2.50
Hdl Handle:
http://hdl.handle.net/10755/165850
Category:
Abstract
Type:
Presentation
Title:
Predictors of Use of Services Among Caregivers
Author(s):
Robinson, Karen
Author Details:
Karen Robinson, DNS, RN, CS, FAAN, Professor, University of Louisville School of Nursing, Louisville, Kentucky, USA, email: kmrobi01@louisville.edu
Abstract:
The majority of caregivers do not use community resources until late in the disease process. However, the judicious use of community resources has been found to delay nursing home admission. The purpose of this aspect of a larger longitudinal intervention study was to examine predictors of use of community services among caregivers of persons with dementia. Data from the National Caregiver Training Project, based on Hall and Buckwalter's Progressively Lowered Stress Threshold (PLST) model (1987) were used in this effort. The sample included a total of 245 caregivers reflecting a mix of spouse and adult caregivers with a mean age of 64.6 years. Data were collected on relevant variables that the literature suggests impact on use of community services. Among caregivers who did not use services, 78% lived with the care recipient and were spouses. Logistic regression was used to examine which variables were related to use of community resources. Use of community resources was defined as receiving respite or caregiving assistance, whether from professional or non-professional sources. Caregivers were divided into two groups, those who used 2 or more hours per week of community resources and those who used less. Four variables were found to have a statistically significant unique effect on use of community resources. Being a spouse of the care recipient decreased the odds of using community resources (p<.001). The odds that the care giver would use community resources increased as their care recipient's problems with activities of daily living increased (p<.05) and as the frequency of memory-and behavioral problems increased (p<.01; Zarit Memory-Behavior Problem Checklist). Finally, the odds of use increased as the caregiver's score on the Reliable Alliance subscale of the Social Provisions Scale increased (p<.01). The direction of this effect is open to question. It is possible that the use of community resources increased the perception of having a reliable alliance rather than vice versa. The Nagelkerke R Square for the logistic regression model was 0.312. Recommendations are made regarding how to more appropriately target limited resources to those caregivers most in need of services.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePredictors of Use of Services Among Caregiversen_GB
dc.contributor.authorRobinson, Karenen_US
dc.author.detailsKaren Robinson, DNS, RN, CS, FAAN, Professor, University of Louisville School of Nursing, Louisville, Kentucky, USA, email: kmrobi01@louisville.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165850-
dc.description.abstractThe majority of caregivers do not use community resources until late in the disease process. However, the judicious use of community resources has been found to delay nursing home admission. The purpose of this aspect of a larger longitudinal intervention study was to examine predictors of use of community services among caregivers of persons with dementia. Data from the National Caregiver Training Project, based on Hall and Buckwalter's Progressively Lowered Stress Threshold (PLST) model (1987) were used in this effort. The sample included a total of 245 caregivers reflecting a mix of spouse and adult caregivers with a mean age of 64.6 years. Data were collected on relevant variables that the literature suggests impact on use of community services. Among caregivers who did not use services, 78% lived with the care recipient and were spouses. Logistic regression was used to examine which variables were related to use of community resources. Use of community resources was defined as receiving respite or caregiving assistance, whether from professional or non-professional sources. Caregivers were divided into two groups, those who used 2 or more hours per week of community resources and those who used less. Four variables were found to have a statistically significant unique effect on use of community resources. Being a spouse of the care recipient decreased the odds of using community resources (p<.001). The odds that the care giver would use community resources increased as their care recipient's problems with activities of daily living increased (p<.05) and as the frequency of memory-and behavioral problems increased (p<.01; Zarit Memory-Behavior Problem Checklist). Finally, the odds of use increased as the caregiver's score on the Reliable Alliance subscale of the Social Provisions Scale increased (p<.01). The direction of this effect is open to question. It is possible that the use of community resources increased the perception of having a reliable alliance rather than vice versa. The Nagelkerke R Square for the logistic regression model was 0.312. Recommendations are made regarding how to more appropriately target limited resources to those caregivers most in need of services.en_GB
dc.date.available2011-10-27T14:35:01Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:35:01Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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