Attitudes toward Community Services Use in Dementia Care among Korean Americans

Lee, Sangeun; Casado, Banghwa Lee

doi:10.1080/07317115.2011.572536

Cited by 14 publications

(12 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stigma and shame attached to mental illness and the strong cultural notion of face-saving can also make Asian Americans reluctant to reveal negative family events, such as dementia, outside of the family, thus resulting in a delay in seeking outside help (Yamashiro & Matsuoka, 1997). There may be, however, a possible shift in this commonly accepted notion as some recent studies have reported much willingness to use nursing care (Jang, Kim, Chiriboga, & Cho, 2008) and favorable attitudes toward community services use in a dementia caregiving context among Korean Americans (Lee & Casado, 2011).…”

Section: Family Caregiving Among Korean Americansmentioning

confidence: 89%

The Experience of Family Caregivers of Older Korean Americans With Dementia Symptoms

Casado

Lee

Hong

et al. 2015

Clinical Gerontologist

Self Cite

View full text Add to dashboard Cite

Despite the rapid growth of the older ethnic minority population, knowledge about dementia care for this population is limited. This study examined the experience of dementia caregiving among Korean Americans. We conducted four focus groups with 23 family caregivers of older Korean Americans with dementia symptoms and identified eight themes: (a) struggling and overwhelmed; (b) keeping the cultural roles and responsibility; (c) doing it by themselves; (d) family as a source of stress; (e) limited knowledge and misconceptions; (f) learning as they go; (g) undiagnosed dementia and misunderstandings about medical care; and (h) barriers to use of services and need for culturally responsive services. The findings underscore that Korean Americans need dementia caregiver programs that are linguistically and culturally responsive.

show abstract

Section: Family Caregiving Among Korean Americansmentioning

confidence: 89%

The Experience of Family Caregivers of Older Korean Americans With Dementia Symptoms

Casado

Lee

Hong

et al. 2015

Clinical Gerontologist

Self Cite

View full text Add to dashboard Cite

show abstract

“…Knowledge about the available services is a prerequisite for using them. For example, a quantitative study of Korean Americans' attitudes towards community-based care services for dementia showed that those who were aware of the services available were more likely to have favourable attitudes towards using them [46].…”

Section: Discussionmentioning

confidence: 99%

“It is always me against the Norwegian system.” barriers and facilitators in accessing and using dementia care by minority ethnic groups in Norway: a qualitative study

Czapka

Sagbakken

2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background Dementia is one of the greatest health challenges in the contemporary world. Due to several barriers to accessing health care services, elderly immigrants constitute a group that poses special challenges in dementia diagnosis and treatment. The aim of this study was to explore the barriers and facilitators in accessing and using dementia care services by minority ethnic groups in Norway. Methods The study utilised a qualitative design. The participants included family caregivers of individuals from minority ethnic groups living with dementia, representatives of immigrant communities, and representatives of health and care personnel working with people living with dementia. Individual semi-structured in-depth interviews were carried out in 2018 and 2019 in Oslo and Akershus. Interviews were analysed using thematic analyses. Results Several barriers and facilitators in accessing and using dementia care services were identified, the most important of which were related to lack of knowledge of dementia, lack of awareness of dementia care services, lack of language skills, culturally based differences, the organisation of Norwegian dementia care services, and immigrants’ socio-economic status. According to the study participants, having health care personnel in the family and further adaptation of dementia services to the needs of people with different cultural and linguistic backgrounds facilitate access to dementia services. Conclusions The study shows the need to develop inclusive policies that promote a patient-centred approach to ensure that individuals from minority ethnic groups receive appropriate dementia care.

show abstract

“…The Community Services Attitude Inventory (CSAI) was included in the follow-up questionnaire to account for the informal caregivers' attitudes towards formal services after 12 months of integrated working. The CSAI consists of 18 items with a Likert scale from (1) strongly disagree to (4) strongly agree (Collins, Stommel, King, & Given, 1991;Lee & Casado, 2011). A higher sum score indicates less favourable caregiver attitudes towards formal services (Guberman et al, 2006).…”

Section: Informal Caregiver Questionnaires Included the "Objectivementioning

confidence: 99%

Formal and informal care for community‐dwelling frail elderly people over time: A comparison of integrated and usual care in the Netherlands

Janse

Huijsman

Looman

et al. 2017

Health Soc Care Community

View full text Add to dashboard Cite

While integration has become a central tenet of community‐based care for frail elderly people, little is known about its impact on formal and informal care and their dynamics over time. The aim of this study was therefore to examine how an integrated care intervention for community‐dwelling frail elderly people affects the amount and type of formal and informal care over 12 months as compared to usual care. A quasi‐experimental design with a control group was used. Data regarding formal and informal care were collected from frail elderly patients (n = 207) and informal caregivers (n = 74) with pre/post‐questionnaires. Within‐ and between‐group comparisons and multiple linear regression analyses were performed. The results showed marginal changes over time in the amount of formal and informal care in both integrated care and usual care. However, different associations between changes in formal and informal care were found in integrated and usual care. Most notably, informal caregivers provided more instrumental assistance over time if formal caregivers provided less personal care (and vice versa) in integrated care but not in usual care. These results suggest that integrated care does not necessarily change the contribution of formal or informal care, but changes the interaction between formal (personal care) and informal (instrumental) activities. Implications and recommendations for research and practice are discussed. Trial registration: Current Controlled Trials ISRNT05748494.

show abstract

Attitudes toward Community Services Use in Dementia Care among Korean Americans

Cited by 14 publications

References 43 publications

The Experience of Family Caregivers of Older Korean Americans With Dementia Symptoms

The Experience of Family Caregivers of Older Korean Americans With Dementia Symptoms

“It is always me against the Norwegian system.” barriers and facilitators in accessing and using dementia care by minority ethnic groups in Norway: a qualitative study

Formal and informal care for community‐dwelling frail elderly people over time: A comparison of integrated and usual care in the Netherlands

Contact Info

Product

Resources

About