HEART FAILURE SELF-CARE IN VULNERABLE OLDER ADULTS: A CROSS-SECTIONAL ANALYSIS OF THE FRAILTY-HF STUDY

2020 ◽  
Vol 36 (10) ◽  
pp. S66
Author(s):  
A. Joshi ◽  
R. Mancini ◽  
J. Wong ◽  
C. Michel ◽  
R. Sheppard ◽  
...  
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Self Care ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Sectional Analysis

scholarly journals Promoting Self-Care in Caregivers of Older Adults Living With Chronic Illness: The iCare4Me Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 376-376
Author(s):  
Lauren Massimo ◽  
Karen Hirschman ◽  
Harleah Buck
Keyword(s):  
Heart Failure ◽  
Older Adults ◽  
Chronic Illness ◽  
Emotional Health ◽  
Controlled Trial ◽  
Self Care ◽  
Health Coaching ◽  
Cross Sectional ◽  
Qualitative Descriptive ◽  
Sectional Analysis

Abstract Informal caregivers provide a substantial amount of social support to older adults which can be stressful and lead to poor self-care. When stressed, caregivers of persons living with chronic illness are less vigilant and less motivated to engage in self-care behaviors that are important for maintaining their own physical and emotional health. Support interventions can encourage self-care by helping caregivers to focus on values, solve problems, and transform their goals into action. In this symposium, we will discuss the iCareMe study, a randomized controlled trial (RCT) (NCT03988621) that tests a virtual support intervention which utilizes health coaching to increase self-care behaviors in caregivers of older adults living with chronic illnesses, such as heart failure and dementia. The first session will discuss the translation of self-care theory to the basis for the “Virtual Caregiver Coach for You” (ViCCY) intervention and will provide an overview of the iCare4Me randomized control trial designed for caregivers of persons living with advanced heart failure. The second session will describe the adaptation of the iCare4Me RCT to caregivers of persons living with dementia. The third session will highlight findings from a qualitative descriptive study examining the characteristics of effective health coaching used in these two RCTs. Finally, the last session will share findings from a cross-sectional analysis examining moderators of self-care in heart failure caregivers. Together, these presentations will illustrate the unique and innovative approach that iCare4Me has taken to improve self-care in caregivers of older adults living with chronic illness.

scholarly journals Caregiver Status and Diet Quality in Community Dwelling Older Adults

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 205-205
Author(s):  
Sharmin Hossain ◽  
May A Beydoun ◽  
Michele K Evans ◽  
Alan B Zonderman ◽  
Marie Fanelli Kuczmarski
Keyword(s):  
Older Adults ◽  
Diet Quality ◽  
Research Program ◽  
Healthy Eating Index ◽  
Longitudinal Analyses ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Intramural Research Program ◽  
Sectional Analysis ◽  
Over Time

Abstract Objectives Prior studies on caregivers have focused mainly on the diet quality of their recipients, especially children. We investigated both cross-sectional and longitudinal associations of caregiver status and diet quality in older adults (mean 53.0 ± 9.0 years). Methods We studied participants in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study (57.7% women, 62% African American) between wave 3 (2009–2013) and wave 4 (2013–2018). Caregiving was assessed at both waves, starting at wave 3. Healthy Eating Index-2010 (HEI2010) score, a measure of diet quality, was assessed from two 24-hour recalls at each wave on both occasions (mean 4.1 years follow-up). Baseline caregiving (at wave 3) was examined in relation to change in HEI between waves 3 and 4. Multivariable linear regression was performed for cross-sectional analysis; mixed-effects regression was performed for longitudinal analyses. Results are expressed as β-coefficients ± standard error of means (β±SE). Results After adjusting for age, sex, race and poverty status, more time spent taking care of grandchildren (N = 2033) was associated with poor diet quality (–1.51 ± 0.55, P = 0.006) in cross-sectional analysis (wave 4 caregiving and wave 4 HEI). However, in a separate cross-sectional analysis (wave 4 only) on dual (caring for both grandchildren and an elderly person) vs. single caregivers (either grandchildren or elderly) (N = 73; 24 men & 49 women) we found no difference in diet quality. The longitudinal analyses (N = 1848) demonstrated that diet quality did not change with caregiving over time for either grandchildren (P = 0.16) or others (not children & grandchildren) (P = 0.88). Overall, women tended to have better quality diet (P < 0.001) than men. Conclusions Among relatively older caregivers, cross-sectional analyses revealed an inverse effect of caregiving with diet quality. Longitudinal research is needed to evaluate the temporal associations of dual caregiving with subsequent diet quality changes over time. Funding Sources The first author is supported by a Postdoctoral Fellowship from the Intramural Research Program (IRP) at the National Institute on Aging (NIA). HANDLS is supported by the Intramural Research Program, National Institute on Aging, National Institutes of Health, grant Z01-AG000513.

Disparities in pneumococcal and influenza immunization among older adults in Israel: A cross-sectional analysis of socio-demographic barriers to vaccination

2013 ◽  
Vol 56 (5) ◽  
pp. 337-340 ◽  
Author(s):  
Andrea Wershof Schwartz ◽  
A. Mark Clarfield ◽  
John T. Doucette ◽  
Liora Valinsky ◽  
Tomas Karpati ◽  
...  
Keyword(s):  
Older Adults ◽  
Cross Sectional ◽  
Influenza Immunization ◽  
Cross Sectional Analysis ◽  
Sectional Analysis
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