Effect of caregiving relationship and formal long‐term care service use on caregiver well‐being

Eom, Kirsten; Penkunas, Michael J.; Chan, Angelique

doi:10.1111/ggi.12958

Cited by 13 publications

(15 citation statements)

References 28 publications

(43 reference statements)

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“…more depressive symptoms and experience of stress than noncaregivers) (Pinquart & Sorensen, ; Smith, Williamson, Miller, & Schulz, ). In a study done in Singapore, it was found that spousal and adult children caregivers reported poorer well‐being compared with nonimmediate family members who provided care (Eom, Penkunas, & Chan, ). Nonetheless, not all caregiving experiences are negative; many family caregivers also report positive experiences from caregiving such a sense of personal growth, increased meaning and purpose in life (Peacock et al, ).…”

Section: Background and Research Aimsmentioning

confidence: 99%

“…more depressive symptoms and experience of stress than noncaregivers) (Pinquart & Sorensen, 2011;Smith, Williamson, Miller, & Schulz, 2011). In a study done in Singapore, it was found that spousal and adult children caregivers reported poorer well-being compared with nonimmediate family members who provided care (Eom, Penkunas, & Chan, 2017).…”

Section: Backg Round and Re S E Arch Aimsmentioning

confidence: 99%

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The types of caregiving reactions experienced by the older spouse caregivers

Aloweni

Doshi

Fook‐Chong

et al. 2019

Journal of Clinical Nursing

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Aims To examine factors associated with the four types of caregiver reactions according to the modified Caregiver Reaction Assessment (mCRA) and assess the differences in the narrative assessment from spouse caregivers between the high‐positive and high‐negative caregiver reactions. Background There is a limited understanding of the factors contributing to positive and negative reactions among older spouse caregivers with chronic illnesses. Narrative assessment from spouse caregivers has not been studied before. Design The study design was a paired‐sample, mixed‐method survey design. Data were collected from spouse caregivers (≥55 years old) and care‐recipients in one medical institute from February 2017–December 2017. This manuscript used STROBE checklist to ensure complete reporting. Methods Demographic, socioeconomic, Frailty Index, perceived stress, and quality of life data were gathered from caregiver dyads. mCRA, relationship, and life satisfaction data were collected from caregivers. mCRA identified the four types of caregiver reactions: (a) high‐positive, low‐negative; (b) high‐positive, high‐negative; (c) low‐positive, high‐negative; and (d) low‐positive, low‐negative. A qualitative interview was conducted to understand the differences in the narrative and choice of words used to describe caregiving experience. Results Seventy‐five caregiver dyads were recruited. Total perceived stress was found to be negatively associated with high‐positive, low‐negative caregiver reaction (baseline category: low‐positive, high‐negative) by multinomial logistic regression. Content analyses showed that low‐positive and high‐negative caregivers used words that implied a lack of volition. Caregivers with positive experience viewed caregiving as a responsibility; the opposite viewed it as having ‘no choice’. Conclusions Perceived stress is an important indicator of caregiver reactions. Words used when describing caregiving experiences can potentially depict the spouse caregivers' current state of being as a caregiver. Relevance to clinical practice Spouse caregiver's narrative of their caregiving experience may provide easy and quick insights if interventions are needed. Early identification of negative reactions will allow for prompt interventions in mitigating caregivers' stress.

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Section: Background and Research Aimsmentioning

confidence: 99%

Section: Backg Round and Re S E Arch Aimsmentioning

confidence: 99%

The types of caregiving reactions experienced by the older spouse caregivers

Aloweni

Doshi

Fook‐Chong

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

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“…A similar fluctuating trend is also observed in the OECD average (OECD 2011, 2013, 2015). Eom, Penkunas and Chan (2017) found that immediate family care-givers experience lower wellbeing and higher subjective burden than non-immediate family care-givers. Also societal changes, for instance the increase in retirement age, the individualisation of lifestyles and weakening norms of family obligations may reduce the family member's possibilities to engage in an informal care relationship (Anttonen and Häikiö 2011; Fingerman et al 2012).…”

Section: Discussionmentioning

confidence: 99%

Trends in the use of care among people aged 65–85 with cognitive impairment in the Netherlands

et al. 2018

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Observation of long-term trends within countries is needed to increase insight into how policy initiatives are reflected in the use of care over time in addition to individual determinants of care use. In the past decades, Dutch care policies have favoured homecare and reduced the availability of institutional care which extended the care responsibilities of formal and informal care-givers at home. This study investigates the changes in the use of informal and formal homecare, community services and residential care among cognitively impaired older adults over time in the Netherlands. In addition, of special interest here are the associations of the presence of a spouse, other family members or social network with care use, and the interdependency between the use of different types of care. The study employs the Longitudinal Aging Study Amsterdam (LASA) covering the years 1992-2012, analysed with generalised estimating equations. The data consisted of 1,022 observations gathered from 813 respondents aged 65-85. The respondents were cognitively impaired according to the age-and education-standardised Mini-Mental State Examination score. The analyses took into account several individual determinants of care use. The use of informal care and residential care decreased while the use of formal homecare and community services remained the same. Simultaneously, the proportion of those who did not use the studied care types increased. The contribution of partners in informal care decreased. Informal care and formal homecare use increasingly became complementary services. The findings suggest that the decreases in informal care and residential care have not been replaced by other types of care, as reflected in the increased number of persons receiving no care. Care policies should not rely excessively on the availability of informal help and should guarantee adequate formal help, especially for those in high need.

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“…Therefore, it is the family that bears the largest burden of elderly care provision in Singapore. Scholars and advocacy groups have documented the immense pressures that such a responsibility has placed on Singaporean caregivers, particularly in the context of shrinking families and higher costs of living (Eom et al 2017;Tan et al 2012). This has created a phenomenon that Ochiai (2011) calls 'liberal familialism', in which a family turns to the market to find a solution to its filial care responsibilities.…”

Section: Cracks In the Elderly Care Diamond: The Case Of Singaporementioning

confidence: 99%

Connecting care chains and care diamonds: the elderly care skills regime in Singapore

2020

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Research on the globalization of care work often faces the persistent challenge of building meaningful connections between the movement of care labour at a global scale and place‐based frameworks of care access and delivery. In addressing this gap in this article, we propose to take a closer look at how the care‐migration nexus produces ‘ideal’ care workers through a skills regime. Based on the case of elderly care in Singapore, in this article, we demonstrate how state institutions and private agencies attempts to fill local labour needs by producing care workers among both Singapore citizens and migrant women. This leads to contradictory strategies associated with lowering barriers for citizens to enter the elderly care industry, while raising standards and increasing pre‐training demands for migrant domestic workers to perform more ‘professional’ care work within the household. We conclude with a discussion of how these strategies can be understood as a process of ‘filtering’.

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Effect of caregiving relationship and formal long‐term care service use on caregiver well‐being

Cited by 13 publications

References 28 publications

The types of caregiving reactions experienced by the older spouse caregivers

The types of caregiving reactions experienced by the older spouse caregivers

Trends in the use of care among people aged 65–85 with cognitive impairment in the Netherlands

Connecting care chains and care diamonds: the elderly care skills regime in Singapore

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