scholarly journals The Impact of an Educational Support Program on Formal Caregivers of Elderly People with Dementia in the Institutional Context

2019 ◽  
Vol 14 ◽  
pp. 3398-3407
Author(s):  
Alexandra Miranda ◽  
Maria Isabel Dias ◽  
Alexandra Cristina Lopes Gunes

With the aging of the population and the increase of social services tackling their needs, it has been increasing the concern about the qualifications of formal caregivers, with the aim of continuous improvement of the quality of the services they provide to the elderly. The goal of this study is to evaluate the impact of an educational support program on formal caregivers of elderly people with dementia in an institutional context. It follows a quasi-experimental design where the 97 formal caregivers that have participated in the study came from two different institutions. They were randomly selected to participate in an educational support program on dementia, with two groups formed: a control group and an experimental group. Pre and post-training tests were used to evaluate knowledge and perceptions about dementia in old age. Findings suggest that the impact of the educational support program has improved knowledge and perceptions about dementia in old age among formal caregivers.

2021 ◽  
Vol 14 ◽  
Author(s):  
Yadollah Abolfathi Momtaz ◽  
Parisa Mollaei ◽  
Parisa Taheri-Tanjani

Introduction: One of the consequences of aging is the prevalence of chronic and age-related diseases, such as dementia. Caring for patients with dementia has a negative impact on the caregiver's well-being. This study aimed to examine the impact of cyberspace-based education on the well-being of caregivers of demented elderly people. Methods: This experimental study was done on a sample of 86 caregivers of elderly with dementia in 2018. The study sample was selected from memory clinic of Taleghani Hospital and randomly assigned into groups (intervention n = 43, control n = 43 groups). The well-being was measured using the World Health Organization - Five Well-Being Index (WHO-5), before and two months after the intervention. Cyberspace-based educational intervention was conducted for one month. The SPSS software version 23 was employed in data analysis. Results: The mean age of the caregivers in the intervention and control groups were (M = 51.95, SD = 10.90) and (M = 51.36, SD = 15.12) respectively. No significant difference was found between two groups in terms of age, gender and level of education. The results of analysis showed that while the well-being of the intervention group was significantly increased (t (38) = -11.38, P<0.001) the well-being in the control group was significantly reduced ( t(36) =4.71 , P<0.001). Conclusion: The findings showed that cyberspace-based education can improve the well-being of caregivers of the elderly with dementia.


2019 ◽  
Vol 17 (2) ◽  
pp. 58-61
Author(s):  
Merina Shrestha ◽  
Ram Chandra Chaudhary

Background: Various aspects of socio-demographic conditions effect individual’s life at the time of an old age which ultimately make their life vulnerable and dependent on other people. Old age home is one of the important place for those elderly people whose spouse are not alive, have nuclear family background and no one at home to take care of them.  Aims and objectives: To study socio-demographic profile, disease morbidity and factors effecting elderly people to live in an old age homes. Material and method: A community based cross sectional qualitative study was conducted among geriatric age group 65 and above, without any physical and mental severity, and living in old age homes in community field area of department of community medicine of Nepalganj medical college from 14th April2019 to 16th September 2019.The total sample size was 84. Results: Majority of female occupants (63.1%) belonged to age group 65 to 75 years old. Half of them were illiterate and their spouses were not alive (71.4%). Family member’s migration (63.1%) and nuclear family (67.9%) were the contributory factors for living in old age homes. Conclusion: The result of the study showed that there is need of geriatric social services and health facilities for making elderly people financially and emotionally strong.


2021 ◽  
Author(s):  
Yoko Nanaumi ◽  
Atsushi Yoshitani ◽  
Mitsuko Onda

Abstract Background: Traditionally, the role of pharmacists has been to manage and monitor pharmacotherapy for patients with dementia. However, additional intervention by community pharmacists to collect and share patient information with other professionals may help reduce the care burden among caregivers. This study examined the impact of interventions by a community pharmacist, based on active information gathering from other professionals for people with dementia, on the caregivers’ burden of care.Methods: This was a randomised, open-label, parallel-group feasibility study, involving eight Nara City pharmaceutical association member pharmacies that provided consent to participate. These pharmacies were assigned to an intervention group or control group at a 1:1 ratio. The subjects were patients with dementia and their primary caregivers that visited the participating pharmacies and provided consent to participate. Pharmacists in the intervention group actively collected information from the patients’ family physicians and care managers and intervened to address medication-related problems, while those in the control group only performed their normal duties. The primary endpoint was a change in the caregiver’s score on the Japanese version of Zarit Caregiver Burden Interview (J-ZBI) from the baseline to after 5 months of follow-up. The changes in mean J-ZBI scores from the beginning to the end of the study period of the two groups were compared using Welch's t-test, and effect sizes were calculated. The level of significance was set at 5%.Results: Totally, nine patients and nine caregivers in the intervention group, and nine patients and eight caregivers in the control group completed the study. The changes in J-ZBI scores could be calculated for seven cases in the intervention group and five cases in the control group. The J-ZBI scores were found to decrease by 1.0 in the intervention group and increase by 3.0 in the control group (p = 0.075, effect size = 1.414).Conclusions: Although the differences in J-ZBI scores were not statistically significant between the two groups, owing to the small sample sizes, the effect sizes suggest that community pharmacist interventions for people with dementia may reduce the care burden for caregivers.Trial registration: Registration: UMIN000039949 (registration date: 4.1.2020, retrospectively registered)


