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Published on: February 16, 2011
Quality of informal care is multidimensional
Juliette Christie1, G Rush Smith, Gail M Williamson
1Department of Psychology, University of Georgia.
Rehabilitation Psychology
|May 28, 2009
Summary
Assessing informal care quality requires more than checking activities of daily living (ADLs) needs. Potentially harmful behavior (PHB) and exemplary care (EC) are distinct dimensions, with caregiver psychosocial factors influencing them, not just adequate care.
Area of Science:
- Gerontology
- Psychology
- Sociology
Background:
- Informal care quality assessment often focuses narrowly on meeting basic needs.
- A comprehensive understanding requires evaluating a broader spectrum of caregiving behaviors and experiences.
Purpose of the Study:
- To determine if potentially harmful behavior (PHB), adequate care, and exemplary care (EC) are distinct dimensions of informal care quality.
- To move beyond simple ADL need satisfaction in quality assessment.
Main Methods:
- 237 care recipients and their caregivers participated.
- Caregivers completed measures of their psychosocial well-being and relationship history.
- Quality of care was assessed using specific measures.
Main Results:
- Adequate care was largely independent of PHB and only weakly related to EC.
- Psychosocial variables related to PHB and EC, but not adequate care, supporting their distinctness.
- PHB and EC showed a moderate association.
Conclusions:
- Informal care can be adequate despite the presence of PHB or absence of EC.
- Decreases in EC may precede increases in PHB, irrespective of care adequacy.
- Findings support a more comprehensive instrument for informal care quality assessment.
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