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Updated: Nov 21, 2025

Oral Health Assessment by Lay Personnel for Older Adults
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Healthcare handoffs among lay caregivers.

Janet Chastain1, Anil R Kumar1, Dan Nathan-Roberts1

  • 1Department of Industrial and Systems Engineering, San Jose State University, San Jose, CA 95192, USA.

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
|January 18, 2021
PubMed
Summary

Informal caregivers' expertise impacts care handoffs. Lay participants showed more confidence but less accuracy in resolving conflicting information compared to trained caregivers, contrary to expectations.

Keywords:
care handoffhome healthcareinformal caregivers

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Area of Science:

  • Home Healthcare
  • Informal Caregiving
  • Healthcare Handoffs

Background:

  • Informal caregivers perform a significant portion of home healthcare.
  • Understanding care handoffs between informal caregivers is crucial for improving healthcare delivery.
  • This study compares lay and trained informal caregivers to bridge research gaps.

Purpose of the Study:

  • To identify differences between lay and professional caregivers during uncertain caregiving handoffs.
  • To analyze how expertise influences caregiver responses to unclear instructions.

Main Methods:

  • A between-group analysis compared lay (20) and expert (16) caregivers.
  • Within-group analysis examined task difficulty and communication modality.
  • Dependent variables included willingness to ask for help, confidence, and task accuracy.

Main Results:

  • Lay participants were more confident in instructions and task execution but less willing to seek help.
  • Trained participants demonstrated better identification and resolution of conflicting information.
  • Lay participants showed higher accuracy in preparing syringes, contrary to expectations.

Conclusions:

  • Expertise influenced caregiver confidence and help-seeking behavior unexpectedly.
  • Trained caregivers were less confident in instructions than lay participants.
  • Findings inform the design of instructions for informal caregivers by formal healthcare providers.