2021 ◽  
Vol 74 (2) ◽  
pp. 142-148
Author(s):  
K.Е. Tauenov ◽  

The article is devoted to studying the issue of social services in nursing homes as a factor of successful adaptation of elderly people in new conditions. The main legal acts in the field of protection of the rights of the elderly and disabled people are considered today. The subject of the research is the living conditions of elderly people living in nursing homes, and the impact of social services provided to them on their socio-economic and psychological adaptation. In order to improve the quality of social services in the future, to facilitate the social adaptation of the elderly, to develop proposals to Supplement the legislation on social protection of the elderly in General. Thereby increasing the ability of older people to adapt to social homes.


1996 ◽  
Vol 16 (3) ◽  
pp. 287-314 ◽  
Author(s):  
Joan Langan ◽  
Robin Means

ABSTRACTThis article explores a range of issues relating to financial management and elderly people with dementia. The law relating to personal finances for those who lack capacity is outlined and discussed with a stress upon its complexity and the key gaps in present coverage. The article goes on to outline findings from research on these issues carried out within a social services authority in the north of England. Professionals were found to have a wide range of anxieties relating to what they felt was the financial abuse of their elderly clients with dementia, as well as more general concern about how best to deal with financial issues for this group on a day to day basis. The financial abuse of elderly people does occur, but the article concludes by arguing that the issues raised by the research are wider for three main reasons. First, relatives and professionals are often ignorant or confused by the options available to them rather than being intent on defrauding elderly people. Second, the desire to hand down and to receive money from the one generation to the next is a powerful force in society and elderly people with dementia may wish their children rather than the state to have their money. And third, fee assessment and collection for this group raise real practical challenges to social services.


2012 ◽  
Vol 24 (12) ◽  
pp. 1927-1942 ◽  
Author(s):  
Jacki Liddle ◽  
Erin R. Smith-Conway ◽  
Rosemary Baker ◽  
Anthony J. Angwin ◽  
Cindy Gallois ◽  
...  

ABSTRACTBackground: People with dementia have a range of needs that are met by informal caregivers. A DVD-based training program was developed using research-based strategies for memory and communication in dementia. The effectiveness of the training on the caregiver experience and the well-being of the person with dementia was evaluated.Methods: A pre-test/post-test controlled trial was undertaken with caregiver–care-recipient dyads living in the community. Measures of the carers’ knowledge of memory and communication strategies, burden, positive perceptions of caregiving, and perceptions of problem behaviors were taken pre- and three months post-intervention. The depression and well-being of the person with dementia were also evaluated. Satisfaction with the training and feedback were measured.Results: Twenty-nine dyads (13 training group, 16 control group) participated. Bonferroni's correction was made to adjust for multiple comparisons, setting α at 0.00385. A significant improvement was found in caregivers’ knowledge for the training group compared to the control group (p = 0.0011). The training group caregivers reported a reduction in the frequency of care recipient disruptive behaviors (p = 0.028) and increased perceptions of positive aspects of caregiving (p = 0.039), both at a level approaching significance. The training group care recipients had increased frequency of verbally communicated depressive behaviors at a level approaching significance (p = 0.0126). The frequency of observed depressive behaviors was not significantly different between groups.Conclusions: This approach to training for caregivers of people with dementia appears promising for its impact on knowledge and the caregiving experience. Further research could monitor the impact of the training on broader measures of depression and well-being, with a larger sample.


Dementia ◽  
2021 ◽  
pp. 147130122110539
Author(s):  
Patricia Masterson-Algar ◽  
Maria Cheshire Allen ◽  
Martin Hyde ◽  
Norah Keating ◽  
Gill Windle

This article reports on findings of a scoping review aimed to map the published literature concerning the impact of Covid-19 on the care and quality of life of people living with dementia and their carers. Twenty-nine articles were included in the review. Three overarching themes were identified: (1) Impact on people with dementia – unmet and increased care needs; (2) Impact on carers – increased stress and burden and (3) Impact according to demographics. Overall, findings show that Covid-19 has led to a reduction in support from health and social services and to a move towards technology-based support. Furthermore, Covid-19 has had a negative impact on the care and quality of life of people living with dementia and their carers, and that this impact was influenced by the severity of dementia.


