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Do caregivers benefit more from educational and volunteer activities than their noncaregiving peers?
- Authors:
- GREENFIELD Jennifer C., MORROW-HOWELL Nancy, TEUFEL James
- Journal article citation:
- Journal of Gerontological Social Work, 55(8), November 2012, pp.738-744.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
In the United States, informal caregivers are a critical component of the long-term care system, but caregivers often experience poor physical and mental health as a result of strain from the caregiving role. It is well known that engagement in community-based educational and volunteer activities contributes to older adult well-being, but previous studies have not assessed whether the effects of these types of engagement are different for older adults who are also caregivers. Using a sample of participants in educational and volunteer activities sponsored by a national non-profit organisation, this study found that participants who were caregivers reported more benefit from these community-based activities than their non-caregiving counterparts. The authors concluded that connecting caregivers to existing community-based activities may be an efficient strategy for improving caregiver well-being. Implications for practice are discussed.
Contribution of secondary caregivers to post-acute home care for elderly patients
- Authors:
- LI Hong, MORROW-HOWELL Nancy, PROCTOR Enola
- Journal article citation:
- Journal of Social Service Research, 33(1), 2006, pp.39-46.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study examined the contribution of secondary caregivers to the elderly patients' use of informal services and use of formal services, and the adequacy of care provided to the elderly patients in the period following acute hospitalization in a large midwestern hospital in the United States. A sample of 149 elderly patients diagnosed with congestive heart failure (CHF) were interviewed at their home two weeks after their hospital discharge. Nearly three quarters of the elderly patients had one or more secondary caregivers. Findings from ordinary least squares (OLS) regression analyses indicate that the involvement of secondary caregivers was not significantly related to elderly patients' use of informal services, formal services, or the adequacy of care. These findings may be relevant to the practice of discharge planners by suggesting that the involvement of secondary caregivers may not reduce elderly patients' need for informal services and/or formal services. Furthermore, the involvement of secondary caregivers may not improve the adequacy of care provided to the elderly patients. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Post-acute home care and hospital readmission of elderly patients with congestive heart failure
- Authors:
- LI Hong, MORROW-HOWELL Nancy, PROCTOR Enola K.
- Journal article citation:
- Health and Social Work, 29(4), November 2004, pp.275-285.
- Publisher:
- Oxford University Press
After in-patient hospitalisation, many elderly patients with congestive heart failure (CHF) are discharged home and receive post-acute home care from informal (family) caregivers and formal service providers. Hospital readmission rates are high among elderly patients with CHF, and it is thought that use of informal and formal services may reduce hospital readmission during the post-acute period. Using proportional Cox regression analysis, the authors examined the independent and joint effects of post-acute informal and formal services on hospital readmission. No evidence of service impact was found. Rather, hospital readmission was associated with a longer length of CHF history and noncompliance with medication regimes. Research, policy, and practice implications are discussed.
Informal caregiving networks and use of formal services by Inner-City African American elderly with dementia
- Authors:
- LI Hong, EDWARDS Dorothy, MORROW-HOWELL Nancy
- Journal article citation:
- Families in Society, 85(1), January 2004, pp.55-62.
- Publisher:
- The Alliance for Children and Families
Presents a study of a group of 200 urban African American older people with dementia, the characteristics of their informal caregiving networks, and patterns of formal service use to examine relationships between informal caregiving networks and formal service use. Multiple logistic regression analysis indicated that older people were less likely to use formal services when caregivers in the informal networks were more capable of making care-related decisions. In addition, older people's functional status, annual income, and Medicaid eligibility were also significantly related to their use of formal services. Discusses practice implications of the findings.
An integrated program for dementia evaluation and care management
- Author:
- MORROW-HOWELL Nancy
- Journal article citation:
- Gerontologist, 39(3), June 1999, pp.356-361.
- Publisher:
- Oxford University Press
The growth of the geriatric population and the emergence of managed care dictate new approaches to dementia care. Reports on the Alzheimer's Disease Education Program (ADEP) which seeks to reduce the burden of caregiving experienced by families. Objectives of ADEP include early detection of AD through dementia screening followed by caregiver education and support. This article outlines an effective method of dementia evaluation and management.