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• This research fills the gap in the experience of caring for centenarians. • The sample was older caregivers (at least > 65). • Older caregivers' sleep quality and anxiety and depression were discussed. To explore the relationship between sleep quality and anxiety and depression in older caregivers. From April 2020 to November 2022, GAD-7, GDS-15, and PSQI were used to measure anxiety, depression, and sleep quality. The correlation of each variable was explored by regression analysis. Among 442 caregivers ≥ 65 years old, the prevalence of sleep disorders, anxiety, and depression was 40.5 %, 20.2 %, and 26.4 %. After adjustment for multiple potential confounders, anxiety (OR1.1; 95 % CI 1–1.2) and depression (OR 1.29; 95 % CI 1.21–1.38) were associated with sleep disorders. Daytime dysfunction components of PSQI measurements were associated with anxiety(P < 0.05). Meanwhile, sleep efficiency, sleep medication use, and daytime dysfunction components of PSQI measurements were associated with depression(P < 0.05). Therefore, the sleep quality of older caregivers is strongly related to anxiety and depression. It is necessary to provide sleep guidance or professional intervention for older caregivers to reduce anxiety and depression. [ABSTRACT FROM AUTHOR]

The percentage of older Americans increases each year, with a corresponding percentage increase of those considered the older old. Many older persons will develop chronic conditions, decreasing their ability to manage the activities of daily living and requiring many to move into assisted living facilities or group homes. When surveyed, a majority of people expressed that they wish to age in their own homes, and government programs are increasingly supportive of this option. This is a viable option for many if they have the assistance of private caregivers-who provide a vast array of support services-and essential person-to-person human contact during the last years of life. Not all caregivers are family; many are friends, partners, and former colleagues. Whether family or nonfamily, private caregivers often provide a recipient with selfsufficiency for many years, and for some until death. This Article discusses the statistics of aging and the obstacles faced by private caregivers who suffer economic deprivation as a result of the time and expense expended on behalf of an elder recipient. Presumptions, statutes, and the process of estate devolution work against compensation for a private caregiver. There is far too little recognition of what is contributed when a person feeds, bathes, administers medications, provides companionship, and confronts the bureaucracy meant to help the old. The common sentiment of all caregivers would be that they do it because they feel they must. But upon the death of the recipient, one person should not walk away with the benefits of the decedent's estate and the other with nothing except the recognition of what they must do and did. To better provide for the equal treatment of private caretakers, this Article posits the creation of a private caretaker presumption in favor of elder caregivers. This presumption would apply to any person who dedicates himself or herself another's care for a period of time sufficient to engender economic benefit to the recipient's estate and a concomitant loss to the caregiver. Then, based upon the estate assets available, the parameters of the claim, and defined mitigating factors, a presumption is raised that the caregiver may file a creditor claim against the estate in an amount that would make the caregiver equal to the other objects of the decedent's bounty. Existing remedies are insufficient; more is needed to promote equity. [ABSTRACT FROM AUTHOR]

Using the theoretical lens of Family Quality of Life, this study evaluated perceptions of older compound caregivers (i.e., caring for more than one family member) regarding their need for services. Quantitative analysis of cross-sectional data collected from 112 caregivers (50 years and older) demonstrated that compound caregivers faced more barriers in accessing services for their families than noncompound caregivers. Although all caregivers shared similar perceptions on the importance, opportunities, initiative, and attainment of service support for their families, compound caregivers had lower stability and satisfaction than noncompound caregivers. Findings highlight the need to develop support programs to equip older caregivers in managing their daily challenges at the individual and family level. [ABSTRACT FROM AUTHOR]

The study of older caregiving is emerging as an important area of research in HIV endemic communities. This study explored the role of social support/network and religiosity in predicting depressive symptoms among older caregivers (N = 100) from the Omusati region in rural Namibia, Africa. Hierarchical multivariate regression results showed that higher levels of social support/network and intrinsic religiosity were significantly associated with lower levels of depressive symptoms. This study suggests the need for mental health professionals in Namibia to invest in and employ evidence-based social support and religious coping interventions for older caregivers of people living with HIV/AIDS. [ABSTRACT FROM AUTHOR]

