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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Long-Distance Caregivers' Use Of Supportive Services.

Jillian Minahan Zucchetto1, V R Cimarolli2, M J Wylie3

  • 1Psychology Department, Fordham University, Bronx, New York, USA.

Journal of Gerontological Social Work
|December 22, 2021
PubMed
Summary
This summary is machine-generated.

Many long-distance caregivers (LDCs) do not use support services. Higher caregiver burden, depressive symptoms, and poorer care recipient health predict increased service use among LDCs.

Keywords:
Andersen model of health care utilizationLong-distance caregivingsupportive service use

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Area of Science:

  • Gerontology
  • Health Services Research
  • Sociology of Health

Background:

  • Long-distance caregiving (LDC) presents unique challenges.
  • Limited research exists on supportive service utilization by LDCs.
  • Understanding factors influencing service use is crucial for LDC support.

Purpose of the Study:

  • To describe the types and frequency of supportive services used by LDCs.
  • To identify predisposing, enabling, and need-related factors associated with LDC supportive service use.
  • To apply the Andersen Model of Health Care Utilization to LDC service use.

Main Methods:

  • A cross-sectional study of 304 LDCs recruited from diverse sources.
  • Data collected on sociodemographics, caregiver burden, depression, self-rated health, and care recipient (CR) status.
  • Analysis of the utilization of nine supportive services.
  • Multiple hierarchical regression analyses were employed.

Main Results:

  • Fifty percent of LDCs reported no use of supportive services.
  • Younger age, higher caregiver burden, and greater depressive symptoms were associated with increased service use.
  • More time spent assisting the care recipient and worse CR functional status also predicted greater supportive service utilization.

Conclusions:

  • Need-related factors significantly influence supportive service utilization among LDCs.
  • Caregiver burden and depressive symptoms are key predictors of service use.
  • Targeted interventions addressing these factors may enhance LDC support and well-being.