Caregiving Load and Respite Service Use: A Comparison between Older Caregivers and Younger Caregivers

Shi, Junrong; Chan, Keith; Ferretti, Lisa A.; McCallion, Phillip

doi:10.1080/01634372.2017.1391364

Cited by 18 publications

(15 citation statements)

References 22 publications

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“…; Shi et al . ), which as hypothesized by Jacobs et al . (), could result in a prolonged length of stay for patients.…”

Section: Introductionsupporting

confidence: 68%

“…To our knowledge, no study to date has investigated the impact of objective carer burden alone on length of stay for mental health, using such measures as hours of care per week and standby time or time 'on call' and, in the Australian context, there has only been one investigation of the impact of any form of carer burden on length of stay (Draper & Luscombe 1998). Caring for long hours (over lengthy periods of time) tends to be related to caring for someone who is more unwell, coupled with a greater need for carer respite (Jagannathan et al 2014;Shi et al 2018), which as hypothesized by Jacobs et al (2015), could result in a prolonged length of stay for patients. This investigation is therefore pertinent because if objective carer burden is highly associated with longer hospitalizations, attempts to reduce care recipient hospital days may be feasible, for example by targeting more timely and suitable respite options.…”

Section: Introductionmentioning

confidence: 99%

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Impact of the carer on length of hospital stay for mental health: Results from two Australian surveys

Hielscher

Diminic

Harris

et al. 2018

Int J Mental Health Nurs

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Informal carers play a vital role in supporting Australians living with a mental illness, including during the acute phases of illness; however, little is known about their impact on length of hospital stay. We aimed to investigate the impact of having a carer and of carer burden on length of hospital stay for mental health. Two Australian datasets were used. Data from the 2010 National Survey of High Impact Psychosis (n = 1825) were used to investigate the impact of having versus not having a carer on length of hospital stay for mental health. Data from the UQ Carer Survey 2016 (n = 105), a convenience sample of mental health carers, were used to investigate the impact of weekly hours of care (a measure of objective carer burden) on length of stay. Multiple logistic regression and correlation analyses were performed to investigate the association between carer status/burden and length of stay. Having a carer was associated with a significantly longer length of hospital stay; however, this relationship was no longer significant after adjusting for diagnosis, global functioning, depressive symptoms, deliberate self‐harm, mental health outpatient contacts and type of admission. Weekly hours of care did not significantly impact on length of stay. Patients with carers had poorer functioning which may be related to longer stays. Our analysis was not able to look at subgroups of carers with different needs. Future work is required to determine other components of the admission and discharge process where having a carer is influential.

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“…; Shi et al . ), which as hypothesized by Jacobs et al . (), could result in a prolonged length of stay for patients.…”

Section: Introductionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Impact of the carer on length of hospital stay for mental health: Results from two Australian surveys

Hielscher

Diminic

Harris

et al. 2018

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

“…Additionally, in addition to the age of the caregiver, it is possible that the nature of caregiver-patient relationships guide the mobilization of social support. Existing research suggests that spousal caregivers are less likely to utilize informal support from friends and family than adult children caregivers, which may account for some of the findings reported here (Pinquart & Sörensen, 2011;Robinson, Buckwalter, & Reed, 2005;Shi, Chan, Ferretti, & McCallion, 2018). Finally, as this study did not measure the types and acquisition of social support for the two caregiving groups, it is possible that important differences exist in the specific types of support available, making this an important area of inquiry for future research.…”

Section: Discussionmentioning

confidence: 85%

Life Course Stage and Social Support Mobilization for End-of-Life Caregivers

LaValley

Gage‐Bouchard

2018

J Appl Gerontol

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Caregivers of terminally ill patients are at risk for anxiety, depression, and social isolation. Social support from friends, family members, neighbors, and health care professionals can potentially prevent or mitigate caregiver strain. While previous research documents the importance of social support in helping end-of-life caregivers cope with caregiving demands, little is known about differences in social support experiences among caregivers at different life course stages. Using life course theory, this study analyzes data from in-depth interviews with 50 caregivers of patients enrolled in hospice services to compare barriers to mobilizing social support among caregivers at two life course stages: midlife caregivers caring for parents and older adult caregivers caring for spouses/partners. Older adult caregivers reported different barriers to mobilizing social support compared with midlife caregivers. Findings enhance the understanding of how caregivers’ life course stage affects their barriers to mobilization of social support resources.

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“…However, only a limited number of studies have investigated factors that influence care-givers' respite service utilisation. Researchers have identified factors that may influence the use of respite care by care-givers, including service accessibility (Brandão et al, 2016), confidence in the services (Phillipson et al, 2014), nature of the care-giving relationship (spousal care-givers are less likely to use respite care; Neville et al, 2015), care-giving duration (Shi et al, 2017) and care-givers' characteristics (e.g. older age, education level and employment status; Moholt et al, 2018).…”

Section: Role Of Family Care-givers In Decision To Use Respite Carementioning

confidence: 99%

“…Although these studies, together with those from Western societies (Neville et al, 2015;Brandão et al, 2016;Shi et al, 2017;Moholt et al, 2018), shed some light on predictors of informal care utilisation in the Chinese context, there is a lack of detailed information on the facilitators of respite care use in China. In particular, to understand how to address better care-givers' unmet needs for respite services, there is a need to define multifactorial predictors affecting the intentions of family care-givers.…”

Section: Role Of Family Care-givers In Decision To Use Respite Carementioning

confidence: 99%

Intention to use respite services among informal care-givers of frail older adults in China: the role of care needs change

et al. 2020

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Population ageing in China calls for evidence-based solutions, especially in terms of fulfilling long-term care needs among frail older adults. Respite services are identified as effective resources for alleviating care-giver burden and promoting the wellbeing of both older adults and their family care-givers. However, respite care is often under-used in China. This research aimed to examine factors associated with intention to use respite services among informal care-givers in Shanghai, mainland China. This study was part of the Longitudinal Study on Family Caregivers for Frail Older Adults in Shanghai. Pairs of older adults and their care-givers (N = 583) who successfully completed the 2013 and 2016 waves were included in the data analysis. Two logistic regression models were conducted, one with time-invariant and one with time-variant factors. The model with time-variant factors had greater explanatory power than the original Andersen model with time-invariant factors influencing intention to use respite services among care-givers. Care-givers had higher odds of intending to use respite services if they had higher care-giving burden, were caring elderly people who experienced care-giver transitions, or were caring for elderly people with increased function of ambulation or decreased function of feeding. The findings imply that change in functional health was a significant determinant of intention to use respite care. Relevant policy and service implications will be discussed.

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Caregiving Load and Respite Service Use: A Comparison between Older Caregivers and Younger Caregivers

Cited by 18 publications

References 22 publications

Impact of the carer on length of hospital stay for mental health: Results from two Australian surveys

Impact of the carer on length of hospital stay for mental health: Results from two Australian surveys

Life Course Stage and Social Support Mobilization for End-of-Life Caregivers

Intention to use respite services among informal care-givers of frail older adults in China: the role of care needs change

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