The Experts below are selected from a list of 20994 Experts worldwide ranked by ideXlab platform
Rick Greene - One of the best experts on this subject based on the ideXlab platform.
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respite for dementia Caregivers the effects of Adult Day service use on Caregiving hours and Care demands
International Psychogeriatrics, 2003Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Shannon E Jarrott, Aloen L Townsend, Rick GreeneAbstract:The objective of this study was to determine whether Adult Day service use was related to decreases in primary Caregiving hours (i.e., the time Caregivers spent on activities of daily living/instrumental activities of daily living and behavior problems for Care recipients) and Care recipient function for these domains. Three-month longitudinal data from the Adult Day Care Collaborative Study (N = 400) were used. Adult Day service users reported greater decreases in hours spent on behavior problems when compared to nonusers, even after controlling for baseline differences between the two groups. In addition, Adult Day service users reported decreased frequency of behavior problems in their relatives who attended Adult Day programs. The findings suggest that Adult Day services, if used over time, are effective in restructuring Caregiving time and may offer potential benefits not only to family Caregivers but to community-residing older Adults who have dementia as well.
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Adult Day service use and reductions in Caregiving hours effects on stress and psychological well being for dementia Caregivers
International Journal of Geriatric Psychiatry, 2003Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Shannon E Jarrott, Aloen L Townsend, Rick GreeneAbstract:Background The objective of this study was to determine whether Adult Day service use interacts with decreases in primary Caregiving hours (i.e. the time Caregivers spent on activities of daily living/instrumental activities of daily living, memory problems, and behavior problems for patients) to alleviate Caregiver stress and negative mental health over time. Methods Three-month longitudinal data from the Adult Day Care Collaborative Study (n=400) were used. Results Decreases in memory problem hours among Adult Day service users were associated with reduced feelings of role overload; decreases in ADL hours among non-users were associated with decreases in worry and strain over a three-month period. Conclusion The findings suggest that Adult Day services are potentially effective in restructuring Caregiving time and providing respite to family members. Copyright © 2002 John Wiley & Sons, Ltd.
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predictors of institutionalization of cognitively impaired elders family help and the timing of placement
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 2000Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Aloen L Townsend, Anne B Edwards, Elia E Femia, Rick GreeneAbstract:Although predictors of nursing home placement have attracted a good deal of attention in gerontological research, the type and amount of family assistance offered to Caregivers prior to institutionalization has not been extensively examined. This study analyzed the impact of family help on the timing of placement among cognitively impaired Care recipients. Using longitudinal data from the Adult Day Care Collaborative Study, an event-history analysis was performed to determine the effects of family help after sociodemographic characteristics, Caregiving stressors, and indicators of Caregiver well-being were taken into account. Results showed that Caregivers were far less likely to institutionalize their relatives when family members provided overnight help and assisted with activities of daily living Care. These findings suggest that specific types of family help play an important role in delaying nursing home placement among older Adults suffering from dementia.
Steven H. Zarit - One of the best experts on this subject based on the ideXlab platform.
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behavioral intervention for reducing resistance in Care recipients to attending Adult Day Care centers a pilot study
Clinical Gerontologist, 2014Co-Authors: Celia Nogalesgonzalez, Andres Losadabaltar, Maria Marquezgonzalez, Steven H. ZaritAbstract:The aim of the present study was to analyze the efficacy of an individualized intervention that trains Caregivers of family members with dementia in behavioral skills to assess and modify their relative’s resistance to attending an Adult Day Care center (ADC). Three Caregivers were trained in assessment techniques for registering the behaviors related to resistance to attending the ADC, behavioral techniques for modifying antecedents and consequences of the behaviors, and implementation of those techniques. The frequency of behaviors was recorded every Day. Caregivers’ depressive symptomatology and anxiety, and occurrence of Care recipients’ behavioral problems related to attending the ADC, were assessed. After the intervention, frequency of behavioral problems decreased for all people with dementia, anxiety decreased for two Caregivers, and depression decreased clinically for two Caregivers. Behavior modification appears to be effective for helping Caregivers to manage disruptive behaviors by Care recipi...
