Associations between spousal caregiving and health among older adults in Mexico: A targeted estimation approach

2020 ◽  
Author(s):  
Jacqueline M. Torres ◽  
Uchechi A. Mitchell ◽  
Oleg Sofrygin ◽  
Kara E. Rudolph ◽  
Mariana López‐Ortega ◽  
...  
Keyword(s):  
Older Adults ◽  
Spousal Caregiving

scholarly journals EAST MEETS WEST: IMPROVING HEALTH AND LONG-TERM CARE FOR OLDER ADULTS IN THE U.S. AND CHINA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S243-S244
Author(s):  
Bei Wu ◽  
Jie Hua Lu
Keyword(s):  
Older Adults ◽  
Healthy Aging ◽  
Long Term Care ◽  
Panel Discussion ◽  
Community Dwelling ◽  
Term Care ◽  
Spousal Caregiving ◽  
Pragmatic Clinical Trials ◽  
The U.S

Abstract As the number of older adults in the U.S. and China continues to increase, promoting healthy aging is essential for individuals, family, and society. Both countries face many similar issues due to their aging populations, including prolonging healthy life expectancy and providing quality of care. However, the change in demographics brings with it unique challenges for both the U.S and China. This forum invites scholars and researchers from these two countries to share their knowledge and insights on promoting healthy aging and improving care for older adults. This forum includes five presentations and one-panel discussion. Two presentations will focus on long-term care (LTC) in China, one is to forecast the needs of LTC in the next five decades, and the other is to evaluate the current LTC needs and discuss LTC policy. Using the data from the Health and Retirement Study, the third presentation aims to re-conceptualize spousal caregiving as a dyad-level phenomenon and provides a dynamic view of the spousal caregiving experiences. The last two presentations will focus on promoting healthy aging through clinical interventions. The fourth one is to evaluate the effectiveness of adaptive computer-based cognitive training among community-dwelling older adults in China. The last presentation provides some examples of using pragmatic clinical trials to improve the care of older adults in skilled nursing facilities in the U.S. After the five presentations, the three panelists will provide feedback to the presentations and share their views on healthy aging with the audience.

scholarly journals Positive and negative experiences and life satisfaction among spousal caregivers for frail older adults in urban China: a parallel process model

2020 ◽  
Vol 49 (4) ◽  
pp. 622-627 ◽  
Author(s):  
Nan Jiang ◽  
Nan Lu ◽  
Qian Sun ◽  
Vivian W Q Lou
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Process Model ◽  
Parallel Process ◽  
Community Dwelling ◽  
Urban China ◽  
Spousal Caregivers ◽  
Negative Experiences ◽  
Frail Older Adults ◽  
Spousal Caregiving

Abstract Objectives Previous literature has suggested that negative and positive aspects of spousal caregiving co-exist. However, positive and negative experiences were often examined independently. This study aimed to empirically test a parallel process model of spousal caregiving. Methods This cross-sectional survey of family caregiving involved 269 frail older adults living in Shanghai, China, in 2016. Quota sampling was conducted to find community-dwelling frail older adults with a primary caregiver. Path analysis was used to identify the relationship between negative and positive caregiving experiences and life satisfaction. Results We found two independent paths towards life satisfaction: (i) activities of daily living were negatively associated with burden, and burden was associated with lower life satisfaction; and (ii) spousal caregivers’ self-reported health and financial state were positively associated with positive appraisal, and positive appraisal was associated with higher life satisfaction. Caregiving time contributed to both aspects of caregiving experiences. The covariance between caregiving burden and positive appraisals was not statistically significant. Conclusion Spousal caregiving involves a parallel process. Negative and positive experiences are separate constructs and their associations with life satisfaction vary. We advocate for policy and interventions that promote positive views of caregiving that encourage caregivers to develop a high level of overall life satisfaction despite the hardships of their caregiving tasks.

scholarly journals DOES CAREGIVING MATTER? THE RELATIONSHIPS BETWEEN CAREGIVING EXPERIENCE AND ADVANCE CARE PLANNING IN OLD AGE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S136-S137
Author(s):  
Huei-wern Shen
Keyword(s):  
Older Adults ◽  
End Of Life ◽  
End Of Life Care ◽  
Information Provision ◽  
Future Research ◽  
Care Planning ◽  
Life Care ◽  
Spousal Caregiving ◽  
Advance Care ◽  
Caregiving Roles