Objective: This research examines perceptions of rewards associated with caregiving experienced by older parents of adult children with autism spectrum disorder (ASD). Background: More individuals with ASD are reaching adulthood, often requiring some form of lifelong support from parental caregivers. Past research has examined caregiving challenges for adult children with ASD, with little focus on rewards. Method: One‐on‐one, semistructured interviews were conducted among 51 parents (aged 50 years and older) of adult children (18 years and older) diagnosed with ASD. Interviews focused on exploring experiences of older parental caregivers. Using a phenomenological approach, data were coded through a line‐by‐line analysis using Atlas.ti 7 software. Results: Four themes emerged from interview responses: (a) pride in adult child's progress and growth, (b) feelings of personal competence, (c) changed perspective on life, and (d) deeper connections to others. Conclusion: Our findings provide insight into how older parents of adult children with ASD experience rewards from caregiving. Implications: Practitioners who work with individuals with ASD can help parental caregivers and their families find and promote strengths by highlighting the rewards in the caregiving process. [ABSTRACT FROM AUTHOR]

The Care Act 2014 provides for 'parity of esteem' between people with social care needs and carers. This is achieved by extending the principles of prevention and wellbeing to carers; reinforcing carers' right to an assessment; and setting national eligibility criteria for access to carer support services. This article reports on research that examined the impact of these changes on older co-resident carers of older people in four English local authorities. Findings are described in relation to four key themes: organisational arrangements and rationale; the aims of carer support and preventative services; design and delivery of carer assessment; and barriers to assessment and support. The findings of the research suggest that, despite the new statutory requirements, underlying contradictions and tensions in local authorities' relationship with carers, and efforts to support them, remain unresolved. [ABSTRACT FROM AUTHOR]

Objective: We examined how married custodial grandparents from the same household appraise the impact of caring for a grandchild on their sense of self, and how these appraisals are related to their psychological well‐being. Background: This study is important because there is scant information on how custodial grandmothers and grandfathers both experience their caregiver role, even though 70% of these grandparents are married. Method: Four competing measurement and structural models from the combined perspectives of the stress process model and the two‐factor model of caregivers' psychological well‐being were tested with 193 married grandmothers and grandfathers. Results: The best fitting model was one in which two positive (personal gain and satisfaction) and two negative (loss of self and role captivity) appraisals emerged as distinct first‐order constructs. Both negative appraisals correlated highest with negative affect, and both positive appraisals correlated highest with positive affect. The measurement and structural components of this model were largely invariant by grandparent gender. Mean comparisons showed that grandmothers reported significantly higher negative appraisals than grandfathers, with the latter reporting significantly greater perceived gain in the caregiving role. Bivariate correlations between grandmothers' and grandfathers' appraisals were nonsignificant for perceived gain and loss of self and of only moderate magnitude for caregiver satisfaction and role captivity. Conclusions: Given that appraisals are a core component of coping with stressors, our findings have important practice implications and point to meaningful directions for future research regarding custodial grandparent families. [ABSTRACT FROM AUTHOR]

The figure of the biggest adult's caretaker is one of the lines of investigation of the project "Violence in the old age" that assumes as objective to provide an up-to-date bibliographical material on the topic from the optic criminological and crime victim. With emphasis in the care of the gerontes in Cuba and their projection to face the pandemic of the Coronavirus. The Methodical Investigative it provided us a dialectical-materialistic orientation of the environment that facilitated the investigation by means of the methods: historical-logical, analytic-synthetic, inductive-deductive, theoretical - juridical and sociological. Conceiving as essential results a theoretical foundation from the Criminology on the conceptualization of this figure, the determination of the elements configurative of the biggest adult's caretaker, we also value the attention from the State to this group ethereal before the introduction and propagation of the COVID-19 with a look from Cuba and inside we propose it organizational trials of the variants in that it can be presented, as well as the analysis of their artificial regulation in the national legislations. [ABSTRACT FROM AUTHOR]

Due to epidemiological, demographic, socioeconomic and cultural changes in the Mexican population, there are a growing number of people who assume the role of caregivers; those who care for bedridden elderly people share diverse social representations of care, throughout the long trajectories of the chronic conditions affecting the people they serve. To analyze this process, we chose to use the perspective of critical medical anthropology, which has developed the study of social representations, so as to understand the social discourses, and the internalization thereof, with regard to the actors in the health-disease-care process. The objective of this work is to describe the social representations that caregivers construct when attending to the needs of bedridden elderly people. To this end, an ethnographic study was carried out, in which 11 informal caregivers (based in Mexico City) participated. The results show that informal caregivers construct their social representations of care, based on their interrelationships with family/neighborhood support networks. There are representations regarding the appointment of the caregiver; the motivations of the caring process, and the care roles where gender, generation and the values involved, as well as the socioeconomic conditions in which they live, play a fundamental role. The paper concludes on the theme of the importance of the sociocultural aspects, along with the complexity of the social representations regarding the care of the elderly bedridden. [ABSTRACT FROM AUTHOR]