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respite for dementia Caregivers the effects of Adult Day service use on Caregiving hours and Care demands
International Psychogeriatrics, 2003Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Shannon E Jarrott, Aloen L Townsend, Rick GreeneAbstract:The objective of this study was to determine whether Adult Day service use was related to decreases in primary Caregiving hours (i.e., the time Caregivers spent on activities of daily living/instrumental activities of daily living and behavior problems for Care recipients) and Care recipient function for these domains. Three-month longitudinal data from the Adult Day Care Collaborative Study (N = 400) were used. Adult Day service users reported greater decreases in hours spent on behavior problems when compared to nonusers, even after controlling for baseline differences between the two groups. In addition, Adult Day service users reported decreased frequency of behavior problems in their relatives who attended Adult Day programs. The findings suggest that Adult Day services, if used over time, are effective in restructuring Caregiving time and may offer potential benefits not only to family Caregivers but to community-residing older Adults who have dementia as well.
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Adult Day service use and reductions in Caregiving hours effects on stress and psychological well being for dementia Caregivers
International Journal of Geriatric Psychiatry, 2003Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Shannon E Jarrott, Aloen L Townsend, Rick GreeneAbstract:Background The objective of this study was to determine whether Adult Day service use interacts with decreases in primary Caregiving hours (i.e. the time Caregivers spent on activities of daily living/instrumental activities of daily living, memory problems, and behavior problems for patients) to alleviate Caregiver stress and negative mental health over time. Methods Three-month longitudinal data from the Adult Day Care Collaborative Study (n=400) were used. Results Decreases in memory problem hours among Adult Day service users were associated with reduced feelings of role overload; decreases in ADL hours among non-users were associated with decreases in worry and strain over a three-month period. Conclusion The findings suggest that Adult Day services are potentially effective in restructuring Caregiving time and providing respite to family members. Copyright © 2002 John Wiley & Sons, Ltd.
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predictors of institutionalization of cognitively impaired elders family help and the timing of placement
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 2000Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Aloen L Townsend, Anne B Edwards, Elia E Femia, Rick GreeneAbstract:Although predictors of nursing home placement have attracted a good deal of attention in gerontological research, the type and amount of family assistance offered to Caregivers prior to institutionalization has not been extensively examined. This study analyzed the impact of family help on the timing of placement among cognitively impaired Care recipients. Using longitudinal data from the Adult Day Care Collaborative Study, an event-history analysis was performed to determine the effects of family help after sociodemographic characteristics, Caregiving stressors, and indicators of Caregiver well-being were taken into account. Results showed that Caregivers were far less likely to institutionalize their relatives when family members provided overnight help and assisted with activities of daily living Care. These findings suggest that specific types of family help play an important role in delaying nursing home placement among older Adults suffering from dementia.
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stress reduction for family Caregivers effects of Adult Day Care use
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 1998Co-Authors: Steven H. Zarit, Mary Ann Parris Stephens, Aloen L Townsend, Rickey GreeneAbstract:Objectives. This study reports the findings of an evaluation of the psychological benefits of use of Adult Day Care by family Caregivers assisting a relative with dementia. Methods. The study used a quasi-experimental design in which Caregivers in the treatment group used substantial amounts of services, whereas Caregivers in a control group did not use Day Care at any point during the evaluation and only small amounts of other respite services. The evaluation was guided by the stress process model of Caregiving which distinguishes between appraisals of primary stressors and well-being. Results. Results after 3 months of Day Care use showed that the treatment group had significantly lower scores than the control group on two of the three measures of primary appraisals (overload and strain) and two of the three measures of well-being (depression and anger). Findings at one year showed that the treatment group had significantly lower scores on overload and depression than the control group. Discussion. These results demonstrate that use of Adult Day Care by Caregivers of dementia patients results in lower levels of Caregiving-related stress and better psychological well-being when compared to that of controls.
