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Caregiver confidence: does it predict changes in disability among elderly home care recipients?
- Authors:
- LI Lydia W., MCLAUGHLIN Sara J.
- Journal article citation:
- Gerontologist, 52(1), February 2012, pp.79-88.
- Publisher:
- Oxford University Press
Caregivers who are confident in their care recipients’ functional capacity may be less likely to offer assistance and more likely to encourage the recipient to perform tasks independently. The aim of this study was to determine whether caregiver confidence in their care recipients’ functional capabilities predicts changes in the performance of activities of daily living (ADL) among elderly home care recipients over time. The sample included 5,138 elderly recipients of home and community-based long-term care in Michigan. ADL performance was assessed multiple times over a 2-year period. Caregiver confidence was measured at baseline with a single item. Multilevel modelling was used to estimate the effect of caregiver confidence on changes in ADL performance over time, controlling for baseline self-efficacy and ADL performance. The findings showed that elders whose caregivers were confident in their capacity for greater functional independence experienced greater improvement in ADL performance than those whose caregivers were not confident. Elders in dyads in which both members expressed confidence experienced more improvement in ADL performance than those in dyads in which either 1 or both members lacked confidence.
Elderly Chinese and their family caregivers' perceptions of good care: a qualitative study in Shandong, China
- Authors:
- LI Lydia W., et al
- Journal article citation:
- Journal of Gerontological Social Work, 55(7), October 2012, pp.609-625.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Like many developed nations, China is facing population ageing and the challenge of caring for its older adults. However, unlike many other nations, China does not have the infrastructure for formal, long-term care services. This study investigated what older Chinese people with chronic illness and their family caregivers perceived to be good care, and compared perspectives of those living in rural and urban areas. Semi-structured interviews were conducted with 24 care recipients and 23 caregivers in Shandong, China. Two major themes were identified: filial piety as the standard; and modifying cultural ideals to meet reality. There was overall consistency in perceptions of study participants. Variations between rural and urban elders' perceptions appear to reflect differences in socioeconomic development and institutional structures. Implications for practice are discussed.