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Characteristics of care-givers and care recipients influencing the impact of paid care services on family care-giver burdens

Published online by Cambridge University Press:  11 April 2013

YOSHINORI NAKAGAWA*
Affiliation:
Department of Management, Kochi University of Technology, Kami City, Japan.
RINA YAMADA
Affiliation:
Department of Management, Kochi University of Technology, Kami City, Japan.
SEIGO NASU
Affiliation:
Department of Management, Kochi University of Technology, Kami City, Japan.
*
Address for correspondence: Yoshinori Nakagawa, 185 Miyanokuchi, Tosayamada-cho, Kami City, Kochi Prefecture, Japan. E-mail: nakagawa.yoshinori@kochi-tech.ac.jp

Abstract

In the last few decades, a number of researchers have attempted to identify the effects of paid care services on alleviating the sense of burden of family care-givers, especially care-givers to people with dementia. However, few researchers have considered the possibility that paid care services alleviate the sense of burden only among those care-givers who possess specific characteristics. Without considering this point, the impact of paid care services would be averaged over an entire sample, and one might overlook the effects on these specific care-givers. With this background, this study examines the relationship between family care-givers' sense of burden and the amount of paid care services in Japan and identifies groups of care-givers among whom these services are significantly associated with a lesser sense of burden. The sense of burden of 339 family care-givers to older care recipients with dementia was measured using a modified version of the Caregiver Burden Inventory. In order to examine their association with the amount of paid care services received, logistic regression analysis was individually applied to groups of care-givers who exhibit specific characteristics. The results suggested that paid care services alleviated two out of five components of burden, provided the groups to which the analyses are applied are appropriately defined. In particular, two subsets of the entire sample, comprising young care-givers aged 49 or below, and including male care-givers, indicated that their overall sense of social and emotional burden were alleviated by the use of paid care services. The practical implications for policy makers are discussed.

