection Measure ◽  
Child Protection Services ◽  
Children In Foster Care ◽  
Care Processes ◽  
Support Resources ◽  
Social Support Resources

Social support is a crucial element for families in vulnerable situations, especially for those with children in foster care processes. This support is key to the acceptance of the protection measure in the initial moments and to laying the foundations for collaboration towards reunification. However, the social support of these families is limited, and families’ use of support elements is strongly related to their attitude towards them. The aims of this article were to identify the types and characteristics of social support and to analyze what elements influence families’ attitudes towards these supports. The qualitative study research was carried out in Spain through focus groups and interviews with 135 participants: 63 professionals from child protection services, 42 parents, and 30 children and adolescents who had been in foster care measures. Results show the diversity of social support resources available to families and demonstrate that families make unequal use of such resources depending on factors such as their experiences in the process of formalization and communication of the protection measure or their predisposition to receive support, among others. The important role played by social support resources in the promotion of factors that allow for successful reception and reunification is highlighted.

scholarly journals Vital sign monitoring following stroke associated with 90-day independence: A secondary analysis of the QASC cluster randomized trial

2019 ◽  
Vol 89 ◽  
pp. 72-79
Author(s):  
Sandy Middleton ◽  
Patrick McElduff ◽  
Peta Drury ◽  
Catherine D’Este ◽  
Dominique A. Cadilhac ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Vital Sign ◽  
Secondary Analysis ◽  
Cluster Randomized Trial ◽  
Cluster Randomized

Unit Cohesion and Social Support as Protective Factors Against Suicide Risk and Depression Among National Guard Service Members

2020 ◽  
Vol 39 (3) ◽  
pp. 214-228
Author(s):  
Kelsi F. Rugo ◽  
Feea R. Leifker ◽  
Malisa M. Drake-Brooks ◽  
Michael B. Snell ◽  
Craig J. Bryan ◽  
...  
Keyword(s):  
Social Support ◽  
Suicide Risk ◽  
Suicide Ideation ◽  
National Guard ◽  
Service Members ◽  
Unit Level ◽  
Support Resources ◽  
The Individual ◽  
Unit Cohesion ◽  
Social Support Resources

Introduction: Suicide and depression continue to be pervasive problems across military populations, including within the National Guard. Existing literature highlights the protective effects of social support and unit cohesion for both suicide risk and depression, yet to our knowledge, these associations have never been confirmed in National Guard populations. Thus, the aim of this study was to investigate the impacts of social support resources (i.e., general social support and unit cohesion) on depression and suicide risk among a large sample (n = 877) of National Guard service members. Methods: Multilevel modeling was used to examine the impact of social support resources on depression and suicide ideation at both the individual and unit level. Results: Results indicated that higher levels of perceived social support were associated with lower levels of depression and suicide ideation at both the individual and unit levels. Additionally, higher levels of perceived unit cohesion significantly predicted lower levels of depression and suicide ideation at the individual, but not unit level. Discussion: Limitations include self-report measurement and cross-sectional nature of the data. These findings hold implications for improvement of operational climate within military units and reduction of suicide risk and depressive symptoms among National Guard service members.

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