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Improving older adults' functional ability through service use in a home care program in Hong Kong
- Authors:
- CHEUNG Chau-kui, NGAN Raymond Man-Hung
- Journal article citation:
- Research on Social Work Practice, 15(3), May 2005, pp.154-164.
- Publisher:
- Sage
Despite past findings about the contribution of home care services to older users’ functional ability, the effective processes and components of the services are not transparent. Such processes appear to rely on the actual use of component services of the home care programme. The study gathered 116 observations during 2 years concerning 49 home care service users in Hong Kong. The study shows that an older user maintained better functional ability with a longer time of using a home care program in Hong Kong using the service. The time effect, in turn, was primarily due to the increased use of seven services provided by the programme. Among the service components, the home-nursing services generated a unique contribution to the user's functional ability, with its prior score controlled. Multidisciplinary services under case management underpin an effective home care programme.
Characteristics and well-being of urban informal home care providers during COVID-19 pandemic: a population-based study
- Authors:
- CHAN Emily YY, et al
- Journal article citation:
- BMJ Open, 10(11), 2020, Online only
- Publisher:
- BMJ Publishing Group
Objectives Globally, the COVID-19 pandemic has overwhelmed many healthcare systems, which has hampered access to routine clinical care during lockdowns. Informal home care, care provided by non-healthcare professionals, increases the community’s healthcare capacity during pandemics. There is, however, limited research about the characteristics of informal home care providers and the challenges they face during such public health emergencies. Design A random, cross-sectional, population-based, RDD, telephone survey study was conducted to examine patterns of home care, characteristics of informal home care providers and the challenges experienced by these care providers during this pandemic. Setting Data were collected from 22 March to 1 April 2020 in Hong Kong, China. Participants A population representative study sample of Chinese-speaking adults (n=765) was interviewed. Primary and secondary outcome measures The study examined the characteristics of informal home care providers and self-reported health requirements of those who needed care. The study also examined providers’ self-perceived knowledge to provide routine home care as well as COVID-19 risk reduction care. Respondents were asked of their mental health status related to COVID-19. Results Of the respondents, 25.1% of 765 provided informal home care during the studied COVID-19 pandemic period. Among the informal home care providers, 18.4% of respondents took leave from school/work during the epidemic to provide care for the sick, fragile elderly and small children. Care providers tended to be younger aged, female and housewives. Approximately half of care providers reported additional mental strain and 37.2% reported of challenges in daily living during epidemic. Although most informal home care providers felt competent to provide routine care, 49.5% felt inadequately prepared to cope with the additional health risks of COVID-19. Conclusion During public health emergencies, heavy reliance on informal home healthcare providers necessitates better understanding of their specific needs and increased government services to support informal home care. (Edited publisher abstract)
Open care for the aging; comparative international approaches
- Author:
- LITTLE Virginia C
- Publisher:
- Springer
- Publication year:
- 1982
- Pagination:
- 132p., tables, bibliog.
- Place of publication:
- New York
Can domestic helpers moderate distress of offspring caregivers of cognitively impaired older adults?
- Authors:
- CHONG Alice M.L., et al
- Journal article citation:
- Aging and Mental Health, 21(10), 2017, pp.1023-1030.
- Publisher:
- Taylor and Francis
Objective: This study examined the moderating effect of domestic helpers on distress of offspring caring for parents with cognitive impairments and with or without behavioural problems. Method: This secondary analysis of data involved 5086 Hong Kong Chinese adults aged 60 or older applying for public long-term care services from 2010 to 2012. All variables were measured using the mandatory Hong Kong version of the Minimum Data Set-Home Care 2.0. Results: Regarding taking care of parents with cognitive impairments, 10.7% of offspring primary caregivers were aided by domestic helpers, 55.54% reported distress, and 75.70% lived with their parents. Assistance from domestic helpers reduced offspring caregiver distress if the offspring provided psychological support to parents and were not living with parents. Conclusion: These findings might suggest: a) the positive effects of audience on psychological responses to stress; b) caregiving is usually less stressful for informal caregivers not residing with care recipients. Conversely, having a domestic helper could add to caregiving distress if offspring caregivers live with their parents, most likely because offspring may witness difficulties that domestic helpers face in providing dementia care. (Edited publisher abstract)
Experience of family caregivers of community-dwelling stroke survivors and risk of elder abuse: a qualitative study
- Authors:
- CHOW Celia, TIWARI Agnes
- Journal article citation:
- Journal of Adult Protection, 16(5), 2014, pp.276-293.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the following questions. First, what are the experiences of family caregivers in caring for community-dwelling stroke survivors? Second, what services help or do not help the caregivers in managing their caregiving role? Design/methodology/approach: A qualitative study was conducted with a total of six focus group interviews with 29 stroke caregivers selected using convenience sampling in a local community centre. All interviews were recorded and transcribed for content analysis. Findings: The results pointed to three main themes working together to facilitate desirable outcomes in caregiving and prevent elder abuse: factors contributing to caregiver stress and factors that have a buffering effect on caregiver stress and unmet needs identified from caregivers’ experiences. Research limitations/implications: The authors found that there were a number of factors contributing to caregiver stress. The findings matched with the concept that caregiver stress should not be considered as the primary cause of elder abuse. Findings provided information for further research to investigate positive coping and adjustment for stroke survivors, caregivers and their families. Practical implications: Policy makers and service providers may consider specific policies and tailor-made services to enhance the effectiveness of current practice. The themes emerging from the study could be further reviewed in a longitudinal way to explore the cost-effectiveness, the outcomes and trajectory of interventional programmes. Social implications: Education would be essential to let the public understand caregivers’ difficulties and needs. Prevention of elder abuse may be approached with a range of risk factors for both perpetrating and being elder abuse victim. Originality/value: From the findings of the study, the authors found that there were service gaps within policy and interventions. Concrete suggestions for improving the public's attitude and public facilities/transport for the disabled were captured in the study. In addition to personal resilience, caregivers had a strong wish for a supportive environment and services that would facilitate a better caregiving outcome. (Publisher abstract)
A review of private residential care in Hong Kong: implications for policy and practice
- Authors:
- KWONG Enid Wai-Yung, KWAN Alex Yui-Huen
- Journal article citation:
- Journal of Aging and Social Policy, 13(4), 2002, pp.73-90.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Hong Kong government policy encourages and facilitates families to care for their older members as long as possible by providing families and their older relatives with community support services. Residential care for the elderly is viewed as a last resort. Due to the inadequate supply of community support services, the longperiod of care required, and the gradual breakdown of values of filial support, familiesmay increasingly give up their caring roles and seek residential care for their dependent elderly relatives. A shortfall in subsidized residential care may lead to needy elderly persons' being cared for in private residential facilities. The demand for private residential care is projected to increase, despite criticism about the standardof care provided. Although an Ordinance, a Regulation, and a Code of Practice for residential care homes are in place to control, monitor, and upgrade private residential care in Hong Kong, problems remain that put the elderly at risk of receiving substandard services.