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Disagreement in preference for residential care between family caregivers and elders is greater among cognitively impaired elders group than cognitively intact elders group
Author(s)Pui Hing Chau, Timothy Kwok, Jean Woo
Journal titleInternational Journal of Geriatric Psychiatry, vol 25, no 1, January 2010
Pagespp 46-54
Sourcehttp://www.interscience.wiley.com/journal/gps doi: 10.1002/gps.2296
KeywordsCare homes ; Attitude ; Family care ; Mental health [elderly] ; Cognitive impairment ; Cross sectional surveys ; Hong Kong.
AnnotationThis study examined the predictive factors of preference for residential care in cognitively intact and impaired elders and their family caregivers. It was hypothesised that disagreement in preference for residential care between the elders and their caregivers was greater in the cognitively impaired. A cross-sectional survey was conducted during June 2007 to March 2008 in Hong Kong, and 707 community-dwelling older people aged 65+ and 705 family caregivers were interviewed. Cognitively impaired older people were over-sampled to give reliable estimates for that sub-group. A structural questionnaire was used to collect data on preference for residential care and potential factors. Logistic regression was used to identify the predictors. More cognitively impaired elder-caregiver dyads (37.4%) had disagreement in preference for residential care than cognitively intact elder-caregiver dyads (20.5%) (p < .001). From the older people's perspective, less preference for residential care was associated with cognitive impairment, whereas greater preference was associated with depression (for the cognitively intact), more usage of community service and functional impairment. From the caregivers' perspective, greater preference for residential care was associated with greater caregiver burden, or care-recipients having cognitive or functional impairment, or more usage of community services. Cognitively intact older people were more likely to indicate preference for residential care than those who were cognitively impaired. Older people, both cognitively intact and impaired, were less likely than their caregivers to indicate preference for residential care. Disagreement in preference for residential care between the older people and their caregivers was larger for the cognitively impaired group than the cognitively intact group. (KJ/RH).
Accession NumberCPA-100309207 A
ClassmarkKW: DP: P6:SJ: D: E4: 3KB: 7DR

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