The host‐homes program: an innovative model of respite for carers of people with dementia

Holm, Sonya; Ziguras, Stephen

doi:10.1111/j.1741-6612.2003.tb00485.x

Cited by 9 publications

(28 citation statements)

References 2 publications

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“…No controlled study of host family respite or video respite was identified, so uncontrolled studies of these services were reviewed. [90][91][92] Day care was the only form of respite for which evidence on costeffectiveness was identified. The effects of institutional respite are equivocal.…”

Section: Overview Of the Review Evidencementioning

confidence: 99%

“…While the review criteria limited the analysis of effectiveness to randomised or wellcontrolled studies, the protocol was amended to allow for the inclusion of uncontrolled studies if higher levels of evidence were unavailable (see the section 'Changes to the protocol', p. 11). Therefore, although they did not meet the protocol criteria for inclusion, the study on video respite by Lund and colleagues 92 and two studies on host family respite 90,91 were included. As no controlled study of respite for carers of cancer sufferers was identified, two further uncontrolled studies on respite for carers of people with cancer were included, one reporting in-home respite 85 and the other reporting a multidimensional package of care.…”

Section: Included Studies: Findings By Type Of Respitementioning

confidence: 99%

“…The searches identified one study of host family respite. 90 In addition, the review by Arksey and colleagues 58 identified another qualitative study in the form of an unpublished MSc thesis, 91 and contact with the author identified a poster presentation. 17 No controlled study or economic evaluation of host family respite was identified.…”

Section: Host Family Respitementioning

confidence: 99%

“…So happy to be involved" (p. 143). 90 Care recipients' views were gathered by researchers while attending one of the respite programme groups, through observations and talking to care recipients. The respite programme was described as an important part of their week and there were benefits to the smaller host-home programme, "… here you see the same people each week and get to be friends" (p. 143).…”

Section: Evidence From Uncontrolled Studiesmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers

Mason

Weatherly²,

Spilsbury³

et al. 2007

Health Technol Assess

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The literature review provides some evidence that respite for carers of frail elderly people may have a small positive effect upon carers in terms of burden and mental or physical health. Carers were generally very satisfied with respite. No reliable evidence was found that respite either benefits or adversely affects care recipients, or that it delays entry to residential care. Economic evidence suggests that day care is at least as costly as usual care. Pilot studies are needed to inform full-scale studies of respite in the UK.

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Section: Overview Of the Review Evidencementioning

confidence: 99%

Section: Included Studies: Findings By Type Of Respitementioning

confidence: 99%

Section: Host Family Respitementioning

confidence: 99%

Section: Evidence From Uncontrolled Studiesmentioning

confidence: 99%

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A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers

Mason

Weatherly²,

Spilsbury³

et al. 2007

Health Technol Assess

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show abstract

“…Searches identified one (uncontrolled) study of host-family respite. 50 In addition, bibliography checking identified an unpublished Master's thesis, 51 and contact with the author identified a related poster presentation. 52 Evidence from Uncontrolled Studies An Australian study 50 examined a ''host-home'' respite program for older people with dementia who had problems accessing center-based respite because of communication and language difficulties.…”

Section: Host-family Respitementioning

confidence: 99%

The Effectiveness and Cost‐Effectiveness of Respite for Caregivers of Frail Older People

Mason

Weatherly

Spilsbury

et al. 2007

J American Geriatrics Society

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The proportion of frail elderly people in the industrialized world is increasing. Respite care is a potentially important way of maintaining the quality of life for these people and their caregivers. The objective of this systematic review was to determine the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their caregivers. To identify relevant studies, 37 databases were searched, and reference checking and citation searches were undertaken. Well-controlled effectiveness studies were eligible for inclusion, with uncontrolled studies admissible only in the absence of higher-quality evidence. Studies assessed the effect of community-based respite on caregivers of frail elderly people relative to usual care or to another support intervention. Eligible economic evaluations also addressed costs. Where appropriate, data were synthesized using standard meta-analytic techniques. Ten randomized, controlled trials, seven quasi-experimental studies and five uncontrolled studies were included in the review. For all types of respite, the effects upon caregivers were generally small, with better-controlled studies finding modest benefits only for certain subgroups, although many studies reported high levels of caregiver satisfaction. No reliable evidence was found that respite care delays entry to residential care or adversely affects frail older people. The economic evaluations all assessed day care, which tended to be associated with similar or higher costs than usual care. Given the increasing numbers of frail elderly people and the lack of up-to-date, good-quality evidence for all types of respite care, better-quality evidence is urgently needed to inform current policy and practice.

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The Role of Social Isolation on Mediating Depression and Anxiety among Primary Family Caregivers of Older Adults: A Two-Wave Mediation Analysis

Liang,

Aranda,

Jang

et al. 2023

Int.J. Behav. Med.

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Background Primary family caregivers of older people with chronic care conditions are highly vulnerable to social isolation and psychological strains such as depression and anxiety due to their demanding responsibilities. This study examines how social isolation mediates the relationship between caregiving stress and mental health symptoms of primary family caregivers. Methods The analytic sample included 881 primary caregivers of older adults from the 2015 and 2017 National Study of Caregiving (NSOC). Social isolation was measured using a composite structure that includes objective social disconnectedness and subjective loneliness. Two-wave mediation models were estimated to examine longitudinally if social isolation mediated the relationship between caregiving stress (subjective & objective stress) and mental health symptoms (depression & anxiety) of primary caregivers. Results The study findings indicate that both subjective (β = 0.32, p < 0.001) and objective stress (β = 0.21, p = 0.003) have direct effects on depression among primary caregivers. Social isolation was found to only mediate the relationship between objective stress and depression (β = 0.18, p < 0.001). In contrast, no significant direct and indirect pathway was found in the anxiety model. Conclusions The study demonstrates the internal mechanism where objective strains of caregiving make family caregivers socially isolated, which in turn leads to increased symptoms of depression. Future interventions and practices aimed at improving the psychological well-being of family caregivers should prioritize strategies aimed at increasing social engagement, particularly for those with heavy caregiver burdens.

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The host‐homes program: an innovative model of respite for carers of people with dementia

Cited by 9 publications

References 2 publications

A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers

A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers

The Effectiveness and Cost‐Effectiveness of Respite for Caregivers of Frail Older People

The Role of Social Isolation on Mediating Depression and Anxiety among Primary Family Caregivers of Older Adults: A Two-Wave Mediation Analysis

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