Resource need and use of multiethnic caregivers of elders in their homes

Abstract

Aims To predict South Florida family care-givers’ need for and use of informal help or formal services; specifically, to explore the predictive power of variables suggested by the Caregiver Identity Theory and the literature and develop and test a structural model 0. Background In the USA, most of the care to older adults is given by family members. Care-givers make economic and social sacrifices that endanger their health. They feel burdened, if they receive no assistance with their tasks; however, services available are not sufficiently used. Design This cross-sectional correlational study was a survey of family care-givers in their home, using standardized and/or pre-tested scales and a cognitive status test of their patients. Methods A random sample of 613 multiethnic care-givers of frail elders was recruited in home care and community agencies. The interviews occurred between 2006–2009. Analyses involved correlation and regression analyses and structural equation modeling. Outcome measures were need and use of family help and formal services. Results/Findings The model yielded excellent fit indices replicated on three random samples of 370. The patients’ functional limitations yielded the strongest predictive coefficients followed by care-giver stress. Cultural indicators played a minor role. Conclusion The lack of a link between resource need and use suggested access barriers. Important for policy makers and service providers are the delivery of high-quality services and the use of a personal and individualized approach with all ethnicities. Quality service includes understanding the care-giving situations and requires a trusting relationship with family care-givers.

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