"Diagnose & Adios": Multi-Perspective Insights on Formal Service Use in Dementia Family Caregivers
View abstract on PubMed
Summary
This summary is machine-generated.Many dementia caregivers need home and community-based services (HCBS) but face barriers accessing them. Understanding these challenges is key to improving support for family caregivers and enhancing their preparedness.
Area Of Science
- Gerontology
- Public Health
- Sociology
Background
- Dementia family caregiving is demanding and intensifies over time.
- Home and Community-Based Services (HCBS) can improve caregiver preparedness but have low uptake.
- A gap exists between caregiver needs for and utilization of HCBS.
Purpose Of The Study
- To explore the disconnect between caregiver needs for and utilization of HCBS.
- To identify barriers impeding HCBS access and use.
- To inform interventions for enhancing caregiver support.
Main Methods
- Five focus groups conducted with dementia family caregivers (n=13) and experts (n=17).
- Data analyzed using a deductive-inductive thematic approach.
- Pearlin et al.'s (1990) stress process model provided the theoretical framework.
Main Results
- Three concepts emerged: 'Pathways to Preparedness,' 'Multi-Level Barriers,' and 'Bridging the Gap.'
- Caregivers require support in dementia education, mental health, financial/legal navigation, and emergency readiness.
- Barriers exist at individual, provider, and systemic levels, hindering HCBS access.
Conclusions
- The US HCBS system is complex, with multidimensional barriers affecting caregiver access.
- Personalized navigation and technology may bridge the gap between needs and services.
- Findings can guide web-based interventions to boost caregiver knowledge and HCBS utilization.
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