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Article: Disagreement in preference for residential care between family caregivers and elders is greater among cognitively impaired elders group than cognitively intact elders group

TitleDisagreement in preference for residential care between family caregivers and elders is greater among cognitively impaired elders group than cognitively intact elders group
Authors
KeywordsCaregiver burden
Cognitive impairment
Depression
Elders
Old age home
Residential care
Issue Date2010
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294
Citation
International Journal Of Geriatric Psychiatry, 2010, v. 25 n. 1, p. 46-54 How to Cite?
AbstractObjectives: This study examined the predictive factors of preference for residential care in cognitively intact and impaired elders and their family caregivers. It was hypothesized that disagreement in preference for residential care between the elders and their caregivers was greater in the cognitively impaired. Methods: A cross-sectional survey was conducted during June 2007 to March 2008 in Hong Kong, and 707 community-dwelling elders aged 65 and above and 705 family caregivers were interviewed. Cognitively impaired elders were over-sampled to give reliable estimates for that sub-group. A structural questionnaire was used to collect data on preference for residential care and potential factors. Logistic regression was used to identify the predictors. Results: More cognitively impaired elder-caregiver dyads (37.4%) had disagreement in preference for residential care than cognitively intact elder-caregiver dyads (20.5%) ( p<.001). From the elders' perspective, less preference for residential care was associated with cognitive impairment, whereas greater preference was associated with depression (for cognitively intact elders), more usage of community service and functional impairment. From the caregivers' perspective, greater preference for residential care was associated with greater caregiver burden, or care-recipients having cognitive or functional impairment, or more usage of community services. Conclusions: Cognitively intact elders were more likely to indicate preference for residential care than cognitively impaired elders. Elders, both cognitively intact and impaired, were less likely than their caregivers to indicate preference for residential care. Disagreement in preference for residential care between the elders and their caregivers was larger for the cognitively impaired group than the cognitively intact group. Copyright © 2009 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/59244
ISSN
2023 Impact Factor: 3.6
2023 SCImago Journal Rankings: 1.187
ISI Accession Number ID
Funding AgencyGrant Number
Hong Kong Jockey Club Charities Trust
Funding Information:

This study is part of the project entitled 'CADENZA: A Jockey Club Initiative for Seniors' funded by The Hong Kong Jockey Club Charities Trust.

References

 

DC FieldValueLanguage
dc.contributor.authorChau, PHen_HK
dc.contributor.authorKwok, Ten_HK
dc.contributor.authorWoo, Jen_HK
dc.contributor.authorChan, Fen_HK
dc.contributor.authorHui, Een_HK
dc.contributor.authorChan, KCen_HK
dc.date.accessioned2010-05-31T03:46:02Z-
dc.date.available2010-05-31T03:46:02Z-
dc.date.issued2010en_HK
dc.identifier.citationInternational Journal Of Geriatric Psychiatry, 2010, v. 25 n. 1, p. 46-54en_HK
dc.identifier.issn0885-6230en_HK
dc.identifier.urihttp://hdl.handle.net/10722/59244-
dc.description.abstractObjectives: This study examined the predictive factors of preference for residential care in cognitively intact and impaired elders and their family caregivers. It was hypothesized that disagreement in preference for residential care between the elders and their caregivers was greater in the cognitively impaired. Methods: A cross-sectional survey was conducted during June 2007 to March 2008 in Hong Kong, and 707 community-dwelling elders aged 65 and above and 705 family caregivers were interviewed. Cognitively impaired elders were over-sampled to give reliable estimates for that sub-group. A structural questionnaire was used to collect data on preference for residential care and potential factors. Logistic regression was used to identify the predictors. Results: More cognitively impaired elder-caregiver dyads (37.4%) had disagreement in preference for residential care than cognitively intact elder-caregiver dyads (20.5%) ( p<.001). From the elders' perspective, less preference for residential care was associated with cognitive impairment, whereas greater preference was associated with depression (for cognitively intact elders), more usage of community service and functional impairment. From the caregivers' perspective, greater preference for residential care was associated with greater caregiver burden, or care-recipients having cognitive or functional impairment, or more usage of community services. Conclusions: Cognitively intact elders were more likely to indicate preference for residential care than cognitively impaired elders. Elders, both cognitively intact and impaired, were less likely than their caregivers to indicate preference for residential care. Disagreement in preference for residential care between the elders and their caregivers was larger for the cognitively impaired group than the cognitively intact group. Copyright © 2009 John Wiley & Sons, Ltd.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/4294en_HK
dc.relation.ispartofInternational Journal of Geriatric Psychiatryen_HK
dc.rightsInternational Journal of Geriatric Psychiatry. Copyright © John Wiley & Sons Ltd.en_HK
dc.subjectCaregiver burdenen_HK
dc.subjectCognitive impairmenten_HK
dc.subjectDepressionen_HK
dc.subjectEldersen_HK
dc.subjectOld age homeen_HK
dc.subjectResidential careen_HK
dc.titleDisagreement in preference for residential care between family caregivers and elders is greater among cognitively impaired elders group than cognitively intact elders groupen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0885-6230&volume=&spage=DOI 10.1002/gps.2296&epage=&date=2009&atitle=Disagreement+in+preference+for+residential+care+between+family+caregivers+and+elders+is+greater+among+cognitively+impaired+elders+group+than+cognitively+intact+elders+groupen_HK
dc.identifier.emailChau, PH: phpchau@hku.hken_HK
dc.identifier.authorityChau, PH=rp00574en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/gps.2296en_HK
dc.identifier.pmid19551703-
dc.identifier.scopuseid_2-s2.0-75349105365en_HK
dc.identifier.hkuros158577en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-75349105365&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume25en_HK
dc.identifier.issue1en_HK
dc.identifier.spage46en_HK
dc.identifier.epage54en_HK
dc.identifier.eissn1099-1166-
dc.identifier.isiWOS:000273514500007-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridChau, PH=7102266397en_HK
dc.identifier.scopusauthoridKwok, T=7006475934en_HK
dc.identifier.scopusauthoridWoo, J=36040369400en_HK
dc.identifier.scopusauthoridChan, F=54913448800en_HK
dc.identifier.scopusauthoridHui, E=15123893300en_HK
dc.identifier.scopusauthoridChan, KC=35274389700en_HK
dc.identifier.issnl0885-6230-

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