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postgraduate thesis: Modeling family caregivers' willingness to continue care in community for older persons with dementia

TitleModeling family caregivers' willingness to continue care in community for older persons with dementia
Authors
Advisors
Issue Date2013
PublisherThe University of Hong Kong (Pokfulam, Hong Kong)
Citation
Sin, H. [冼曉琳]. (2013). Modeling family caregivers' willingness to continue care in community for older persons with dementia. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b5108688
AbstractThis study aimed to model the process and its relevant variables in predicting the willingness in home care and actual institutionalization of older persons with dementia in a Hong Kong context. This was a secondary data analysis of a previous research study which collected 122 sample of Chinese caregivers and their older care recipients with clinical diagnosis of dementia, all of whom recruited from a local NGO. Participants were assessed on a battery of instruments that collected both caregivers and patients' characteristics, including demographic details, patients “physical states affected by dementia, caregivers” perceived burden. The period of study was 12 months, with follow up phone calls on state of care every 6 months. Only a very weak relation was shown between expressed intention to care and actual placement at 12M. Higher odds in intention for home care was significantly predicted by male gender in caregiver gender and lower caregiver burden (ZBI score); ZBI was a total mediator between patients' agitation (CMAI score) and willingness. Higher odds of actual institutionalization was related to the use of day care centre. Results called for a need to carefully distinguish the genuinely effective services in helping to delay nursing home placement; rather than assuming all to be useful. While caregivers training was not popular among current sample, current model showed the importance of caregivers' perceived burden in altering objective environmental stress' effect on caregiving outcomes. While more than half of the current sample was using day care centre, model suggested day care centre could have encouraged placement. More resources should be allocated in programmes that aimed to manage caregivers' stress and cognition. There should also be more promotions to heighten awareness and participation of such programmes amongst caregivers of HKG.
DegreeMaster of Philosophy
SubjectCaregivers - China - Hong Kong - Psychology
Dementia - Patients - Home care - China - Hong Kong
Dept/ProgramSocial Work and Social Administration
Persistent Identifierhttp://hdl.handle.net/10722/193470

 

DC FieldValueLanguage
dc.contributor.advisorYan, ECW-
dc.contributor.advisorChow, NWS-
dc.contributor.authorSin, Hiu-lam-
dc.contributor.author冼曉琳-
dc.date.accessioned2014-01-10T09:45:53Z-
dc.date.available2014-01-10T09:45:53Z-
dc.date.issued2013-
dc.identifier.citationSin, H. [冼曉琳]. (2013). Modeling family caregivers' willingness to continue care in community for older persons with dementia. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b5108688-
dc.identifier.urihttp://hdl.handle.net/10722/193470-
dc.description.abstractThis study aimed to model the process and its relevant variables in predicting the willingness in home care and actual institutionalization of older persons with dementia in a Hong Kong context. This was a secondary data analysis of a previous research study which collected 122 sample of Chinese caregivers and their older care recipients with clinical diagnosis of dementia, all of whom recruited from a local NGO. Participants were assessed on a battery of instruments that collected both caregivers and patients' characteristics, including demographic details, patients “physical states affected by dementia, caregivers” perceived burden. The period of study was 12 months, with follow up phone calls on state of care every 6 months. Only a very weak relation was shown between expressed intention to care and actual placement at 12M. Higher odds in intention for home care was significantly predicted by male gender in caregiver gender and lower caregiver burden (ZBI score); ZBI was a total mediator between patients' agitation (CMAI score) and willingness. Higher odds of actual institutionalization was related to the use of day care centre. Results called for a need to carefully distinguish the genuinely effective services in helping to delay nursing home placement; rather than assuming all to be useful. While caregivers training was not popular among current sample, current model showed the importance of caregivers' perceived burden in altering objective environmental stress' effect on caregiving outcomes. While more than half of the current sample was using day care centre, model suggested day care centre could have encouraged placement. More resources should be allocated in programmes that aimed to manage caregivers' stress and cognition. There should also be more promotions to heighten awareness and participation of such programmes amongst caregivers of HKG.-
dc.languageeng-
dc.publisherThe University of Hong Kong (Pokfulam, Hong Kong)-
dc.relation.ispartofHKU Theses Online (HKUTO)-
dc.rightsThe author retains all proprietary rights, (such as patent rights) and the right to use in future works.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.lcshCaregivers - China - Hong Kong - Psychology-
dc.subject.lcshDementia - Patients - Home care - China - Hong Kong-
dc.titleModeling family caregivers' willingness to continue care in community for older persons with dementia-
dc.typePG_Thesis-
dc.identifier.hkulb5108688-
dc.description.thesisnameMaster of Philosophy-
dc.description.thesislevelMaster-
dc.description.thesisdisciplineSocial Work and Social Administration-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.5353/th_b5108688-
dc.date.hkucongregation2013-

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