Social and Behavioral Sciences Commons^™

Medicare Claims Indicators Of Healthcare Utilization Differences After Hospitalization For Ischemic Stroke: Race, Gender, And Caregiving Effects, David L. Roth, Orla C. Sheehan, Jin Huang, James D. Rhodes, Suzanne Judd, Meredith Kilgore, Brett Kissela, Janeet P. Bettger, William E. Haley

Aging Studies Faculty Publications

Background—Differences in healthcare utilization after stroke may partly explain race or gender differences in stroke outcomes and identify factors that might reduce post-acute stroke care costs.

Aim—To examine systematic differences in Medicare claims for healthcare utilization after hospitalization for ischemic stroke in a United States (US) population-based sample.

Methods—Claims were examined over a 6-month period after hospitalization for 279 ischemic stroke survivors 65 years or older from the REasons for Geographic and Racial Differences in Stroke (REGARDS) study. Statistical analyses examined differences in post-acute healthcare utilization, adjusted for pre-stroke utilization, as a function of race (African American …

Caregiving: A Qualitative Concept Analysis , Melinda Hermanns, Beth Mastel-Smith

Melinda Hermanns, PhD, RN, BC, CNE, PN/FCN

A common definition of caregiving does not exist. In an attempt to define the concept of caregiving, the authors used a hybrid qualitative model of concept development to analyze caregiving. The model consists of three phases: (a) theoretical, (b) fieldwork, and (c) analytical. The theoretical phase involves conducting an interdisciplinary literature search, examining existing definitions, and developing a working definition of caregiving. In the fieldwork phase, six participants were interviewed using a structured interview guide. Qualitative data analysis led to the development of two overarching themes: Holistic Care and Someone in Need of Help. Responses from participants were compared to …

Policy Brief No. 2 - Gender Differences In Family/Friend Caregiving In Canada, Janet Fast, Karen Duncan, Chelsea Dunlop, Jacquie Eales, Norah Keating, Donna Lero, Satomi Yoshino

Population Change and Lifecourse Strategic Knowledge Cluster Research/Policy Brief

Family/friend caregivers comprise the backbone of the Canadian health care system. They provide 70-80% of care to individuals with a chronic health problem or disability at an estimated value of $25-26 billion annually. For those who develop policies and programs to support the family/friend care sector, it is critical to understand the characteristics of current family/friend caregivers. Using data from Statistics Canada’s 2007 General Social Survey (GSS) on family, social support, and retirement, we describe the characteristics of family/friend caregivers age 45 and older in Canada.

The Role Of Workplace Supervisor Support In Cargivers' Marital Relationships, Kenona H. Southwell

Open Access Dissertations

Family caregivers make important contributions to care recipients and the economy. However, providing care for ill or disabled family members can be challenging, particularly when the role of caregiver is accompanied by additional roles such as employee, spouse, and parent ( Hammer & Neal, 2008). There is some evidence that the demands of caregiving may negatively influence the quality of caregivers’ marriages (Bookwala, 2009). Much of caregiving research, however, is focused on the influence of caregiving and multiple caregiving roles on caregivers’ health (see Pinquart & Sörensen, 2011), but less attention has been paid to other aspects of caregivers’ lives …

Factors Associated With Unmet Needs Among African-American Dementia Care Providers, P. J. Desin, Allison M. Caban-Holt, Erin L. Abner, Linda J. Van Eldik, Frederick A. Schmitt

Sanders-Brown Center on Aging Faculty Publications

Racial and ethnic minorities currently comprise 20% of the U.S. population; in 2050, this figure is expected to rise to 42%. As a result, Alzheimer’s disease (AD), the 5th leading cause of death for people aged 65 and older, is likely to increase in these groups. Most dementia caregiving for these populations comes from family and friends, especially among families with lower socioeconomic status. A convenience sample of 30 African-American dementia caregivers was interviewed to determine unmet needs. Participants expressed a limited desire for formal services, such as support groups, legal advice, case management, and homemaker services. Instead, commonly expressed …

The Aids House: Orphan Care And The Changing Household In Lesotho, Ellen Block

Sociology Faculty Publications

HIV/AIDS has brought the connections between care and relatedness into sharp relief. In the midst of social change driven largely by the AIDS epidemic, the house has emerged as the most stable element connecting kin in Lesotho. Houses provide spaces that frame human actions, transform relationships, and reflect the social order. The house is a key crossroads for human movement. It is also the site where physical connections, emotional bonds, and feelings of love and affection are nurtured. Most significantly, it is the site where physical acts of caring take place. Based on extensive ethnographic research, I demonstrate that the …

Parent Participation In Child Therapeutic Settings, Robert Doss

All Graduate Theses, Dissertations, and Other Capstone Projects

Researchers agree that more caregiver participation and higher levels of engagement in child therapeutic settings lead to better outcomes. However, challenges arise in families of low socioeconomic status (SES) where resources are already spread thin. The current study evaluates the efficacy of implementing a single caregiver participation session during an eight-week physical activity and play group for kids aged 6 to 9 years old. Results indicate that the group as a whole is useful in improving some emotional and behavioral issues in children, but the participation session did not seem to have an impact on improvement. A discussion of results, …

The Role Of Unpaid Volunteers In A Group Caregiving Approach : Validation Of The Sharetm The Care Program, Amy Hegener

Legacy Theses & Dissertations (2009 - 2024)

The growing population of older adults will lead to a change in the age structure in the United States, with older people outnumbering younger people for the first time. The changing age structure will affect the current workforce and place demands on the health and long term services and supports system. Moreover, with the suspension of many government programs and hospitals working to cut readmissions the burden on caregivers is increasing. On the other hand, the new generation of older adults will be healthier and better educated than previous generations. They are expected to be more productive and civically engaged, …