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Self-efficacy and social support for psychological well-being of family caregivers of care recipients with dementia with Lewy bodies, Parkinson’s disease dementia, or Alzheimer’s disease
- Authors:
- PARK Juyoung, et al
- Journal article citation:
- Social Work in Mental Health, 17(3), 2019, pp.253-278.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The study identified factors associated with depressive symptoms in family caregivers of persons with dementia with Lewy bodies, Alzheimer’s disease, or Parkinson’s disease dementia. An Internet-based survey generated 606 response sets. Regression analysis indicated that care recipients’ memory and behavioural problems, caregivers’ self-efficacy, grief, and tangible, emotional, and affectionate support were significantly associated with caregivers’ depressive symptoms. Self-efficacy mediated caregiver burden to improve psychological well-being. Social support mediated the association between caregiver grief and psychological well-being. Social workers can provide psychoeducational interventions to help caregivers to manage emotional distress and improve capacity to manage tasks related to the dementia. (Edited publisher abstract)
Nonpharmacological pain management by ethnically diverse older adults with chronic pain: barriers and facilitators
- Authors:
- PARK Juyoung, at al
- Journal article citation:
- Journal of Gerontological Social Work, 56(6), 2013, pp.487-508.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
As key players in multidisciplinary health care systems, geriatric social workers must understand the dynamics of pain management among older adults with chronic pain. This study identified perceived barriers to, and facilitators for, utilizing nonpharmacological pain management through face-to-face interviews with 44 ethnically diverse community-dwelling older adults. Constant comparative analysis identified barriers not recognized in prior studies: (a) embarrassment/self-consciousness, (b) unavailability of certain treatments, and (c) lack of faith in effectiveness of nonpharmacological treatments. Most frequently reported facilitators were (a) social support, (b) positive attitude, and (c) available resources. Social workers can provide counseling to motivate older adults to exercise to manage chronic pain and refer them to exercise programs tailored for older adults. To resolve the most frequently reported barrier—transportation—social workers can link older adults with transportation services offered by senior centers or other nonprofit agencies.
Factors associated with 30-day hospital readmissions among participants in a care transition quality improvement program
- Authors:
- PARK Juyoung, et al
- Journal article citation:
- Journal of the Society for Social Work and Research, 3(4), 2012, Online only
- Publisher:
- Society for Social Work and Research
Discharge from hospital to home is a vulnerable period for older adults who have multiple care needs. The Safe Transitions for Elderly People (STEP) program is a care transition program for Medicare fee-for-service patients in the United States 75 years and older discharged to home from a community hospital. This quality improvement project (a) compares 30-day hospital readmission rates between 498 STEP participants and 722 patients eligible for STEP but not participating in the program, and (b) determines factors associated with readmissions during STEP. The STEP participants received intervention in 1 of 2 formats: 395 received a telephone-only intervention and 103 received a telephone plus home visit intervention. STEP participants had a lower 30-day hospital readmission rate than nonparticipants. Two variables were significant predictors of readmissions: for the group of all STEP participants and the telephone-only intervention group, the (a) hospitalization within the previous year predicted readmission; for the telephone plus home visit group, the (b) degree of assistance needed with ambulation predicted readmission. Given the multifactor nature of readmissions, interdisciplinary teams should develop tailored interventions based on individual’s psychosocial and medical assessments. (Edited publisher abstract)
Intimate partner violence in the Evangelical community: faith-based interventions and implications for practice
- Authors:
- RINGEL Shoshana, PARK Juyoung
- Journal article citation:
- Journal of Religion and Spirituality in Social Work, 27(4), 2008, pp.341-360.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this study was to examine Evangelical religious and cultural values relevant to intimate partner violence and to help social workers and mental health professionals improve their cultural competency with this population. The study also investigated faith-based interventions among clinicians working with Evangelical clients. Interviews were held with 6 Evangelical pastors and 11 clinicians who practiced with Evangelical clients and who utilised faith-based interventions. Two main themes were identified: religious values and social attitudes as supports and barriers to seeking help; and staying within tradition but using a variety of clinical interventions. The study suggests that religious beliefs and social values have a considerable impact on intimate partner violence in Evangelical communities, both supportive and adverse. Aversion for violence, concern for other community members, and support for healthy marriages were reported as positive community values. However, certain interpretations of submission and forgiveness were reported to negatively affect women’s help-seeking behaviours and community support for survivors.
A review of observational pain scales in nonverbal elderly with cognitive impairments
- Authors:
- PARK Juyoung, CASTELLANOS-BROWN Karen, BELCHER John
- Journal article citation:
- Research on Social Work Practice, 20(6), November 2010, pp.651-664.
- Publisher:
- Sage
Pain assessment for nonverbal older adults with cognitive impairments or dementia presents many challenges, and it is important to determine which scales are most useful in assessing pain among this population. In this review, eleven observational scales for assessment of pain in older adults with dementia or cognitive impairments were evaluated in four main areas: pain indicators; reliability; validity; and clinical utility. Findings suggest that various scales were available for assessing pain in cognitively impaired or demented older people who were unable to report their pain. The authors concluded, however, that future research should focus on further psychometric evaluations. In ending, the paper suggests that social workers should be trained as raters of pain assessment methods.
A reflection on special challenges and amending pedagogy in clinical social work practice courses during the COVID-19 pandemic
- Authors:
- WOHLSIFER David B., SUTTENBERG Laurie Patlin, PARK Juyoung
- Journal article citation:
- Clinical Social Work Journal, 50(1), 2022, pp.35-42.
- Publisher:
- Springer
- Place of publication:
- New York
Due to the COVID-19 pandemic, many social work students and educators had to switch gears quickly and replace face-to-face courses with online delivery. While most had had experience with remote learning, the unexpected and immediate transition was challenging. Students and educators who had chosen in-person instruction had to adapt quickly to a learning paradigm for which they had not planned, while simultaneously coping with the anxieties brought on by the pandemic, such as economic hardships, threat of illness, and new family responsibilities. The pandemic has engendered fear, trauma, grief, and loss, all of which negatively affect instruction and learning. This reflection paper identifies special challenges and issues with regard to teaching and learning in social work clinical practice courses brought on by the pandemic. Utilizing the theoretical frameworks of ambiguous loss, interpersonal neurobiology, and the here and now approach, this paper suggests effective teaching methods and collaborative learning strategies to inform social work education during academic disruption in this and future emergencies (e.g., natural disasters). It is suggested that social presence, as well as group cohesion among students and between students and instructors, can serve as a protective factor to ensure continued productive motivation for teaching and learning while facing the challenges that are experienced during such times. (Edited publisher abstract)