Type
Articles
Copyright
Copyright © Cambridge University Press 2013 

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References

Asada, T., Kinoshita, T., Morikawa, S., Motonaga, T. and Kakuma, T. 1999. A prospective five-year following-up study on the behavioral disturbances of community-dwelling older people with Alzheimer disease. Alzheimer Disease and Associated Disorders, 13, 4, 202–8.CrossRefGoogle Scholar
Chappell, N. L. and Reid, R. C. 2002. Burden and well-being among caregivers: examining the distinction. The Gerontologist, 42, 6, 772–80.Google Scholar
Cohen, C. A., Colantonio, A. and Vernich, L. 2002. Positive aspects of caregiving: rounding out the caregiver experience. International Journal of Geriatric Psychiatry, 17, 2, 184–8.Google Scholar
Donaldson, C., Tarrier, N. and Burns, A. 1998. Determinants of carer stress in Alzheimer's disease. International Journal of Geriatric Psychiatry, 13, 4, 248–56.Google Scholar
Gallicchio, L., Siddiqi, N., Langenberg, P. and Baumgarten, M. 2002. Gender differences in burden and depression among informal caregivers of demented elders in the community. International Journal of Geriatric Psychiatry, 17, 2, 154–63.CrossRefGoogle ScholarPubMed
Garlo, K., O'Leary, J. R., Van Ness, P. H. and Fried, T. R. 2010. Burden in caregivers of older adults with advanced illness. Journal of the American Geriatrics Society, 58, 12, 2315–22.Google Scholar
Harper, D. J., Manasse, P. R., James, O. and Newton, J. T. 1993. Intervening to reduce distress in caregivers of impaired older people: a preliminary evaluation. International Journal of Geriatric Psychiatry, 8, 2, 139–45.Google Scholar
Higginson, I. J. and Gao, W. 2008. Caregiver assessment of patients with advanced cancer: concordance with patients, effect of burden and positivity. Health and Quality of Life Outcomes, 6, 1, 42.Google Scholar
Knight, B. G., Fox, L. S. and Chou, C. P. 2000. Factor structure of the Burden Interview. Journal of Clinical Geropsychology, 6, 4, 249–58.Google Scholar
Knight, B. G. and Macofsky-Urban, F. 1993. A meta-analytic review for interventions for caregiver distress: recommendations for future research. The Gerontologist, 33, 2, 240–8.CrossRefGoogle ScholarPubMed
Koss, E., Patterson, M. B., Ownby, R., Stuckey, J. C. and Whitehouse, P. J. 1993. Memory evaluation in Alzheimer's Disease: caregivers’ appraisals and objective testing. Archives of Neurology, 50, 1, 92–7.CrossRefGoogle ScholarPubMed
Kumamoto, K., Arai, Y. and Zarit, A. H. 2006. Use of home care services effectively reduces feelings of burden among family caregivers of disabled older in Japan: preliminary results. International Journal of Geriatric Psychiatry, 21, 2, 163–70.Google Scholar
Lawton, M. P. and Brody, E. M. 1969. Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 3, 179–86.CrossRefGoogle ScholarPubMed
Livingstone, E. H. 2012. Minimum response rates for survey research. Archives of Surgery, 147, 2, 110.Google Scholar
Maki, N., Ikeda, M., Hokoishi, K. 1998. Japanese version of the Short-Memory Questionnaire: memory evaluation in Alzheimer's disease. Brain Nerve, 50, 5, 415–8. (In Japanese)Google Scholar
Miller, B., Townsend, A., Carpenter, E., Montgomery, R. V. J., Stull, D. and Young, R. F. 2001. Social support and caregiver distress: a replication analysis. Journals of Gerontology: Social Sciences, 56B, 4, S249–56.Google Scholar
Montgomery, R. J. V., Gonyea, J. G. and Hooyman, N. R. 1985. Caregiving and the experience of subjective and objective burden. Family Relations, 34, 1, 1926.Google Scholar
Mullan, J. T. 1993. Barriers to the use of formal services among Alzheimer's caregivers. In Zarit, S. H., Pearlin, L. I. and Schaie, K. W. (eds), Caregiving Systems: Formal and Informal Helpers. Erlbaum, Hillsdale, New Jersey, 241–59.Google Scholar
Nagatomo, I., Akasaki, Y., Uchida, M., Tominaga, M., Hashiguchi, W. and Takigawa, M. 1999. Gender of demented patients and specific family relationship of caregiver to patients influence mental fatigue and burdens of relatives as caregivers. International Journal of Geriatric Psychiatry, 14, 8, 618–25.Google Scholar
Nakagawa, Y. and Nasu, S. 2011. Association between components of family caregivers’ sense of burden and types of paid care services provided in Japan. Aging and Mental Health, 15, 6, 687701.Google Scholar
Novak, M. and Guest, C. 1989. Application of a multidimensional caregiver burden inventory. The Gerontologist, 29, 6, 798803.Google Scholar
Parsons, K. 1997. The male experience of caregiving for a family member with Alzheimer's disease. Qualitative Health Research, 7, 3, 391407.CrossRefGoogle Scholar
Pot, A. M., Zarit, S. H., Twisk, J. W. R. and Townsend, A. L. 2005. Transitions in caregivers’ use of paid home help: associations with stress appraisals and well-being. Psychology and Aging, 20, 2, 211–9.Google Scholar
Schacke, C. S. and Zank, S. R. 2006. Measuring the effectiveness of adult day care as a facility to support family caregivers of dementia patients. Journal of Applied Gerontology, 25, 1, 6581.Google Scholar
Schene, A. H. 1990. Objective and subjective dimensions of family burden: towards an integrative framework for research. Social Psychiatry and Psychiatric Epidemiology, 25, 6, 289–97.Google Scholar
Siegert, R. J., Jackson, D. M., Tennant, A. and Turner-Stokes. 2010. Factor analysis and Rasch analysis of the Zarit Burden Interview for acquired brain injury carer research. Journal of Rehabilitation Medicine, 42, 4, 302–9.Google Scholar
Siriopoulos, G., Brown, Y. and Wright, K. 1999. Caregivers of wives diagnosed with Alzheimer's disease: husband's perspectives. American Journal of Alzheimer's Disease and Other Dementias, 14, 2, 7987.Google Scholar
Zarit, S. H., Reever, K. E. and Bach-Peterson, J. 1980. Relatives of the impaired older: correlates of feelings of burden. The Gerontologist, 20, 6, 649–55.Google Scholar
Zarit, S. H., Stephens, M. A. P., Townsend, A. L. and Greene, R. 1998. Stress reduction for family caregivers: effects of day care use. Journals of Gerontology: Social Sciences, 53, 5, S267–77.Google Scholar