The article presents the case of non-governmental elderly care provision in St Petersburg, Russia. In an attempt to fill the gap in existing care research, it discusses the objectification of care receivers and the inequalities between caregivers and care receivers in the case of caregiving under circumstances of non-governmental sector professionalisation. The empirical part of the article is based on fieldwork carried out in 2014–2015 in St Petersburg, consisting of 48 interviews, numerous observations and document analysis. [ABSTRACT FROM AUTHOR]

• Current caregivers had less health satisfaction than never caregivers. • Former caregivers experienced better well-being than current caregivers. • There were no differences in depression scores amongst caregiver types. • Income is an important contributor to health outcomes across caregiver types. Older adults with physical and/or cognitive limitations frequently rely on informal caregivers who are often other older adults. This study compared health and well-being outcomes of self-identified, current older adult caregivers with those of former older adult caregivers and older adults who were never caregivers. The study was observational, using cross-sectional survey data. The sample consisted of 186 adults age 65 and older. Survey questions measured perceptions of depression, health satisfaction, and well-being. Regressions compared the outcomes of respondents in the three groups. Controlling for demographic factors, never-caregivers reported greater odds of health satisfaction compared to current caregivers. Former caregivers reported greater well-being compared to current caregivers. Findings suggest that older adulthood caregiving has impacts on health and well-being, both positive and negative. Because older adults are increasingly relied upon to provide informal caregiving, community and provider-based resources, policies, and interventional research addressing unique needs of older caregivers are needed. [ABSTRACT FROM AUTHOR]

Background. Advance care planning (ACP) is considered to be an integral part of end-of-life care. This study explored the facilitators and barriers of ACP by consolidating the practice experiences of a group of healthcare professionals involved in an outreach end-of-life programme for older people living residential care homes for the elderly (RCHEs). Methods: Fourteen healthcare professionals participated in this qualitative study. They first completed a questionnaire to capture their views on ACP by describing a successful case. Then they took part in a focus group to discuss desired outcomes, facilitators, and barriers of ACP. Thematic analysis was applied to the questionnaire and focus group data. Results: Participants considered ACP a valuable opportunity for older people to express their care preferences. The resultant care plan provides families and care teams a useful reference for treatment decision-making. Facilitators included the collaborative ties among the community geriatric assessment team, RCHE staff, and the families of patients; dedicated and trained staff; and well-informed family members. Barriers included delayed referral, a lack of public acceptance and awareness, and overwhelming routines among healthcare professionals. Conclusions: Our findings underscore the multitude of individual, family, staff, and social factors affecting the dynamic process of ACP. An effective collaborative framework and professional training in communicating with distressed families are required. In addition, enhancing public awareness of comfort care and ACP is crucial. [ABSTRACT FROM AUTHOR]

This paper is guided by Conservation of Resources theory and aims to investigate the impact of personal and organisational support on the quality of clinical care given to aged care residents in for‐profit (FP) and not‐for‐profit (NFP) facilities. Broadly, the paper addresses challenges faced by governments in designing contract specifications that ensure quality outcomes from aged care providers. The argument is that the present accreditation standards that are used to assess the status of aged care providers are too narrow to capture the complexity in delivering social services. Data were collected from 442 aged care workers from aged care facilities in NSW, QLD and WA. The results show that carer support (personal and organisational support) explained half of the variance in quality of clinical care in NFP facilities, and a third of the variance in FP facilities. In particular, the findings suggest support for carers is important for carer retention, and ultimately the clinical care of residents. The findings provide supporting evidence to widen the required contract specifications for aged care provider accreditation to include organisational and personal support for carers. This paper argues for a widening of the 18 indicators applied as accreditation standards to assess the status of aged care providers to include the provision of organisational support for workers. We justify this claim based on evidence by Jeon et al. (2015) that developing employee perceptions of leadership support in Australian aged care resulted in, among other things, improved quality of care delivered to residents. [ABSTRACT FROM AUTHOR]

In the context of public service delivery, public professionals nowadays intensively collaborate with citizens. The joint, sometimes mandatorily, efforts of citizens and professionals to provide public services have become known as "coproduction." Although coproduction directly affects professionals' work environment, professionals' attitudes toward coproduction are hardly studied. This article explains variation in professionals' engagement in coproduction from characteristics of their work environment, specifically their perceived level of autonomy, perceived organizational support for coproduction, and perceived red tape associated with coproduction activities. Survey research was conducted to question managers of Dutch organizations for elderly care about their interaction with client councils, an example of coproduction activities in the domain of health care. The results show that perceived autonomy in coproduction, red tape associated with coproduction, and organizational support affect professionals' engagement. Organizational support moreover reinforces the effect of work autonomy on professionals' perception on the importance of coproduction. These findings add to the study of coproduction and can help support public organizations to improve coproduction. [ABSTRACT FROM AUTHOR]