Liat Ayalon - One of the best experts on this subject based on the ideXlab platform.
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sense of belonging to the community in continuing Care retirement communities and Adult Day Care centers the role of the social network
Journal of Community Psychology, 2020Co-Authors: Liat AyalonAbstract:AIM This study examined the contribution of the social network to one's sense of belonging to the community (SCB) in two different long-term Care settings: Continuing Care retirement communities (CCRCs) and Adult Day Care centers (ADCCs). METHODS Overall, 245 respondents participated in both waves of the study that were spaced about 1 year apart. RESULTS Results show that constraint in the social network (e.g., being socially invested in a single group of interconnected ties) is particularly detrimental for CCRC residents, but not for ADCC participants. Betweenness, defined as the number of shortest paths that pass through the focal person, was not significantly related to SCB. In addition, the size of the egocentric network, obtained through a name generator of a list of all potentially meaningful individuals identified by respondents, was directly correlated with SCB at follow-up. CONCLUSIONS The findings are discussed in light of differences between the two long-term Care settings and the different social network indicators examined in this study.
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from a bird s eye view whole social networks in Adult Day Care centers and continuing Care retirement communities
Innovation in Aging, 2018Co-Authors: Liat Ayalon, Inbal Yahav, Ofrit LesserAbstract:Background and objectives The present study describes whole social networks in 4 Adult Day Care centers (ADCCs) and 4 continuing Care retirement communities (CCRCs) in Israel. Method Each respondent received a list of names of all individuals receiving services in the respective ADCC or CCRC and was asked to indicate whom he/she knows from the list. We derived whole social network properties and used hierarchical cluster analysis to group network settings. We further examined the ability of the social network data to classify respondents as members of either an ADCC or a CCRC. Results Many social network properties were more favorable in CCRCs than in ADCCs. A striking finding of the present study is that one can classify with a relatively high degree of accuracy a respondent as belonging to an ADCC or a CCRC, simply based on his or her social properties (specifically, number of people who know the participant and are known by the participant). Implications Despite some similarities between CCRCs and ADCCs, CCRCs likely allow for more inclusive and active social relations. This information should be valuable to administrators and Care providers.
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loneliness and anxiety about aging in Adult Day Care centers and continuing Care retirement communities
Innovation in Aging, 2018Co-Authors: Liat AyalonAbstract:Background and Objectives The present study compares how 2 settings: Adult Day Care centers (ADCCs) and continuing Care retirement communities (CCRCs) fare with regard to loneliness and anxiety about aging. Loneliness is a highly prevalent and distressing subjective experience of inadequate social relations, which has negative effects on health and well-being. Anxiety about aging is defined as worries brought up by imagining the negative consequences and losses associated with old age. The study also examines whether anxiety about aging accounts for differences in loneliness between the 2 settings. This study took place in Israel, where ADCCs are funded by the National Insurance Institute of Israel and CCRCs tend to be funded by private income and wealth. Despite notable differences between the settings, a common goal of both is to reduce loneliness among older Adults. Research Design and Methods A cross-sectional design of 4 ADCCs and 4 CCRCs (N = 456). Results Compared with CCRC residents, older Adults in ADCCs reported higher levels of loneliness (Mean [SD] = 1.46 [0.60], Mean [SD] = 1.78 [0.80], respectively, t [df]= -5.10 [448], p < .001) and higher levels of anxiety about aging (Mean [SD] = 2.96 [0.88], Mean [SD] = 3.27 [0.99], respectively, t [df] = -3.42 [440], p < .001). Anxiety about aging partially accounted for the differences between the 2 settings in levels of loneliness (B = 0.03, 95% confidence interval [CI]: 0.0037-0.0651). Discussion and Implications Although it is not possible to determine causality from this cross-sectional design, it is possible that CCRCs provide a better social outlet for older Adults than ADCCs.
Mary Ann Parris Stephens - One of the best experts on this subject based on the ideXlab platform.