Abstract Advanced care planning (ACP) is encouraged as the completion of ACP increases the likelihood for patients to receive their preferable end-of-life care and for caregivers to be less stressed. Common approaches to increase the engagement of ACP target on intervention or information provision to patients in the very late stage of life. Arguing that caregiving experience may influence how people plan their own end-of-life care, the present study focuses on caregiving roles. Using seven waves of data (2002, 2004, 2006, 2008, 2010, 2012, and 2014) from the Health and Retirement Study (HRS), 863 older people who were 65+ and alive in 2012 but passed away prior to 2014 were included in this study to examine the relationships between an individual’s caregiving experience (2002-2012) and his/her completion of ACP (2014). Findings from logistic regression showed that caregiving experience did not influence older adults’ (65+) ACP completion in 2014. When considering different types of caregiving experience (none, spousal, parental) among older cohort (75+), the odds of completing ACP for those with spousal caregiving experience were 2.47 times more likely than those without any caregiving experience. However, no relationship was detected among those with parental caregiving experience. Other factors relating to ACP completion were poorer health, death being expected, death due to cancer, older age and being racial minorities. Practitioners and policymakers could consider encouraging older adults (65+) who provide spousal care to engage in ACP. Future research taking longitudinal approaches to identify reasons behind the existence of the relationship is urged.

scholarly journals Dyadic Relationships Between Self-Rated Health and Cognition Among Older Adults and Their Spousal Caregivers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 521-521
Author(s):  
Ruotong Liu ◽  
Iris Chi ◽  
Shinyi Wu
Keyword(s):  
Older Adults ◽  
Cognitive Functioning ◽  
Spousal Caregivers ◽  
Equation Modeling ◽  
Dyadic Relationships ◽  
Spousal Caregiving ◽  
Self Rated Health ◽  
Cross Domain ◽  
Care Recipients ◽  
The Relationship

Abstract This study examines spouses who are in a caregiving situation to discern how they influence each other’s health. Previous studies reported health concordance and cross-domain effects among caregiver and care-recipient dyads. However, it is less understood of the health dyadic relationships among spouses who are in a caregiving situation. No studies have specifically looked into the relationship between self-rated health (SRH) and cognitive functioning among spousal caregiving dyads over time. In this study we analyzed the longitudinal reciprocal relationships between SRH and cognitive functioning measured by the Telephone Interview for Cognitive Status among older adults and their spousal caregivers, and whether the relationship differed by whether husband or wife was the caregiver. Longitudinal data from the Health and Retirement Study (2010-2016) on 540 dyads were pooled and analyzed using structural equation modeling under an actor-partner interdependence model. Results revealed cognitive concordance among older spouses in which caregivers’ cognition is associated with care-recipients’ cognition subsequently (β=0.05, p<.05). SRH concordance was not significant. Cross-domain results showed only one significant direction, that is, care-recipients’ cognition in the subsequent time was significantly correlated with caregivers’ SRH, regardless of whether husband (β=0.09, p<.05) or wife (β=0.08, p<.05) was the caregiver. Our study found that married couples in a spousal caregiving situation displayed cognitive but not overall health concordance, and cross-domain effects of caregiver’s SRH on spousal care recipient’s cognition subsequently. The reciprocal associations suggest that addressing and improving either partner’s physical health and cognition may benefit both dyad members.

Aging in Place With a Spouse in Need: Neighborhood Cohesion and Older Adult Spouses’ Physical and Mental Health

2020 ◽  
pp. 009141502097461
Author(s):  
Kyuho Lee ◽  
Patrik Marier
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Daily Living ◽  
Physical And Mental Health ◽  
Negative Effects ◽  
Neighborhood Cohesion ◽  
Spousal Caregiving ◽  
Negative Effect ◽  
Retirement Study

This study examines the association of perceived neighborhood cohesion (NC) with older adults’ health and the buffering effects of NC against the negative effects of spousal caregiving on health. Data of 3329 community-living older adults living with a spouse in need of care from the Health and Retirement Study were collected at two time-points. Multiple regression analyses were computed for each of the four health outcomes. For men, NC predicted fewer depressive symptoms and better cognition. NC buffered the negative effect of providing activities of daily living (ADL) help to the wife on cognition. For women, NC predicted fewer depressive symptoms and better cognition. NC buffered the negative effect of providing ADL help to the husband on ADL difficulties. The results accentuate the importance of residency location for older adults’ physical and mental health. The health benefits of NC may have more implications for older adults providing spousal care.

Formal and Informal Volunteer Activity and Spousal Caregiving Among Older Adults

2007 ◽  
Vol 29 (2) ◽  
pp. 99-124 ◽  
Author(s):  
Namkee G. Choi ◽  
Jeffrey A. Burr ◽  
Jan E. Mutchler ◽  
Francis G. Caro
Keyword(s):  
Older Adults ◽  
Spousal Caregiving ◽  
Volunteer Activity ◽  
Informal Volunteer

Cognitive control constrains memory attributions

2019 ◽  
Vol 42 ◽  
Author(s):  
Colleen M. Kelley ◽  
Larry L. Jacoby
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Control

Abstract Cognitive control constrains retrieval processing and so restricts what comes to mind as input to the attribution system. We review evidence that older adults, patients with Alzheimer's disease, and people with traumatic brain injury exert less cognitive control during retrieval, and so are susceptible to memory misattributions in the form of dramatic levels of false remembering.

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