Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 96
How to stay afloat
- Author:
- NICHOLAS Elinor
- Journal article citation:
- Community Care, 6.3.03, 2003, pp.40-41.
- Publisher:
- Reed Business Information
Reports in research from the Social Policy Research Unit at York University which describes how support for carers could be improved even when resources are limited.
Positive outcome?
- Author:
- HENWOOD Melanie
- Journal article citation:
- Community Care, 26.9.02, 2002, p.40,41.
- Publisher:
- Reed Business Information
Describes the Department of Health-commissioned research programme, Outcomes of Social Care for Adults (OSCA).
Outcomes-focused services for older people
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, GLENDINNING Caroline, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2006
- Pagination:
- 134p.
- Place of publication:
- London
This project was commissioned by the Social Care Institute for Excellence (SCIE), to form the basis of practice guidance published by SCIE to support the implementation of proposals in the health and care White Paper, Our Health, Our Care, Our Say. It helped to strengthen the evidence base on how to deliver outcomes-focused services for older people and carers. The project aimed to identify: the service outcomes that were valued by older people and their carers; the organisational and other factors that helped or hindered the delivery of desired outcomes; and examples of good practice in outcomes-focused, person-centred services for older people and their carers. Outcomes' are defined as the impact, or end-results, of services on a person's life; therefore outcomes-focused services are those that aim to achieve the priorities that service users themselves identify as important. The project had two stages. The first covered research on the outcomes valued by older people and their carers; and examples of outcomes-focused practices, including changes in ways of funding, organising or commissioning services, assessment or review arrangements, or the activities of service provider organisations. A postal survey was undertaken to find out how widely outcomes-focused approaches were being developed in services for older people and carers across England and Wales, and the range of different projects or approaches involved. The study then focused on six localities in more depth, examining what changes had been made to the organisation and delivery of services; and the impact of those changes, from the perspectives of service users and carers, managers and front-line staff. The project was supported by an Advisory Group of Service Users, that met at key stages during the project. The Outcomes Network established by SPRU also contributed advice throughout the project.
Sustainable care: theorising the wellbeing of caregivers to older persons
- Authors:
- KEATING Norah, MCGREGOR J. Allister, YEANDLE Sue
- Journal article citation:
- International Journal of Care and Caring, 5(4), 2021, pp.611-630.
- Publisher:
- Policy Press
The term ‘care crisis’ is invoked to denote chronic system failures and bad outcomes for the people involved. This paper presents a comprehensive wellbeing framework and illustrate its practicality with evidence of negative outcomes for those who provide care. This study finds evidence of substantial material and relational wellbeing failures for family carers and for care workers, while there has been little interest in carers’ views of their ability to live the life that they most value. Understanding and improving wellbeing outcomes for carers is an essential component of sustainable care, which requires the wellbeing of the different actors in care arrangements. (Edited publisher abstract)
The positive effects of caring for family carers of older adults: a scoping review
- Authors:
- PYSKLYWEC Alex, et al
- Journal article citation:
- International Journal of Care and Caring, 4(3), 2020, pp.349-375.
- Publisher:
- Policy Press
The negative effects of caring are well documented; however, positive effects have received less attention. A scoping review of 22 studies published between 2000 and 2018 was conducted regarding the positive effects of family caring for older adults. Our analysis revealed that positive effects are embedded in relationships, summarised in three themes: in relationship with one’s self (the carer), for example, personal growth; in relationship with the care recipient, for example, a deepened dyadic relationship; and in relationship with others, for example, new care-related relationships. Seeing the positive effects of caring relationally may shape environmental factors, such as assistive device, social policy or health services development. (Publisher abstract)
Development and validation of the Measure of Supporting Co-occupation for family caregivers
- Authors:
- ONO Kenichi, et al
- Journal article citation:
- British Journal of Occupational Therapy, 81(10), 2018, pp.571-581.
- Publisher:
- Sage
Introduction: It is important to understand the experiences of elderly people with dementia and their family caregivers. Moreover, the maintenance of family caregivers’ satisfaction with co-occupation is important to ensure that they intend to continue providing care. This study developed and validated the Measure of Supporting Co-occupation, which assesses co-occupation involving elderly people with dementia and their family caregivers. Method: This study used a cross-sectional design and questionnaire survey. Participants were recruited from 21 institutions. Descriptive statistics were calculated for the following domains: ‘evocation of the story of co-occupation’, ‘intention to continue co-occupation’ and ‘preferred co-occupation’. The construct validity and reliability of the ‘intention to continue co-occupation’ domain were examined using exploratory factor analysis, confirmatory factor analysis and Cronbach’s alpha. The criterion-related validity of the ‘intention to continue co-occupation’ was examined by means of correlations with other scales. Results: There were 115 pairs of participants. Good criterion-related validity and internal consistency were confirmed for the ‘intention to continue co-occupation’ domain. However, confirmatory factor analysis showed insufficient model fitness. Conclusion: The ‘intention to continue co-occupation’ domain is not ready for clinical application due to insufficient model fitness, it is necessary to revise the Measure of Supporting Co-occupation. (Edited publisher abstract)
Development of the carer well-being and support (CWS) questionnaire
- Authors:
- QUIRK Alan, et al
- Journal article citation:
- Mental Health Review Journal, 17(3), 2012, pp.128-138.
