Association between specific unmet functional needs and desire to institutionalize among caregivers of older veterans
Published 2023. This article is a U.S. Government work and is in the public domain in the USA..
OBJECTIVES: To evaluate the associations between specific functional needs of older Veterans and the desire to institutionalize (DTI) among their caregivers.
METHODS: Cross-sectional multivariable logistic regression analysis of 3579 Hero Care survey responses from caregivers of Veterans at five US sites from July to December 2021. Unmet needs were areas in which the caregiver reported the Veteran needed a little more or a lot more help. Caregiver DTI was defined as the caregiver reporting that they had discussed, considered, or taken steps toward a nursing home or assisted living placement for the Veteran or that they felt the Veteran would be better off in such a setting or they were likely to move the Veteran to another living arrangement.
RESULTS: Caregivers were largely white, retired, females with an average age of 71 and with some college education who spent an average of 8-9 h per day 6 days a week caring for a Veteran spouse. There was evidence of associations between the following needs and a DTI: managing incontinence, using the telephone, transportation, and arranging services in the home such as visiting nurses, home care aides, or meals on wheels. Unmet functional needs in other selected domains were not associated with the DTI.
CONCLUSION: Among caregivers of older Veterans, a need for more assistance managing incontinence, telephone use, transportation, and arranging in-home services were associated with the DTI. These may represent functional markers of important clinical determinants for institutionalization as well as potential targets for intervention to reduce caregiver DTI, such as programs that provide more caregiver or Veteran support in the home to meet these needs and reduce caregiver burden.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:71 |
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| Enthalten in: |
Journal of the American Geriatrics Society - 71(2023), 7 vom: 23. Juli, Seite 2264-2270 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Brenner, Rachel J [VerfasserIn] |
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| Links: |
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| Themen: |
Caregivers |
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| Anmerkungen: |
Date Completed 18.07.2023 Date Revised 19.07.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/jgs.18307 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM353217123 |
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| 245 | 1 | 0 | |a Association between specific unmet functional needs and desire to institutionalize among caregivers of older veterans |
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| 500 | |a Date Completed 18.07.2023 | ||
| 500 | |a Date Revised 19.07.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Published 2023. This article is a U.S. Government work and is in the public domain in the USA. | ||
| 520 | |a OBJECTIVES: To evaluate the associations between specific functional needs of older Veterans and the desire to institutionalize (DTI) among their caregivers | ||
| 520 | |a METHODS: Cross-sectional multivariable logistic regression analysis of 3579 Hero Care survey responses from caregivers of Veterans at five US sites from July to December 2021. Unmet needs were areas in which the caregiver reported the Veteran needed a little more or a lot more help. Caregiver DTI was defined as the caregiver reporting that they had discussed, considered, or taken steps toward a nursing home or assisted living placement for the Veteran or that they felt the Veteran would be better off in such a setting or they were likely to move the Veteran to another living arrangement | ||
| 520 | |a RESULTS: Caregivers were largely white, retired, females with an average age of 71 and with some college education who spent an average of 8-9 h per day 6 days a week caring for a Veteran spouse. There was evidence of associations between the following needs and a DTI: managing incontinence, using the telephone, transportation, and arranging services in the home such as visiting nurses, home care aides, or meals on wheels. Unmet functional needs in other selected domains were not associated with the DTI | ||
| 520 | |a CONCLUSION: Among caregivers of older Veterans, a need for more assistance managing incontinence, telephone use, transportation, and arranging in-home services were associated with the DTI. These may represent functional markers of important clinical determinants for institutionalization as well as potential targets for intervention to reduce caregiver DTI, such as programs that provide more caregiver or Veteran support in the home to meet these needs and reduce caregiver burden | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Research Support, U.S. Gov't, Non-P.H.S. | |
| 650 | 4 | |a caregivers | |
| 650 | 4 | |a desire to institutionalize | |
| 650 | 4 | |a function | |
| 650 | 4 | |a institutionalization | |
| 700 | 1 | |a Hansen, Jared |e verfasserin |4 aut | |
| 700 | 1 | |a Brintz, Ben J |e verfasserin |4 aut | |
| 700 | 1 | |a Bouldin, Erin D |e verfasserin |4 aut | |
| 700 | 1 | |a Pugh, Mary Jo |e verfasserin |4 aut | |
| 700 | 1 | |a Rupper, Randall |e verfasserin |4 aut | |
| 700 | 1 | |a Munoz, Richard |e verfasserin |4 aut | |
| 700 | 1 | |a Garcia-Davis, Sandra |e verfasserin |4 aut | |
| 700 | 1 | |a Dang, Stuti |e verfasserin |4 aut | |
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