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Journal article

Are patients' attitudes towards and knowledge of electroconvulsive therapy transcultural? A multi-national pilot study

Authors:
BUSTIN Julian, et al
Journal article citation:
International Journal of Geriatric Psychiatry, 23(5), May 2008, pp.497-503.
Publisher:
Wiley-Blackwell

This study aimed to compare the attitudes and knowledge of electroconvulsive therapy (ECT) among older adults depressed patients across three culturally different populations and to explore the relationship between culture, knowledge and attitudes. The study was conducted in one centre in each country. A semi-structured survey was used which included three sections: demographics characteristics, attitudes towards and knowledge of ECT. A total of 75 patients were recruited in this study: 30 patients from England; 30 patients from Argentina; and 15 patients from Canada. There was a significant difference in knowledge about ECT across the three countries. No significant difference was found in terms of attitudes. Knowledge was poor in all three countries. The most influential factor shaping subjects' attitudes and knowledge of ECT differed for the three countries. A weak correlation was found between knowledge of and attitudes towards ECT across all patients from the three different countries. No evidence was found that a particular cultural background affects attitudes towards ECT.

Book

Family care of the elderly: social and cultural changes

Editor:
KOSBERG Jordan I.
Publisher:
Sage
Publication year:
1992
Pagination:
329p.,bibliogs.
Place of publication:
Newbury Park, CA

Takes a global look at care for older people within the family circle, and compares and contrasts global changes in the last decade.

Journal article

Cognitive, functional and behavioral factors associated with the burden of caring for geriatric patients with cognitive impairment or depression: evidence from a South American sample

Authors:
MACHNICKI Gerard, et al
Journal article citation:
International Journal of Geriatric Psychiatry, 24(4), April 2009, pp.382-389.
Publisher:
Wiley-Blackwell

Primary caregivers assessed were included if the geriatric patient cared for had a cognitive impairment or dementia (degenerative, vascular or mixed) (Group 1) or depression and cerebrovascular disease (CVD) (Group 2). Caregivers completed the Zarit questionnaire, the Neuropsychiatric Inventory (NPI) and Instrumental Activities of Daily Living (IADL). Patients were evaluated for dementia severity using the Clinical Dementia Rating (CDR), Mini Mental State Examination (MMSE) and Beck Depression Inventory (BDI). Structural equation modelling (SEM) was used to assess measurement models and the factors associated with burden. Two hundred and fifty-eight caregiver-patient pairs were included. The best model fit was obtained with a model with two constructs: function-cognition (CDR, MMSE, and IADL) and behaviour (neuropsychiatric symptoms from the NPI). In Group 1, both function and behaviour were significantly correlated with caregiver burden, although the strength of association was more than two times higher for behaviour. In Group 2, behaviour was related to caregiver burden but not function-cognition. These findings suggest that behavioural symptoms are an important factor associated with caregiver burden in patients with cognitive impairment, dementia, or depression, while functional and cognitive factors seem to also have an influence in patients with cognitive impairment.

Journal article

Financing health services for pensioners in Argentina: a salutary tale

Author:
LLOYD-SHERLOCK Peter
Journal article citation:
International Journal of Social Welfare, 12(1), January 2003, pp.24-30.
Publisher:
Wiley-Blackwell

The article examines the problems facing a programme to finance health care for pensioners in Argentina, known as PAMI. The programme is accumulating large deficits and many of its services are of doubtful quality. PAMI's problems and its resistance to reforms are put in the wider context of Argentina's liberalised health-care system, neo-liberal adjustment and flawed governance. The Argentine experience has relevance for other developing countries with weak state regulatory capacity, and points to the dangers of delegating health financing of older people to the private sector.

Journal article

Formal social protection for older people in developing countries: three different approaches

Author:
LLOYD-SHERLOCK Peter
Journal article citation:
Journal of Social Policy, 31(4), October 2002, pp.695-713.
Publisher:
Cambridge University Press
Place of publication:
Cambridge

This article examines social protection for older people in three middle-income countries: Argentina, Thailand and South Africa. It focuses on income support, health services and the provision of care, as well as considering the effects of these policies on social exclusion. The paper locates each country's different social protection programmes within a broader welfare regime model. It finds an interesting variety of approaches to pension and health provision, which range from generous universalism to minimal means-testing. However, it finds much less innovation in areas such as long-term care and intermediary services. The article challenges generalisations about old age social protection in developing countries, and argues that the different experiences of these three countries could provide useful lessons for social protection in many parts of the world.

Book

Elderly care: a world perspective

Editor:
TOUT Ken
Publisher:
Chapman and Hall
Publication year:
1993
Pagination:
240p.,bibliog.
Place of publication:
London

Contains examples of successful service provision for older people from 40 countries. The case studies are organised into the following sections: care at home; community support; empowerment; participation; fitness and well-being; income generation; environment; integrated services; mental health; training for elder care; organisation of services; and older women.

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