Search results for ‘Subject term:"older people"’ Sort:
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The effectiveness of dyadic interventions for people with dementia and their caregivers
- Authors:
- MOON Heehyul, ADAMS Kathryn Betts
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 12(6), 2013, pp.821-839.
- Publisher:
- Sage
To review the effects of dyadic interventions on caregivers and care recipients in the early stages of dementia searches were carried out on four databases (AgeLine, Medline, EBSCO, and PyscINFO) and relevant literature from 2000 onwards reviewed. The twelve studies identified used a variety of intervention approaches including support group, counseling, cognitive stimulation, skill training, and notebook-keeping. This review suggests that intervention programs for early-stage dementia caregiving dyads were feasible and well accepted by participants. The reviewed studies provided rich evidence of the significance of mutual understanding and communication to partners’ well-being and relationship quality within the caregiving process. The findings suggest that these intervention approaches improved cognitive function of the care recipients, social relations, and the relationship between the primary caregivers and the care recipients, although evidence of long-term effectiveness is lacking. (Edited publisher abstract)
Intervention with families of the elderly chronically ill: an alternate approach
- Authors:
- RODWAY M.R., ELLIOTT J., SAWA R.J.
- Journal article citation:
- Journal of Gerontological Social Work, 10(1/2), 1987, pp.51-60.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Describes a family workshop.
Financial abuse of older people by family members: views and experiences of older Australians and their family members
- Authors:
- BAGSHAW Dale, et al
- Journal article citation:
- Australian Social Work, 66(1), 2013, pp.86-103.
- Publisher:
- Taylor and Francis
The most commonly reported form of abuse of older people in Australia is financial abuse and the majority of perpetrators are family members. The number of people aged 65 years and over in Australia is growing rapidly and the challenges of ageing often require support and assistance from family members, so it is important to develop strategies to prevent this form of abuse. This article analyses data from two national online surveys that examined this issue. The first, conducted in 2009, explored service providers’ knowledge and understandings of financial abuse of older people, and the second, conducted in 2010, investigated older people's and their family members’ views and experiences of financial abuse. Service providers' knowledge of risk factors for financial abuse of older people mirrored the experiences of older people and their family members and also confirmed factors identified in the literature. However, the findings also showed that many older people were not mindful of the potential risks to their financial wellbeing, particularly when and if they experience diminished capacity. Therefore, the authors concluded that service providers may find it difficult to engage them in preventative strategies.
Family caregiving today: what we have learned from 35 years of research and where do we go from here?
- Author:
- ZARIT Steven H.
- Journal article citation:
- Generations Review, 17(1), January 2007, Online only
- Publisher:
- British Society of Gerontology
The author draws on research to discuss: the social context of caregiving; the stress process in caregiving; and promising strategies for intervention research.
Elder Abuse in Costa Rica
- Authors:
- GILLILAND Nancy, PICADO Lillyana
- Journal article citation:
- Journal of Elder Abuse and Neglect, 12(1), 2000, pp.73-87.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article describes how the problem of domestic elder abuse in Costa Rica is being perceived and acted upon by direct service providers and other professionals in the field of ageing. In Costa Rica the family is central institution and the sense of filial obligation is strong. In this cultural context elder abuse often takes the form of overprotection by family members who deprive elders of their autonomy. Although they suffer from this loss, elders frequently do not define it as abuse, making it difficult for professionals to intervene. A more serious concern was abandonment of elders by families (with or without intent to harm) since there are few facilities or resources to accommodate such elders.
Systematic review of dyadic and family-oriented interventions for late-life depression
- Authors:
- STAHL Sarah T., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 31(9), 2016, pp.963-973.