Background and objectives: Nursing or care home characteristics may have a long-term impact on the residents’ mortality risks that has not been studied previously. The study’s main objective was to assess the association between facility ownership and long-term, all-cause mortality. Research design and methods: We conducted a mortality follow-up study on a cohort of 611 nursing-home residents in the city Madrid, Spain, from their 1998–1999 baseline interviews up to September 2013. Residents lived in three types of facilities: public, subsidized and private, which were also sub-classified according to size (number of beds). Residents’ information was collected by interviewing the residents themselves, their caregivers and facility physicians. We used time-to-event multivariable models and inverse probability weighting to estimate standardized mortality risk differences. Results: After a 3728 person-year follow-up (median/maximum of 4.8/15.2 years), 519 participants had died. In fully-adjusted models, the standardized mortality risk difference at 5 years of follow-up between medium-sized private facilities and large-sized public facilities was -18.9% (95% confidence interval [CI]: -33.4 to -4.5%), with a median survival (95% CI) of 3.6 (0.5 to 6.8) additional years. The fully-standardized 5-year mortality difference (95% CIs) between for-profit private facilities and not-for-profit public institutions was -15.1% (-31.1% to 0.9%), and the fully-standardized median survival difference (95% CIs) was 3.0 (-1.7 to 7.7) years. Discussion and implications: These results are compatible with an association between factors related with the ownership of facilities and the long-term mortality risk of their residents. One of these factors, the facility size, could partly explain this association. [ABSTRACT FROM AUTHOR]

Purpose: This study addressed the experiences of older caregivers of cancer patients in the 2 weeks following a hospital discharge. It sought to understand the challenges they face in providing supportive care to patients at home.Methods: Qualitative descriptive interviews with a narrative approach were conducted with each caregiver at 1 and 2 weeks following the patient's discharge from the hospital. A thematic analysis approach was used to identify the themes that emerged from the caregiver interviews.Results: Caregivers were primarily Caucasian (77%), were mostly 68 years of age or older (62%), and were primarily caring for a spouse (69%). Three key themes emerged from the qualitative analysis: caregiver and patient wellness are connected, caregivers' struggle with control issues, and challenges in communication with health professionals.Conclusions: These findings highlight psychosocial changes that caregivers experience over the 2-week time period following hospital discharge. Implications include the need to identify interventions to better prepare caregivers for the post-discharge period. [ABSTRACT FROM AUTHOR]

This paper addresses how the introduction of welfare technologies in Denmark makes the bodywork of eldercare an object of public governance, and investigates how wash-and-dry toilets co-constitute professional care work. First, a theoretical frame is established for studying care, with an emphasis on bodywork as a sociomaterial and collective accomplishment. The paper then unfolds the great expectations tied to welfare technologies in general, and wash-and-dry toilets specifically. Turning to differentiated examples of situated uses of the toilets, the complexity of making the toilets work within the context of professional eldercare is illustrated. Some of the uses of the toilets in care work are in concordance with policy expectations. Other uses demonstrate difficulties in satisfying the great expectations and call for a more complex understanding of what it takes to achieve dignified, technologically assisted care without silencing the skills and professionalism of care workers. [ABSTRACT FROM AUTHOR]

This paper compared care-giving pattern of children in India under care of grandparents (voluntary care-givers) and paid care givers. For this study, 100 children (50 children under grandparents' care and another 50 children under care of paid care-givers) of 4-12 years (single child of working parents) were selected purposively through random sampling from Kolkata City of West Bengal. Qualitative and quantitative data were collected on care-giving pattern, children as per backgrounds of care-givers and their care-giving role. This comparative study revealed that about 82 per cent of the children grown up under care of paid care-givers were demanding, quarrelsome, absent-minded and arrogant. Their educational attainment was dis-satisfactory. On the other hand, 90 per cent of the children under care of their grandparents were just opposite to the above group. Affection, teaching, supervision and monitoring of grandparents were child-friendly. Grandparents were happy for their involvement as care-givers, in spite of their own age-related physical problems. Caregiving helped in the improvement of their mental health. They could overcome their loneliness and isolation. On the other hand, paid care system was not enough for children's emotional development and the development of positive attitude in their life. Lastly, involvement of grandparents in care giving might be a big help in achieving a good mental health. [ABSTRACT FROM AUTHOR]

