Understanding and Improving the Burden and Unmet Needs of Informal Caregivers of Homebound Patients Enrolled in a Home-Based Primary Care Program

Autor:	Kristofer L. Smith, Katherine A. Ornstein, Jeremy Boal
Rok vydání:	2009
Předmět:	Gerontology medicine.medical_specialty education.field_of_study business.industry Population Caregiver burden Primary care Home based Baseline interview Unmet needs Multidisciplinary approach Intervention (counseling) Family medicine Medicine Geriatrics and Gerontology business education
Zdroj:	Journal of Applied Gerontology. 28:482-503
ISSN:	1552-4523 0733-4648
DOI:	10.1177/0733464808329828
Popis:	The growing homebound population is heavily reliant on informal caregivers, who are increasingly burdened by their roles. This study describes informal caregivers of the homebound who remain caregivers at a 9-month follow-up and examines the impact of a home-based primary care (HBPC) program on caregiver burden and unmet needs using a prospective design with a pre—post intervention assessment. Informal caregivers of the urban homebound are similar to caregivers of other populations and have a broad range of unmet needs. The intervention described is the regular provision of multidisciplinary HBPC. Hundred fourteen caregivers of newly admitted patients complete a baseline interview. For the 56 caregivers who complete a 9-month follow-up interview, participation in HBPC is associated with a statistically significant decrease in overall caregiver burden. At 9 months, caregivers demonstrate an overall decrease in unmet needs, with a statistically significant decrease across two measured domains. These results suggest that the regular provision of multidisciplinary care in the home can mitigate the deleterious impact of informal caregiving.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7d773a691e1b73074e0a546392e1b224 https://doi.org/10.1177/0733464808329828 Zobrazit plný text záznamu