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A triadic perspective on elder neglect within the home care arrangement
Author(s)Liat Ayalon
Journal titleAgeing and Society, vol 36, no 4, April 2016
PublisherCambridge University Press, April 2016
Pagespp 811-836
Sourcejournals.cambridge.org/aso
KeywordsNeglect [care] ; Elder abuse ; Care support workers ; Family care ; Stress ; Evaluation ; Mathematical models ; Israel.
AnnotationThe present Israeli study evaluates a conceptual model of elder neglect within the home care arrangement that takes into consideration the older adult, his or her family members, and the home care worker. Data from 223 complete care-giving units, which consist of an older adult, a family member and a home care worker, were analysed using structural equation modelling. Overall, 31.5% of the older adults, 18% of the care workers and 32.3% cent of the family members reported at least one type of elder neglect. The proposed model showed a reasonable fit to the data. There was an inverse effect from type of home care to family member's burden and elder neglect, with live-in (around the clock) care being associated with lower levels of family member burden and elder neglect compared with live-out Israeli home care (provided for several hours per week). The amount of informal assistance provided by family members was inversely related to the amount of burden reported by home care workers, with greater informal assistance being associated with lower levels of worker burden. The findings call for the important role of formal home care by demonstrating a potentially protective effect for live-in migrant home care. The study also emphasises the shared burden between formal and informal sources of care. An appendix details the neglect scale used, which asks the carer about how frequently the older adult needed particular services in the previous year; the older adult is asked for the same information, but rephrased. (RH).
Accession NumberCPA-160318007 A
ClassmarkQNR: QNT: QRS: P6:SJ: QNH: 4C: 3LM: 7H6

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