Family Care Partners and Paid Caregivers: National Estimates of Role-Sharing in Home Care.
Background and Objectives We describe "role-sharing" in home care, defined as family care partners and paid caregivers assisting with the same task(s). Research Design and Methods We studied 440 participants in the 2015 National Health and Aging Trends Study receiving paid help with self-care, mobil...
| Published in: | Gerontologist Vol. 65; no. 2; pp. 1 - 9 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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Oxford University Press / USA
Feb2025
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=183177989&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 183177989 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Feb2025 vid: 65 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 183177989 10.1093/geront/gnae177 ppf: 1 ppct: 8 formats: tig: atl: Family Care Partners and Paid Caregivers: National Estimates of Role-Sharing in Home Care. aug: au: Fabius, Chanee D Gallo, Joseph J Burgdorf, JuliaG Samus, Quincy M Skehan, Maureen Stockwell, Ian Wolff, Jennifer L affil: Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA Center for Home Care Policy and Research, VNS Health, New York, New York, USA School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA Department of Information Systems, University of Maryland Baltimore County, Baltimore, Maryland, USA su: Families & psychology Home care services Task performance Patient care Wages Psychology of caregivers Medicaid Activities of daily living Research funding Descriptive statistics Odds ratio Confidence intervals Dementia patients sug: subj: Families & psychology Home care services Task performance Patient care Wages Psychology of caregivers Medicaid Activities of daily living Services for the Elderly and Persons with Disabilities Home Health Care Services Offices of all other health practitioners Offices of All Other Miscellaneous Health Practitioners Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Research funding Descriptive statistics Odds ratio Confidence intervals Dementia patients keyword: Dementia Family caregiving Paid caregiving Shared care Dementia Family caregiving Paid caregiving Shared care ab: Background and Objectives We describe "role-sharing" in home care, defined as family care partners and paid caregivers assisting with the same task(s). Research Design and Methods We studied 440 participants in the 2015 National Health and Aging Trends Study receiving paid help with self-care, mobility, or medical care. We describe patterns in receiving paid help only, help from care partners only, and role-sharing. We examine whether sole reliance on paid help or role-sharing differs by Medicaid-enrollment and dementia status. Results Half (52.9%) of care networks involved role-sharing. Care networks involving role-sharing more often occurred among older adults with dementia (48.7% vs 25.6%, p < .001) and less often for those who were Medicaid-enrolled (32.1% vs 49.4%, p < .01). Those living with dementia more often experienced role-sharing in eating (odds ratio [OR] 3.9 [95% confidence interval {CI} 1.20, 8.50]), bathing (OR 2.7, [95% CI 1.50, 4.96]), dressing (OR 2.1 [95% CI 1.14, 3.86]), toileting (OR 2.9 [95% CI 1.23, 6.74]), and indoor mobility (OR 2.8 [95% CI 1.42, 5.56]), and less often received help solely from paid helpers with medication administration (OR 0.24, [95% CI.12,.46]). Medicaid-enrollees more often received paid help only in dressing (OR 2.0 [95% CI 1.12, 3.74]), outdoor (OR 2.4 [95% CI 1.28, 4.36]), and indoor mobility (OR 4.3 [95% CI 2.41, 7.62]), and with doctor visits (OR 2.8 [95% CI 1.29, 5.94]). Discussion and Implications Role-sharing is common, especially among older adults living with dementia who are not Medicaid-enrolled. Strategies supporting information sharing and collaboration in home-based care merit investigation. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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