‘“My aunt was always doing wild things”’ traces the ongoing ripple effect of a question posed by Dartington College in a submission to the Council of Europe in 1983 for a week-long seminar on Theatre and Communities: ‘What contribution can theatre practice make to the welfare of the community in which it occurs?’ By focusing on one point of radical theatre practice happening within a south London Care Home for older people in 2017 the article seeks to describe ways in which the ecology and pedagogy of Dartington College in the 1970s and 1980s continues to have direct influence on a network of artists and creative producers working in south-east London 40 years later. The paper outlines the innovate practices that underpinned the development of Dartington’s four-year Theatre Language course (1978-1985), notably the skills used to negotiate and establish sustained relationships between theatre, people and place. It illustrates how the processes of unlearning and not-knowing supported Theatre Language students to engage openly with the complexity of real contexts. [ABSTRACT FROM AUTHOR]

Purpose Is collaborative story production (CSP) a useful method to collaborate with bereaved families to record their reflections on the end of life circumstances and care of people of advanced age? The paper aims to discuss this issue.Design/methodology/approach Drawing from Te Pākeketanga, a bicultural study involving 58 bereaved Māori and non-Māori families on behalf of 52 older relatives, the authors describe the CSP method. Researchers and participants co-created personalised written stories about the older person and their end of life experiences, supported with photographs of family, friends and memorabilia. The authors aimed to uplift the status of the older person and their family by tangibly reflecting the significance and magnitude of what had been shared and to strengthen the research analysis.Findings CSP supported member checking, promoted a robust understanding of participants' narratives and increased the trustworthiness of data and strengthened the Kaupapa Māori and social constructivist analysis. However, some participants experienced difficulty revisiting painful memories when reading their story. CSP took longer than anticipated, was labour intensive and required a highly skilled and resourced team to ensure participants benefitted.Originality/value Using the CSP method with a bicultural cohort of bereaved families who had provided care to someone over the age of 80 was very helpful in assisting the researchers to gather narrative information and present it back to participants in a story format for their comment and feedback. The method contributed a useful way to partner with bereaved family caregivers following the death of an older family member. The authors needed a way to record the participants' narratives of the older person's end of life circumstances and end of life care experiences. This was very important, particularly for grieving families and indigenous families who may have felt vulnerable engaging with research, and with the research processes. The approach provided a helpful and non-intrusive member-checking process. The unique bicultural study approach deliberately utilised the CSP method to assist the researchers to work safely with bereaved families as the participants reflected upon and explored not only the end of life circumstances of the older person, but they also focused on the "death" and their own bereavement experiences. CSP also provided a helpful member-checking method; the authors were working with highly sensitive information and wanted to ensure that the authors as researchers understood and interpreted the families' narrative data correctly, according to their perspectives. [ABSTRACT FROM AUTHOR]

The purpose of this study was to analyse the multidimensional nature of obligation and the relations between each dimension of obligation and both anxiety and depression. A secondary analysis of data from two cross-sectional studies of primary home caregivers (N = 400; probabilistic sample) of older adult relatives in Spain was conducted. Data regarding obligation (four categories basing on beliefs of obligation and social pressure: low pressure and low beliefs, low pressure and high beliefs, high pressure and low beliefs and high pressure and high beliefs), stressors, anxiety and depression were collected by interview in 2013. The combination of high pressure and low beliefs had the highest levels of anxiety and depression, and the combination of low pressure and high beliefs had the lowest levels of anxiety and depression. When the relation of behavioural problems with anxiety and depression stratified by the previous four categories of obligation was analysed, behavioural problems were associated with anxiety and depression in the subgroups with low beliefs of obligation, whereas this association disappeared in the subgroups with high beliefs of obligation. [ABSTRACT FROM AUTHOR]

This case study report covers our experiences in using Cultural Probes during the first phase of our European and interdisciplinary research project TOPIC (The Online Platform for Informal Caregivers). In that stage of our research, we focused on two major issues: first, describing and analyzing the characteristics of the care and coordination work of elderly informal caregivers, and second, on first implications for design for the field of informal care. Although our general methodological approach was qualitative (ethnographic) with participant observation and interviewing, we included Cultural Probes as an additional method to ethnography for gaining insight information about the care practices by the means of self-observation of and reflection by the informal caregivers. The paper describes our adaptation of the Cultural Probes approach, the similarities and differences to Gaver et al. [1999. Interactions. 6(1): 21–29], the items of our TOPIC Cultural Probes Kit in detail, and re-constructs the design process of one of the items (the actimoClock). Based on the experiences of our participants with the probes kit and our analyses of that use, we also present lessons learned, pros and cons for including that method in the sensitive setting of informal caregiving. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to explain, in brief, about smart, intelligent system which actively monitors the wellness of the elderly and will also send necessary alarms to the caretakers or doctors during an emergency because nowadays most of elderly people wish to stay alone independently. It is necessary to monitor their health conditions and activities continuously to prevent occurrence of health problems and also be able to provide medical assistance to them during emergencies.Design/methodology/approach The review paper describes the development of a methodology to monitor elderly continuously with a combination of advanced intelligent sensors, networking technologies and data processing system.Findings This paper identified various sensors used in smart home such as a pressure sensor, temperature sensor, etc., for monitoring elders health and their characteristics and also the cost, model number, etc., of various sensors available in the market.Originality/value This paper contains the comparison of various sensors available in the market that can be used in the smart home and also where we can use those sensors in smart home based on their characteristics. [ABSTRACT FROM AUTHOR]

