Caregivers with poorer health are less likely to engage in an intervention to prepare for their own health care emergency.
Background and Objectives Preparation for an unexpected caregiver health event may improve outcomes for spouses with dementia. Using the patient activation framework, this study examined characteristics of spousal caregivers who did and did not accept an offer for an emergency preparedness toolkit (...
| Publicado en: | Gerontologist Vol. 66; no. 7; pp. 1 - 11 |
|---|---|
| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jul2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195281426&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195281426 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Jul2026 vid: 66 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195281426 10.1093/geront/gnag097 ppf: 1 ppct: 10 formats: tig: atl: Caregivers with poorer health are less likely to engage in an intervention to prepare for their own health care emergency. aug: au: Wain, Kris F Daddato, Andrea E Dollar, Blythe Lagrotteria, James Young, Heather M Satake, Anna Zeng, Chan Boxer, Rebecca S affil: Institute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United States Family Caregiver Institute, Betty Irene Moore School of Nursing, University of California Davis, Sacramento, California, United States Institute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado, United StatesDepartment of Internal Medicine, University of California Davis, Sacramento, California, United States su: Self-management (Psychology) Health status indicators Spouses Hospital care Health behavior Psychology of caregivers Senile dementia Emergency medical service equipment Medical care use T-test (Statistics) Research funding Scientific observation Questionnaires Multiple regression analysis Descriptive statistics Chi-squared test Longitudinal method Burden of care Medical emergencies Electronic health records Conceptual structures Comparative studies Data analysis software Caregiver attitudes Dementia patients sug: subj: Self-management (Psychology) Health status indicators Spouses Hospital care Health behavior Psychology of caregivers Senile dementia Municipal police services Emergency and Other Relief Services Emergency medical service equipment Medical care use T-test (Statistics) Research funding Scientific observation Questionnaires Multiple regression analysis Descriptive statistics Chi-squared test Longitudinal method Burden of care Medical emergencies Electronic health records Conceptual structures Comparative studies Data analysis software Caregiver attitudes Dementia patients keyword: caregivers copyrightHolder:The Gerontological Society of America copyrightYear:2026 dementia disasters and emergency preparedness Hospitalizations https://dx.doi.org/10.1093/geront/gnag097 inLanguage:en publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42090464/ Spousal Dyads caregivers copyrightHolder:The Gerontological Society of America copyrightYear:2026 dementia disasters and emergency preparedness Hospitalizations https://dx.doi.org/10.1093/geront/gnag097 inLanguage:en publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42090464/ Spousal Dyads ab: Background and Objectives Preparation for an unexpected caregiver health event may improve outcomes for spouses with dementia. Using the patient activation framework, this study examined characteristics of spousal caregivers who did and did not accept an offer for an emergency preparedness toolkit (EPT), a low-touch intervention designed to help caregivers prepare for their own unexpected health event. Research Design and Methods Caregivers were linked to spouses with dementia and invited to request the EPT. Pre-exposure characteristics were measured during the 12-months preceding the EPT invitation date; post-exposure measures were captured during the 6-months after invitation. Multivariable logistic regression estimated associations between caregiver characteristics and EPT request, reported as marginal effects expressed in percentage point (pp) differences. Chi-square tests compared post-exposure measures by EPT request. Results We identified 1,062 eligible caregivers; 489 (46%) requested the EPT and 573 (54%) did not. Each additional chronic condition in the caregiver was associated with a 2.7pp decrease in EPT request. A caregiver hospitalization was associated with a 12.2pp decrease. Post-exposure analyses estimated caregivers not requesting the EPT were 1.9pp more likely to be hospitalized and discharged to a skilled-nursing-facility, and 1.9pp more likely to die during follow-up. Discussion and Implications Spousal caregivers with poorer health were less likely to respond to an offer to prepare for their own health event. Yet, caregivers at higher risk for health events may be most in need of emergency preparedness. As reliance on spousal caregivers grows, interventions that better balance caregivers' self-care with responsibilities for a spouse with dementia may strengthen preparedness and improve health outcomes for both partners. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|