No abstract

The TESS-NH efficiently assesses discrete elements of the physical environment and has strong reliability and validity. The SCUEQS provides a quantitative measure of environmental quality in institutional settings.

Implementing the TS program in nursing facilities improves the care environment for PWDs. However, additional studies are needed to offer further insights into the mechanisms by which TS improves both staff and resident outcomes.

The study findings not only lend further support to the existing literature that has documented problem behaviors as strong predictors of burden but also emphasize the importance of communication problems in the caregiving process.

Family units (N = 541) of impaired elderly persons and caregivers were randomly assigned to a control group or one of five treatment groups eligible for a variety of respite or educational services. After 12 months of service eligibility, caregivers of elderly persons remaining in the community reported lower levels of subjective burden. Services appeared to delay nursing home placement among families with adult child caregivers, but encouraged placement by spouse caregivers.