Background Multi-compartment compliance aids (MCAs) are promoted as a potential solution to medicines non-adherence despite the absence of high quality evidence of effectiveness of MCA use impacting medicines adherence or any clinical outcomes. Furthermore, there is a lack of qualitative research which focuses on the perspectives of older people receiving MCAs. Objectives To describe experiences and beliefs surrounding very sheltered housing (VSH) residents' use of MCAs with emphasis on issues of personalisation, reablement, shared decision-making, independence and support. Setting VSH in north east Scotland. Methods Qualitative, face-to-face interviews with 20 residents (≥ 65 years, using MCA > 6 months) in three VSH complexes. Interviews focused on: when and why the MCA was first introduced; who was involved in making that decision; how the MCA was used; perceptions of benefit; and any difficulties encountered. Interviews were audiorecorded, transcribed and analysed using a framework approach. Main outcome measure Experiences and beliefs surrounding use of MCAs. Results Nine themes were identified: shared decision-making; independence; knowledge and awareness of why MCA had been commenced; support in medicines taking; knowledge and awareness of medicines; competent and capable to manage medicines; social aspects of carers supporting MCA use; benefits of MCAs; and drawbacks. Conclusion Experiences and beliefs are diverse and highly individual, with themes identified aligning to key strategies and policies of the Scottish Government, and other developed countries around the world, specifically personalisation shared decision making, independence, reablement and support. [ABSTRACT FROM AUTHOR]

Objective: To obtain a deeper understanding of oral health knowledge and attitudes among staff caring for older people in long-term care (LTC) facilities. Methods: 30 in-depth, semi-structured interviews with caregivers, nurses and managers in 7 LTC facilities across Hawkes Bay and Nelson produced interview data transcripts. These were analysed to determine the oral health knowledge and attitudes of staff caring for older people in LTC facilities. Results: Most LTC facility staff had a basic level of knowledge of dental caries; however, most were uninformed about periodontal disease, the benefits of fluoride and the effect of medication on oral health. Irrespective of whether the participant was a caregiver or nurse, there had been very minimal education in oral health. Most participants reported working in a stressful environment with many challenges and high expectations that are difficult to meet. All participants agreed that there is a need for regular visits to LTC facilities by oral health professionals and most believed that the current oral health care system is not meeting the needs of institutionalised older people. Conclusions: There is a need to improve the oral health knowledge of LTC facility staff and to incorporate oral health professionals into the system of care for older people. [ABSTRACT FROM AUTHOR]

Purpose: Acknowledging the expanding influence of technology in the promotion of health and wellness, this study assessed the role of information and communication technology (ICT) use in the lives of older cancer survivors.Methods: A community sample of cancer survivors aged 65 and older (N = 1411) was extracted from a 2011 U.S. National Health and Aging Trends Study dataset. Weighted multiple regression and multinomial logistic regression analyses were performed to explore the relationships between survey respondents' ICT use and their self-rated health status and depressive symptoms.Results: The majority of respondents reported rarely or never engaging in ICT use. Greater use of communication technology such as emailing or texting was associated with decreased risk for severe depressive symptoms and higher self-rated health status. Information technology use was not associated with depressive symptoms and self-rated health status.Conclusions: Investigation into reasons behind older cancer survivors' apparent low rates of engagement with ICT is warranted, particularly the examination of access as a potential barrier. Findings indicated that frequent use of communication technology was positively linked with mental and physical wellness. The nature of the relationships between communication technology use and physical and mental health merits further research, helping to determine whether community-based educational efforts to improve technology access and skills may benefit the growing population of older cancer survivors. [ABSTRACT FROM AUTHOR]