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respite for dementia Caregivers the effects of Adult Day service use on Caregiving hours and Care demands
International Psychogeriatrics, 2003Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Shannon E Jarrott, Aloen L Townsend, Rick GreeneAbstract:The objective of this study was to determine whether Adult Day service use was related to decreases in primary Caregiving hours (i.e., the time Caregivers spent on activities of daily living/instrumental activities of daily living and behavior problems for Care recipients) and Care recipient function for these domains. Three-month longitudinal data from the Adult Day Care Collaborative Study (N = 400) were used. Adult Day service users reported greater decreases in hours spent on behavior problems when compared to nonusers, even after controlling for baseline differences between the two groups. In addition, Adult Day service users reported decreased frequency of behavior problems in their relatives who attended Adult Day programs. The findings suggest that Adult Day services, if used over time, are effective in restructuring Caregiving time and may offer potential benefits not only to family Caregivers but to community-residing older Adults who have dementia as well.
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Adult Day service use and reductions in Caregiving hours effects on stress and psychological well being for dementia Caregivers
International Journal of Geriatric Psychiatry, 2003Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Shannon E Jarrott, Aloen L Townsend, Rick GreeneAbstract:Background The objective of this study was to determine whether Adult Day service use interacts with decreases in primary Caregiving hours (i.e. the time Caregivers spent on activities of daily living/instrumental activities of daily living, memory problems, and behavior problems for patients) to alleviate Caregiver stress and negative mental health over time. Methods Three-month longitudinal data from the Adult Day Care Collaborative Study (n=400) were used. Results Decreases in memory problem hours among Adult Day service users were associated with reduced feelings of role overload; decreases in ADL hours among non-users were associated with decreases in worry and strain over a three-month period. Conclusion The findings suggest that Adult Day services are potentially effective in restructuring Caregiving time and providing respite to family members. Copyright © 2002 John Wiley & Sons, Ltd.
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predictors of institutionalization of cognitively impaired elders family help and the timing of placement
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 2000Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Aloen L Townsend, Anne B Edwards, Elia E Femia, Rick GreeneAbstract:Although predictors of nursing home placement have attracted a good deal of attention in gerontological research, the type and amount of family assistance offered to Caregivers prior to institutionalization has not been extensively examined. This study analyzed the impact of family help on the timing of placement among cognitively impaired Care recipients. Using longitudinal data from the Adult Day Care Collaborative Study, an event-history analysis was performed to determine the effects of family help after sociodemographic characteristics, Caregiving stressors, and indicators of Caregiver well-being were taken into account. Results showed that Caregivers were far less likely to institutionalize their relatives when family members provided overnight help and assisted with activities of daily living Care. These findings suggest that specific types of family help play an important role in delaying nursing home placement among older Adults suffering from dementia.
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stress reduction for family Caregivers effects of Adult Day Care use
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 1998Co-Authors: Steven H. Zarit, Mary Ann Parris Stephens, Aloen L Townsend, Rickey GreeneAbstract:Objectives. This study reports the findings of an evaluation of the psychological benefits of use of Adult Day Care by family Caregivers assisting a relative with dementia. Methods. The study used a quasi-experimental design in which Caregivers in the treatment group used substantial amounts of services, whereas Caregivers in a control group did not use Day Care at any point during the evaluation and only small amounts of other respite services. The evaluation was guided by the stress process model of Caregiving which distinguishes between appraisals of primary stressors and well-being. Results. Results after 3 months of Day Care use showed that the treatment group had significantly lower scores than the control group on two of the three measures of primary appraisals (overload and strain) and two of the three measures of well-being (depression and anger). Findings at one year showed that the treatment group had significantly lower scores on overload and depression than the control group. Discussion. These results demonstrate that use of Adult Day Care by Caregivers of dementia patients results in lower levels of Caregiving-related stress and better psychological well-being when compared to that of controls.
Aloen L Townsend - One of the best experts on this subject based on the ideXlab platform.
