It is important to identify risk factors that may lead to older adults' unmet needs for HCBS. The findings of this study charge researchers to look beyond service utilization and give more attention to service needs among those who did or could not access the services.
Despite the rapid growth of the older ethnic minority population, knowledge about dementia care for this population is limited. This study examined the experience of dementia caregiving among Korean Americans. We conducted four focus groups with 23 family caregivers of older Korean Americans with dementia symptoms and identified eight themes: (a) struggling and overwhelmed; (b) keeping the cultural roles and responsibility; (c) doing it by themselves; (d) family as a source of stress; (e) limited knowledge and misconceptions; (f) learning as they go; (g) undiagnosed dementia and misunderstandings about medical care; and (h) barriers to use of services and need for culturally responsive services. The findings underscore that Korean Americans need dementia caregiver programs that are linguistically and culturally responsive.
Objectives: The Migratory Grief and Loss Questionnaire (MGLQ) was designed to measure the grief experience associated with immigration. This article reports the development and psychometric properties of a Chinese-version of MGLQ. Methods: An exploratory factor analysis (EFA) using maximum likelihood extraction with varimax rotation was conducted to identify the factor structure of the MGLQ. Results: A two-factor solution was identified with Factor 1 representing ‘‘Attachment to Homeland’’ and Factor 2 representing ‘‘Identify Discontinuity.’’ Both factors had excellent internal consistency reliability and concurrent validity as demonstrated by predicted relationships with depression scores. Conclusions: This study supported the validity and the reliability of the MGLQ, demonstrating its utility in assessing the migratory grief experience among immigrants.
Interventions to reduce caregiver burden in KA caregivers may be more effective if they include approaches specifically designed to build family support, improve family agreement, and increase caregivers' self-efficacy.
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