- Publisher:
- Emerald
A psychometrically validated measure is needed to evaluate outcomes in carers of people with mental health problems, including dementia. This study aimed to validate the Carer well-being and support questionnaire (CWS). Participants included carers of 10 people with mental health problems, 5 carers of people with psychosis, and 8 carers of people with dementia. Development and evaluation of the measure was conducted in three phases. The authors deconstructed an existing questionnaire (CUES-C) to produce a long version measure. This was trialled with carers to reduce the number of items and a preliminary evaluation of the psychometric properties of the remaining items was undertaken. A second field test was conducted with the item-reduced questionnaire measure to evaluate acceptability, reliability and validity. Findings revealed that the CWS well-being scale showed moderate acceptability and good reliability and validity. The CWS support scale shows moderate acceptability and good reliability. The authors concluded that the CWS was a reliable, valid measure of carer well-being and support.
Coping strategies and caregiving outcomes among rural dementia caregivers
- Authors:
- SUN Fei, et al
- Journal article citation:
- Journal of Gerontological Social Work, 53(6), August 2010, pp.547-567.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study focused on the methods by which family caregivers living in rural areas of Alabama cope with the demands of caring for an older relative with dementia. Data were obtained form 141 caregivers using a telephone survey. Of the participants, 67 were African American and 71 were White; 85.1% were women; 60.3% were married; and mean age was 52 years. All participants were self-described primary family caregivers who provided at least 10 hour a week face-to-face assistance to meet the needs of the care recipient. The mean age of the care recipients was 79.5 years. Over one fifth of the caregivers provided care to a second care recipient. Use of religion was the most frequently used coping mechanism, with an average score of 15.2. Other top coping mechanisms in descending order were planning (13.6), growth (13.6), acceptance (12.4), and active coping (12.2). The least used coping strategies included mental disengagement (9.2), behavioural disengagement (6.3), denial (6.4) and alcohol/drug disengagement (4.4). Two coping styles were identified: deliberate coping and avoidance coping. Deliberate coping was related to higher life satisfaction scores and, avoidance coping was related to lower life satisfaction scores and higher caregiver burden scores. Avoidance coping appeared to moderate the effects of caregiver health on caregiver burden. Implications of the findings for social work practice are discussed.
One extra month of depression: the effects of caregiving on depression outcomes in the IMPACT trial
- Authors:
- THOMPSON Alex, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(5), May 2008, pp.511-516.
- Publisher:
- Wiley
This study aims to describe the self-reported caregiving burden in a large, representative cohort of depressed elderly patients and compare depression treatment outcomes between caregivers and non-caregivers. Univariate and multiple regression analyses were performed comparing 24-month depression outcomes (measured as depression free days) in those providing care at any time over the 24-month trial to those who never reported a caregiving burden. At 3, 6, 12, 18, and 24 months, nearly 10% of cohabitating elderly depressed patients provided care for basic activities such as bathing or dressing while nearly 20% reported providing care for other activities such as making phone calls or taking medication. Over 24 months, after adjusting for marital status, intervention status, and number of medical comorbidities, those reporting any caregiving burden had over 30 more days with depression compared to those with no caregiving burden. The IMPACT collaborative care model did not modify the effect of caregiving on depression outcomes. Caregiving is common in depressed older adults and appears to affect response to depression treatment. In the future, interventions for depressed older adults should consider and specifically address caregiving activities in addition to specific depression treatment.
Specialist clinical assessment of vulnerable older people: outcomes for carers from a randomised controlled trial
- Author:
- VENABLES Dan
- Journal article citation:
- Ageing and Society, 26(6), November 2006, pp.867-882.
- Publisher:
- Cambridge University Press
'Caring for carers’ is high on the United Kingdom policy agenda for community care. Although recent policy advocates the provision of services directly to the carer, research suggests that an alternative way of helping carers is through targeting enhanced services towards the cared-for person. This paper reports a randomised controlled trial of the effects on carer distress of an additional specialist clinical assessment for vulnerable older people at risk of residential or nursing home placement. The sample was composed of 142 informal carers of older people, randomly assigned to receive either the additional specialist assessment or the usual social services assessment. Carers were assessed using the modified Social Behaviour Assessment Schedule (SBAS), and data were also collected on older peoples' service use throughout the study period. Regression analyses indicated that changes in older peoples' behaviour, as opposed to carer or service-related factors, predicted changes in carer distress, and that the carers of the older people who experienced depressive symptoms received the greatest benefit from the specialist assessment. The study suggests that an effective means of improving outcomes for carers may be to target services towards the distressing behaviours of the person for whom they care, with symptoms of depression being particularly important.