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Centre for Policy on Ageing | |
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| Is there agreement between Canadian older adults and their primary informal caregivers on behaviour towards institutionalisation? | | Author(s) | Marie-France Dubois, Nicole Dubuc, Chantal D Caron |
| Journal title | Health and Social Care in the Community, vol 17, no 6, November 2009 |
| Pages | pp 610-618 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | Informal care ; Attitude ; Admission [care homes] ; Admission [nursing homes] ; Social surveys ; Canada. |
| Annotation | In 2004, during the fourth wave of the longitudinal Program of Research to Integrate services for the Maintenance of Autonomy (PRISMA) sty in Québec province, Canada, 86.7% of eligible dyads (593 participants and their primary informal caregivers) were asked separately if they thought about placement, discussed with it someone or visited an institution during the previous year. An ordinal measure of behaviour towards institutional placement was derived and agreement between dyad members was assessed with the weighted kappa. Although identical behaviour was relatively high (65.4%), it represented almost exclusively to thoughts by either member and the weighted kappa was low (0.16). Differential behaviour was then analysed as a three-level dependent variable (thoughts only by the care receiver, thoughts only by the caregiver, not thoughts by either dyad member) in a multiple multinomial logistic regression analysis. Compared with neither person thinking about it, the care receiver alone thinking about placement was associated with using voluntary services, receiving help for home maintenance and visits to the emergency room during the previous year, along with the caregiver being aged 70+. Compared with neither person thinking about it, the caregiver alone thinking about the placement was associated with being male, not residing with the care receiver, sensing a higher subjective burden, along with the care receiver being aged 65+, not being able to feed him/herself independently and visits to the emergency room during the previous year. Identified correlates can be useful in targeting dyads likely to behave differently. Communication within these dyads needs to be enhanced, as it is crucial to ensure that both parties are comfortable with possible future institutionalisation. In this regard, health professionals could play a role in bringing this issue to discussion. (RH). |
| Accession Number | CPA-100323003 A |
| Classmark | P6: DP: KW:QKH: LHB:QKH: 3F: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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