2020 ◽  
Vol 2 ◽  
pp. 1-8
Author(s):  
Gopal Prasad Sedhai

This study focuses on the response of elderly people on the old age allowance and its impact on socio-economic issues. The allowance is the cash provided by the government of Nepal as a social security allowance to the people of age 70 years and above. Both qualitative and quantitative data has been used in this study from complete enumeration. The information was collected from three municipalities: Sundar Bazar Municipality, Maddhye Nepal Municipality, and Rainas Municipality of Lamjung District. A face-to-face interview method was applied to collect information regarding social and economic aspects from all 51 elderlies of Kumal respondents who received allowance. Chi-square test was applied to find out the factors associated with satisfaction of elderly people. Most of the respondents felt that the allowance is negligible and administrative difficulties like error in date of birth in citizenship, delay in receiving, inaccessibility to bank due to ageing, etc. in receiving the allowance. People who were satisfied with this allowance reported that it was a privilege from the government and they can use this money on their own. This finding is based on a single ethnic group of small area and cannot be generalized to whole population but explored some idea how the allowance is perceived in Nepal. The allowance establishes the right of older people and essential for poor people to fulfil their daily needs. The government should take some initiatives for better management of the allowance with other processes rather than cash distribution and take more initiation for very poor older people who have no other income sources.


2018 ◽  
Vol 3 (1) ◽  
pp. 19-39 ◽  
Author(s):  
Yaşar Tonta

Abstract Purpose One of the main indicators of scientific production is the number of papers published in scholarly journals. Turkey ranks 18th place in the world based on the number of scholarly publications. The objective of this paper is to find out if the monetary support program initiated in 1993 by the Turkish Scientific and Technological Research Council (TÜBİTAK) to incentivize researchers and increase the number, impact, and quality of international publications has been effective in doing so. Design/methodology/approach We analyzed some 390,000 publications with Turkish affiliations listed in the Web of Science (WoS) database between 1976 and 2015 along with about 157,000 supported ones between 1997 and 2015. We used the interrupted time series (ITS) analysis technique (also known as “quasi-experimental time series analysis” or “intervention analysis”) to test if TÜBİTAK’s support program helped increase the number of publications. We defined ARIMA (1,1,0) model for ITS data and observed the impact of TÜBİTAK’s support program in 1994, 1997, and 2003 (after one, four and 10 years of its start, respectively). The majority of publications (93%) were full papers (articles), which were used as the experimental group while other types of contributions functioned as the control group. We also carried out a multiple regression analysis. Findings TÜBİTAK’s support program has had negligible effect on the increase of the number of papers with Turkish affiliations. Yet, the number of other types of contributions continued to increase even though they were not well supported, suggesting that TÜBİTAK’s support program is probably not the main factor causing the increase in the number of papers with Turkish affiliations. Research limitations Interrupted time series analysis shows if the “intervention” has had any significant effect on the dependent variable but it does not explain what caused the increase in the number of papers if it was not the intervention. Moreover, except the “intervention”, other “event(s)” that might affect the time series data (e.g., increase in the number of research personnel over the years) should not occur during the period of analysis, a prerequisite that is beyond the control of the researcher. Practical implications TÜBİTAK’s “cash-for-publication” program did not seem to have direct impact on the increase of the number of papers published by Turkish authors, suggesting that small amounts of payments are not much of an incentive for authors to publish more. It might perhaps be a better strategy to concentrate limited resources on a few high impact projects rather than to disperse them to thousands of authors as “micropayments.” Originality/value Based on 25 years’ worth of payments data, this is perhaps one of the first large-scale studies showing that “cash-for-publication” policies or “piece rates” paid to researchers tend to have little or no effect on the increase of researchers’ productivity. The main finding of this paper has some implications for countries wherein publication subsidies are used as an incentive to increase the number and quality of papers published in international journals. They should be prepared to consider reviewing their existing support programs (based usually on bibliometric measures such as journal impact factors) and revising their reward policies.


1997 ◽  
Vol 7 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Anthea Tinker

Despite the growing recognition of the importance of housing for the health and well-being of elderly people there has been less research on the topic than on health or personal social services. Moreover, until recently, what research there was tended to concentrate on specialized, rather than mainstream, forms of housing. This review looks at research on the meaning of home; the kind of housing elderly people live in; tenure; specialized and nonspecialized housing; some issues to do with an assessment of needs; and at links between services. The very important related topic of moving in old age is not covered because this was the focus of a recent review in this journal. However, it is relevant to note that research shows that many people move into specialized housing against their will and wish that they could have remained at home. This review also excludes consideration of other related topics such as household composition, affordability, the contribution of technology such as alarms and ‘smart’ houses, and problems of specific groups, such as those who are homeless.


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