Characterizing Supportive Services Use by Caregiving Relationship Status

Informal caregivers of aging older adults experience a high degree of burden and strain. These emotional experiences often stem from stressful tasks associated with caregiving. Caregiving supportive services that target the provision of support for stressful tasks are instrumental in alleviating caregiving burden and strain. Research is limited on what types of caregiving supportive services caregivers are accessing by relationship status and their source of information. We sought to characterize caregiving supportive services use by caregiving relationship status. We analyzed cross-sectional data from the 2015 National Study of Caregiving limited to caregivers of older adults □65 years. Caregiver relationship status (i.e., spouse, child, other relative/non-relative) was the independent variable. Bivariate analyses were performed to examine the association with caregiver relationship status and 1) any use of supportive services, 2) type of supportive service used among users, and 3) source of information about supportive services. Our sample consisted of 1,871 informal caregivers, 30.7% reported using supportive services. By caregiver relationship status, children had the greatest use of supportive services compared to spouses and other relatives/non-relatives (33.3% vs. 22.5% vs. 22.1%, p=.02, respectively). Among users of services, there were no differences in type of services used. Spouses primarily received their information about services from a medical provider or social worker (73.8%, p=.004). Our findings highlight the need to ensure that other caregiving groups such as spouses have access to important supportive services such as financial support. Medical providers and/or social workers should be better leveraged and equipped to provide this information.

What Is Supportive About Supportive Conversation? Qualities of Interaction That Predict Emotional and Physiological Outcomes

This study assessed how qualities of supportive interactions, operationalized from the perspectives of the support receiver and third-party observers, predict emotional improvement and cortisol recovery following a stressful experience. Participants ( N = 103) conversed with a dating partner after completing a series of stressful tasks; partners engaged in either neutral listening or supportive communication. Participants reported their perceptions of the interaction and their emotional improvement, and provided salivary cortisol samples that indexed changes in stress. Trained third-party observers rated the interactions for supportive qualities. Individually, participants’ perceptions of support explicitness, elaboration, and involvement were positively correlated with emotional improvement, but participants’ perceptions of support explicitness and elaboration were associated with slower, rather than faster, cortisol recovery. When study variables were assessed as a set, participants’ perceptions of explicitness of support were associated with greater emotional improvement and third-party ratings of explicitness of support predicted faster cortisol recovery.