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respite for dementia Caregivers the effects of Adult Day service use on Caregiving hours and Care demands
International Psychogeriatrics, 2003Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Shannon E Jarrott, Aloen L Townsend, Rick GreeneAbstract:The objective of this study was to determine whether Adult Day service use was related to decreases in primary Caregiving hours (i.e., the time Caregivers spent on activities of daily living/instrumental activities of daily living and behavior problems for Care recipients) and Care recipient function for these domains. Three-month longitudinal data from the Adult Day Care Collaborative Study (N = 400) were used. Adult Day service users reported greater decreases in hours spent on behavior problems when compared to nonusers, even after controlling for baseline differences between the two groups. In addition, Adult Day service users reported decreased frequency of behavior problems in their relatives who attended Adult Day programs. The findings suggest that Adult Day services, if used over time, are effective in restructuring Caregiving time and may offer potential benefits not only to family Caregivers but to community-residing older Adults who have dementia as well.
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Adult Day service use and reductions in Caregiving hours effects on stress and psychological well being for dementia Caregivers
International Journal of Geriatric Psychiatry, 2003Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Shannon E Jarrott, Aloen L Townsend, Rick GreeneAbstract:Background The objective of this study was to determine whether Adult Day service use interacts with decreases in primary Caregiving hours (i.e. the time Caregivers spent on activities of daily living/instrumental activities of daily living, memory problems, and behavior problems for patients) to alleviate Caregiver stress and negative mental health over time. Methods Three-month longitudinal data from the Adult Day Care Collaborative Study (n=400) were used. Results Decreases in memory problem hours among Adult Day service users were associated with reduced feelings of role overload; decreases in ADL hours among non-users were associated with decreases in worry and strain over a three-month period. Conclusion The findings suggest that Adult Day services are potentially effective in restructuring Caregiving time and providing respite to family members. Copyright © 2002 John Wiley & Sons, Ltd.
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predictors of institutionalization of cognitively impaired elders family help and the timing of placement
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 2000Co-Authors: Joseph E Gaugler, Steven H. Zarit, Mary Ann Parris Stephens, Aloen L Townsend, Anne B Edwards, Elia E Femia, Rick GreeneAbstract:Although predictors of nursing home placement have attracted a good deal of attention in gerontological research, the type and amount of family assistance offered to Caregivers prior to institutionalization has not been extensively examined. This study analyzed the impact of family help on the timing of placement among cognitively impaired Care recipients. Using longitudinal data from the Adult Day Care Collaborative Study, an event-history analysis was performed to determine the effects of family help after sociodemographic characteristics, Caregiving stressors, and indicators of Caregiver well-being were taken into account. Results showed that Caregivers were far less likely to institutionalize their relatives when family members provided overnight help and assisted with activities of daily living Care. These findings suggest that specific types of family help play an important role in delaying nursing home placement among older Adults suffering from dementia.
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stress reduction for family Caregivers effects of Adult Day Care use
Journals of Gerontology Series B-psychological Sciences and Social Sciences, 1998Co-Authors: Steven H. Zarit, Mary Ann Parris Stephens, Aloen L Townsend, Rickey GreeneAbstract:Objectives. This study reports the findings of an evaluation of the psychological benefits of use of Adult Day Care by family Caregivers assisting a relative with dementia. Methods. The study used a quasi-experimental design in which Caregivers in the treatment group used substantial amounts of services, whereas Caregivers in a control group did not use Day Care at any point during the evaluation and only small amounts of other respite services. The evaluation was guided by the stress process model of Caregiving which distinguishes between appraisals of primary stressors and well-being. Results. Results after 3 months of Day Care use showed that the treatment group had significantly lower scores than the control group on two of the three measures of primary appraisals (overload and strain) and two of the three measures of well-being (depression and anger). Findings at one year showed that the treatment group had significantly lower scores on overload and depression than the control group. Discussion. These results demonstrate that use of Adult Day Care by Caregivers of dementia patients results in lower levels of Caregiving-related stress and better psychological well-being when compared to that of controls.