Background: The burden of caring for an older adult can be a form of stress and influence caregivers' daily lives and health. Previous studies have reported that resilience and social support play an important role in reducing physical and psychological burden in caregivers. Thus, the present study aimed to examine whether perceived social support served as a possible protective factor of burden among caregivers of older adults in Singapore using moderation and mediation effects' models. Methods: We conducted a cross-sectional study with 285 caregivers providing care to older adults aged 60 years and above who were diagnosed with physical and/or mental illness in Singapore. The Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience and burden was measured by the Zarit Burden Interview (ZBI). The Multidimensional Scale of Perceived Social Support (MSPSS) was used to measure perceived social support. Hayes' PROCESS macro was used to test moderation and mediation effects of perceived social support in the relationship between resilience and burden after controlling for sociodemographic variables. Indirect effects were tested using bootstrapped confidence intervals (CI). Results: The mean scores observed were CD-RISC: 70.8/100 (SD = 15.1), MSPSS: 62.2/84 (SD = 12.2), and ZBI: 23.2/88 (SD = 16.0) respectively. While perceived social support served as a full mediator between resilience and caregiver burden (β = - 0.14, 95% CI -0.224 to - 0.072, p < 0.05), it did not show a significant moderating effect. Conclusions: Perceived social support mediates the association between resilience and caregiver burden among caregivers of older adults in Singapore. It is crucial for healthcare professionals, particularly those who interact and deliver services to assist caregivers, to promote and identify supportive family and friends' network that may help to address caregiver burden. [ABSTRACT FROM AUTHOR]

OBJECTIVES: The objective of this study was to discover the characteristics of informal caregivers of elderly patients; to determine the socioeconomic, psychological, and physical consequences facing informal caregivers; and to measure their burdens and needs. MATERIALS AND METHODS: This study was a cross-sectional survey of informal caregivers of elderly patients. Participants were recruited from different hospitals and primary care clinics in Riyadh, Saudi Arabia. For an intended sample size of 384 caregivers, a multistage sampling was used. A self-administered questionnaire was used to collect data. Data analysis included student's t-test and ANOVA to test for statistical significance. RESULTS: The study included 315 caregivers of elderly patients. Over half of the elderly patients were female (55.9%) and over 70 years old (65.7%); about 31% had chronic diseases or disabilities, which represented the majority of health problems reported by the elderly population. Most of the caregivers were family members (87.9%), young (43.8%), female (52.7%), unemployed (54.6%), and unmarried (58.1%). Most caregivers suffered from musculoskeletal problems (78.1%). The mean Zarit Burden Interview score was 31.3, which indicated a moderate burden. More than half of caregivers requested blood pressure (55.6%) and blood sugar measuring devices (53%). Three quarters (74.9%) of the caregivers wanted educational training to cope with emergencies. Most caregivers expressed a need for frequent healthcare for themselves (58.4%) and a home health visit service (72.9%) to support them in the care of their elderly. CONCLUSIONS AND RECOMMENDATIONS: Mobilization of resources in locations where these carers of the elderly live are greatly needed. In addition, health authorities should provide devices and essential training to manage the common problems and emergencies that informal caregivers have to deal with. Moreover, caregivers need follow-up supervision by a home visit team. Further studies are required to guide the implementation of the above advice. [ABSTRACT FROM AUTHOR]

Scientific debate on the interface of work and caregiving responsibilities among older adults is intensifying, yet it has had little resonance in African aging discourses thus far. In this commentary we explore the nature and possible reasons for the gap, and highlight a possible frame, and potential avenues for redressing it as part of an emergent research and policy endeavor on long-term care for older persons. [ABSTRACT FROM AUTHOR]

This article considers recent changes in the incidence of caring among people aged 50-64 in England and the policy context in which these have occurred. After introducing the topic, research questions addressed and methods used, it outlines findings from other research on how older workers experience and manage caring roles. It then sets out relevant public policy developments since carers were first accorded rights to recognition and services in 1995, focusing on workplace support, local services and financial help for people who reduce or quit their paid work to care. The article presents new analyses of the population censuses conducted in England in 2001 and 2011, focusing on people aged 50-64 and especially on those aged 60-64, the group in which the largest changes were seen. Theses show growth in caring at higher levels of intensity for older workers, and increases in the incidence of caring alongside paid work. To deepen understanding of these changes, the analysis also draws on data from a government survey of carers conducted in 2009-10. The concluding discussion argues that although the modest policy changes implemented since 1995 have provided some support to older workers managing work and care, more policy attention needs to be given following the sharp increase in the incidence of caring seen among people aged 50-64 in England between 2001 and 2011. [ABSTRACT FROM AUTHOR]

