Can domestic helpers moderate distress of offspring caregivers of cognitively impaired older adults?

Chong, Alice M. L.; Kwan, Chi Wai; Lou, VW; Chi, Iris

doi:10.1080/13607863.2016.1191059

Cited by 10 publications

(10 citation statements)

References 43 publications

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“…Other research suggests that older adults, because of their established social relationships and providing care for their younger children, are less likely to commit to elderly caregiving duties [22,24]. They would rather seek external assistance in order to free up time to maintain their social lifestyles and other life commitments [13]. Higher caregiver burden, role captivity, as well as experiencing health-related lower quality of life are additional factors that have been used to explain the willingness by older adults to use external assistance [3,21,40].…”

Section: Discussionmentioning

confidence: 99%

“…In the short term, the transition of a paid home caregiver can result in a lot of stress for the family and care recipient. In the long term, however, the paid home caregiver provides relief for the family and is a source of social support for familial caregivers [13,24,26]. Although for this partnership between the paid home caregivers and families to work, families need to guard against overloading respon-sibilities on the paid home caregiver.…”

Section: Discussionmentioning

confidence: 99%

“…We also did not control or differentiate between the various stages and types of dementia, and the study sample's beliefs and opinions about filial responsibility for PWD may vary depending on the progression and severity of dementia [48]. Future research may look at the types of living arrangements with paid home care, since having outside help reduces the stress of caregiving on families if they do not reside with the care recipient [13]. We have also only considered a selection of non-modifiable characteristics.…”

Section: Limitationsmentioning

confidence: 98%

“…The burden of informal caregiving as dementia progresses is associated with depression, stress, anxiety, and exhaustion [11]. These negative consequences of caregiving are often a by-product of an increase in the behavioural and psychological symptoms of dementia, or may be due to the caregiver's other life commitments [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Demographic Characteristics Associated with the Likelihood to Use Paid Home Care for People with Dementia among South African Muslims

Ramaboa

Fredericks

2019

Dement Geriatr Cogn Disord

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Background: In societies where the value of filial piety is observed, a preference for caregiving to take place at home exists. In fact, institutional and paid home care for people with dementia (PWD) are still taboo in some Muslim societies. However, economic development and globalisation have resulted in intergenerational separation, thus impacting the ability by young adults to provide care for the elderly at home. Objective: We establish the demographic characteristics most likely to be associated with the use of paid home care -age, gender, education level, marital status, family structure, experience with dementia care in the family, and number of dependents -for PWD among South African Muslims. Methods: A survey, administered in the form of an online questionnaire, of Muslim families across each of the 9 provinces of South Africa was conducted. Multiple logistic regression was used to test the effects of the demographic variables on the type of care choice arrangement (family as primary caregiver vs. paid home caregiving). Results: 422 responses were analysed, 28% of which indicated the respondents' desire to use paid home caregivers. The multiple logistic regression results indicate that South African Muslim families are more likely to use paid home care if they are older (that is, over 40 years; OR = 1.972, 95% CI: 1.445-2.695), are female (OR = 1.637, 95% CI: 1.089-2.457), and have high levels of education (OR = 1.828, 95% CI: 1.070-3.125). Conclusion: Home-based care is touted as the next dementia care model. Given that intergenerational mobility is likely to increase as future generations continue to participate more in the labour market, minority groups with a disposition to the same familial social values will require appropriate support in order to cope with the demands of caring for PWD. Suitable interventions for Muslim families who are not open to using external assistance, as well as those who are, need to be administered to enable the caregiver and care recipient to thrive at home.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Demographic Characteristics Associated with the Likelihood to Use Paid Home Care for People with Dementia among South African Muslims

Ramaboa

Fredericks

2019

Dement Geriatr Cogn Disord

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“…As a result, there is an increasing trend of hiring foreign domestic workers (FDWs) for this purpose in many places with developed economies [ 10 ]. This has been observed in Asia such as Taiwan [ 11 ] and Hong Kong [ 12 ], as well as in western societies, especially among some European countries [ 13 – 16 ]. In Singapore, this is a fairly common practice as previous studies have suggested that around half of the interviewed informal caregivers of PWDs reported that they had hired an FDW [ 2 , 4 , 17 ].…”

Section: Introductionmentioning

confidence: 97%

The impact of having foreign domestic workers on informal caregivers of persons with dementia – findings from a multi-method research in Singapore

et al. 2022

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Background Informal caregivers of persons with dementia (PWDs) sometimes engage foreign domestic workers (FDWs) to support their caregiving journey. However, there has not been much research to establish if this is really beneficial. The current study aims to investigate whether engaging FDWs specifically for caregiving of PWDs truly moderates caregiver stress and to explore caregivers’ experiences of engaging FDWs. Methods A multi-method study design with a quantitative and qualitative sub-study was adopted. For the quantitative sub-study, 282 informal caregivers of PWDs were recruited. Propensity score matching analysis was used. For the qualitative sub-study, 15 informal caregivers with FDWs were interviewed. Inductive thematic analysis was conducted. Results The quantitative sub-study confirmed that engaging FDWs did moderate the depressive symptoms of informal dementia caregivers (marginal effect = -3.35, p = 0.0497). However, such support did not affect their caregiving burden, self-efficacy, and perceived positive aspects of caregiving. The qualitative sub-study suggested that engaging FDWs is an ambivalent experience, which entails both support and challenges. Conclusions The current study confirmed previous research findings, that engaging FDWs moderated depressive symptoms among caregivers of PWDs, and it could be through their physical support such as in daily caregiving activities. Policy-makers may consider providing more subsidies to caregivers caring for PWDs with mobility issues to hire FDWs. They may also consider providing training to FDWs on dementia caregiving skills and improving the intake of such training as this might be helpful for both FDWs and caregivers during this journey.

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Exploring resilience processes of Filipino migrant domestic workers: A multisystemic approach

Garabiles

Mayawati

Hall

2022

Journal Community Psychology

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This study identified resilience processes at the individual, family, and community levels among Filipino migrant domestic workers (MDWs). Resilience processes highlight strengths and resources that can enhance positive adaptation to problems that affect this vulnerable migrant group. Data came from focus groups and key informant interviews involving 27 MDWs and 7 key informants. Data was analyzed using thematic analysis and organized according to the socioecological model. Results revealed 7 resilience processes. Financial coping, health management, and spirituality were found across levels. Companionship and emotional support are transacted within family and community levels, whereas expanding knowledge and support occurs at individual and community levels. MDWs and their families prioritize each family member, whereas the community provides legal support. Resilience processes exist across ecological levels. However, individual resilience processes are insufficient, thus necessitating collective agency through familial and community resilience processes and building social structures that facilitate resilience.

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Can domestic helpers moderate distress of offspring caregivers of cognitively impaired older adults?

Cited by 10 publications

References 43 publications

Demographic Characteristics Associated with the Likelihood to Use Paid Home Care for People with Dementia among South African Muslims

Demographic Characteristics Associated with the Likelihood to Use Paid Home Care for People with Dementia among South African Muslims

The impact of having foreign domestic workers on informal caregivers of persons with dementia – findings from a multi-method research in Singapore

Exploring resilience processes of Filipino migrant domestic workers: A multisystemic approach

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