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Strength perspective: an analysis of ageing in place care model in Taiwan based on traditional Filial Piety
- Author:
- CHEN Yen-Jen
- Journal article citation:
- Ageing International, 32(3), September 2008, pp.183-204.
- Publisher:
- Springer
- Place of publication:
- New York
In the 1990s, the government in Taiwan proposed a series of community care related policies, in which the main care model was designed to be ‘the local taking care of the local’. In response to the social problems arising from the ageing of the population and the growing demands for welfare, Executive Yuan of Taiwan formulated the Development Program for the Care Service Industry in 2001. The government designed the elderly care policies based on the notions of community care in promoting the care industry. The community care policies would better serve the elderly and encourage families to purchase affordable services. The government aimed to encourage the non-profit sector and the commercial sector to provide care services. In Taiwan, with the notion of ‘in place’ care, the community care model has become a new trend. This study first analyzes the policies and the practices of community care in Taiwan. Secondly, it discusses how to make use of the ‘strength culture’ among Chinese people to construct a community care model based on the strength perspective of traditional filial piety. Finally, it analyzes the ‘community care centers’ that Taiwan is currently running with the aim of constructing a system of ‘ageing-in-place’ community care based upon the tenets of filial piety.
A pilot study on a home-based caregiver training programme for improving caregiver self-efficacy and decreasing the behavioural problems of elders with dementia in Taiwan
- Authors:
- HUANG Huei-Lang, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(4), April 2003, pp.337-345.
- Publisher:
- Wiley
The purpose of this article was to investigate the effectiveness of a home-based caregiver training programme for caregivers of elders with dementia and behavioural problems. A prospective study was conducted in the communities of Northern Taiwan. Forty-eight patients with dementia and their family caregivers were included. The experimental group (n = 24) received a two-session in-home caregiver training programme, and the control group (n = 24) received only written educational materials. The Chinese version of Cohen-Mansfield Agitation Inventory (CMAI), community form, was used to measure the behavioural problems of patients with dementia. The caregiver's self-efficacy, for managing the demented person's agitation, was measured by the Agitation Management Self-efficacy Scale (AMSS). The CMAI and AMSS were administered before (baseline), three weeks (1st post-test), and three months (2nd post-test) after the two-session training programme. Except for the physically aggressive behaviour subscale, the scores of physically non-aggressive behaviour, verbally aggressive and non-aggressive behaviour subscales as well as the overall CMAI decreased significantly and continuously in the experimental group and differed significantly from the changed scores from those in the control group (p < 0.05). Physically aggressive behaviours showed a decreasing trend for both groups. Scores of the Agitation Management Self-Efficacy Scale and its subscales increased significantly and continuously in the experimental group in comparison to those in the control group (p < 0.05). This home-based caregiver training programme is helpful for decreasing problematic behaviours of elder people with dementia and it improves the caregiver's self-efficacy for managing problematic behaviours.