Supporting caregivers and enabling continued workforce participation are central strategies in Australia's response to an ageing population, however these strategies have potential disadvantages for carers, particularly women, including reduced workforce participation and retirement income, and poorer health status. This paper explores the nexus between paid work and caregiving for Australia's baby boomer cohort as this group faces unprecedented pressures to manage paid work alongside caring longer and more intensively for family members, including grandchildren. A sample of 1261 men and women aged 60 to 64 completed the 2011-12 Life Histories and Health survey, a sub-study of the New South Wales 45 and Up Study. The survey collected data on sociodemographic, psychosocial, life history and health-related variables including caregiving and employment status. Around a third (32.5%) of the sample (52.2% female) were involved in some type of caregiving at the time. Compared to non-carers, carers reported lower workforce participation (45.8% versus 54.7% for non-carers) as well as poorer health, more mobility difficulties, lower quality of life and lower self-rated SES. Carers who also cared for grandchildren were more likely to be in part-time or no paid work compared to other carers. Working carers tended to be more highly educated, have fewer mobility difficulties, better self-rated health and higher SES than non-working carers. Male carers were more likely than female carers to be in full-time or no paid work. Results indicate that reduced workforce participation and health status of caregivers varies by gender and type of caregiving. Policy reforms are recommended to mitigate these adverse consequences on those providing care, their families, employers and the community. [ABSTRACT FROM AUTHOR]

Background: For the growing proportion of elders globally, aging-related illnesses are primary causes of morbidity causing reliance on family members for support in the community. Family caregivers experience poorer physical and mental health than their non-caregiving counterparts. Web-based interventions can provide accessible support to family caregivers to offset declines in their health and well-being. Existing reviews focused on web-based interventions for caregivers have been limited to single illness populations and have mostly focused on the efficacy of the interventions. We therefore have limited insight into how web-based interventions for family caregiver have been developed, implemented and evaluated across aging-related illness.Objectives: To describe: a) theoretical underpinnings of the literature; b) development, content and delivery of web-based interventions; c) caregiver usage of web-based interventions; d) caregiver experience with web-based interventions and e) impact of web-based interventions on caregivers' health outcomes.Methods: We followed Arksey and O'Malley's methodological framework for conducting scoping reviews which entails setting research questions, selecting relevant studies, charting the data and synthesizing the results in a report.Results: Fifty-three publications representing 32 unique web-based interventions were included. Over half of the interventions were targeted at dementia caregivers, with the rest targeting caregivers to the stroke, cancer, diabetes and general frailty populations. Studies used theory across the intervention trajectory. Interventions aimed to improve a range of health outcomes for caregivers through static and interactive delivery methods Caregivers were satisfied with the usability and accessibility of the websites but usage was generally low and declined over time. Depression and caregiver burden were the most common outcomes evaluated. The interventions ranged in their impact on health and social outcomes but reductions in perception of caregiver burden were consistently observed.Conclusions: Caregivers value interactive interventions that are tailored to their unique needs and the illness context. However, usage of the interventions was sporadic and declined over time, indicating that future interventions should address stage-specific needs across the caregiving trajectory. A systematic review has the potential to be conducted given the consistency in caregiver burden and depression as outcomes. [ABSTRACT FROM AUTHOR]

Drawing on ethnographic research conducted since 2009 with Cantonese-speaking Chinese senior migrants in Boston's downtown Chinatown and its satellite community in Quincy, MA, this paper contributes to a growing scholarly literature on the problem of senior support within the changing dynamics of contemporary Chinese family life by highlighting how the paid and unpaid caregiving work performed by Chinese-born senior migrants in the U.S. provides a means for them to act strategically to secure their own support in older age. The paper describes how these senior migrants work to negotiate their value within the family through caregiving while dealing with the familial conflicts that also arise in the process. [ABSTRACT FROM AUTHOR]

This paper examines the impact of providing informal care to elderly parents on caregivers' subjective well-being using unique data from the 'Preference Parameters Study' of Osaka University, a nationally representative survey conducted in Japan. The estimation results indicate heterogeneous effects: while informal elderly care does not have a significant impact on the happiness level of married caregivers regardless of whether they take care of their own parents or parents-in-law and whether or not they reside with them, it has a negative and significant impact on the happiness level of unmarried caregivers. These findings call for more attention to be paid to unmarried caregivers, who presumably receive less support from family members and tend to be more vulnerable to negative income shocks than their married counterparts. [ABSTRACT FROM AUTHOR]

By the year 2060 Australians aged 65 and over will account for one quarter of the population, one in six Australians will be aged 75 or more, and the 'very old' (over 80 years of age) will also become more numerous. These statistics indicate that there will be increased demands on the residential aged care workforce in the future and associated labour shortages given the consequent increases in demand for personal care worker services. Moreover, personal care workers (PCWs) are reportedly older than the average age of workers in other fields, further exacerbating these problems. Consequently, this study focuses on both the policy and human resource changes required in the residential aged care sector related to both current and future challenges experienced in attracting and retaining Australia's ageing aged care workforce. Proposed changes include far-reaching policy development required to underpin improved employment conditions, salaries, training and career pathways as an imperative to care for elderly Australian citizens. [ABSTRACT FROM AUTHOR]