- Publisher:
- Wiley
Objective: Supportive behaviours (both instrumental and emotional) from spouses and close family members can impact the trajectory of older adults' depressive symptoms. Interventions that target both the patient and support person may be more effective than interventions that target the patient only, in terms of alleviating mood symptoms in the identified patient. The purpose of this paper was to review the characteristics and findings of dyadic and family-oriented interventions for late-life mood disorders to determine if they are effective and beneficial. Methods: Following PRISMA guidelines, a systematic review of reports in the literature on dyadic or family-oriented interventions for late-life mood disorders was conducted. Searches were conducted on PubMed, OVID PsycINFO, and EMBASE for peer-reviewed journal articles in English through October 2014. Results: The review identified 13 articles, representing a total of 10 independent investigations. Identified studies focused on spouses and close family members as support persons. Effect sizes for dyadic interventions that treated major depressive disorder were, on average, moderately strong, while effect sizes for dyadic interventions that reduced depressive symptoms were generally small. No dyadic studies that treated bipolar disorder were identified. Conclusions: This review showed that dyadic interventions are feasible and that these interventions can decrease symptomatology in individuals who have major depressive disorder. Research is needed to understand the relative efficacy of a dyadic approach over a single-target approach in treating depression. (Edited publisher abstract)
Delirium and the family caregiver: the need for evidence-based education interventions
- Authors:
- CARBONE Meredith K., GUGLIUCCI Marilyn R.
- Journal article citation:
- Gerontologist, 55(3), 2015, pp.345-352.
- Publisher:
- Oxford University Press
Delirium, an acute confusional state, is experienced by many older adults. Although there is substantial research on risk factors and etiology, the authors hypothesized that there is a lack of information on educating the family caregivers of delirious older patients. A date-specific (2000–2013) literature review of articles, written in English, was conducted in several major databases using keyword searches. This systematic review focused on 2 objectives: (1) investigate published studies on the impact of delirium on the family regarding caring for a loved one; and (2) determine if there are interventions that have provided family caregivers with education and/or coping skills to recognize and/or manage delirium. A systematic elimination provided outcomes that met both objectives. Thirty articles addressed impact on family caregivers (objective 1); only 7 addressed caregiver education regarding the delirious state of a loved one (objective 2). Few studies consider the impact of delirium on family caregivers and even fewer studies focus on how to manage delirium in loved ones. With increased risks to older adult patients, high cost of care, and the preventable nature of delirium, family caregiver education may be an important tactic to improve outcomes for both patient and caregiver. (Edited publisher abstract)
Does expressive writing reduce stress and improve health for family caregivers of older adults
- Authors:
- MACKENZIE Corey S., et al
- Journal article citation:
- Gerontologist, 47(3), June 2007, pp.296-306.
- Publisher:
- Oxford University Press
This study examined whether written emotional disclosure reduces stress and improves health outcomes for family caregivers of physically frail and cognitively impaired older adults, as it has been shown to do for certain student and clinical populations. Primary caregivers of older adults attending a day program in Toronto, Canada were randomly assigned to expressive-writing (n = 14), time-management (n = 13), or history-writing (n = 13) conditions. Participants wrote for 20 minutes on four occasions over a 2-week period, and they completed self-report measures of caregiver burden and health prior to the intervention, immediately afterward, and at 1-month follow-up. Contrary to expectations, expressive-writing and history-writing participants performed similarly across outcomes. Only caregiver participants in the time-management condition experienced significant mental and physical health improvements after writing. The results of this study add to a growing body of research demonstrating equivocal effects of expressive writing with clinical samples, and they suggest the potential benefit of written time management for stressed caregivers.
Postmodern critique of systems theory in social work with the aged and their families
- Authors:
- GREENE Roberta R., BLUNDO Robert G.
- Journal article citation:
- Journal of Gerontological Social Work, 31(3/4), 1999, pp.87-100.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Postmodern shifts in thinking about families, ageing, and intervention have dramatically challenged the fundamental paradigms of family systems or functionalist theory and the nature of intervention. This article use postmodern theory to critique the general systems approach to practice. It explores alternative views and recommends that social workers reconsider their intervention models.
Attenuating conflicts of the aged: four case studies of interventions
- Authors:
- MONTALVO Braulio, BARRILLEAUX Cindy
- Journal article citation:
- Journal of Gerontological Social Work, 29(4), 1998, pp.85-96.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Health and mental health providers often work with the aged across shifting fields - the family system, nursing homes and the elderly's inner, imaginal world. To help organise providers observations and interventions among a variety of psychosocial contexts, effective providers focus on the stress surrounding aspects of conflict resolution. The authors discuss four approaches to conflict resolution, illustrating each with a detailed case study demonstrating how the resolution took into account the elderly's capacity to tolerate stress.