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Caring for Family Caregivers in Australia: A Model of Psychoeducational Support

  • Cynthia L. Schultz (a1), Kosmas X. Smyrnios (a1), Carolyn F. Grbich (a2) and Noel C. Schultz (a3)


The present paper describes and traces the emergence of an innovative psychoeducational model of support for family caregivers of dependent elderly persons, its associated systematic evaluation and leadership training process, provides details of a small group programme and its underlying philosophy, and reports on outcome evaluation research ascertained from both quantitative and qualitative data analyses. Details of these analyses are presented within the context provided by a three-level model of support, which recruits and trains professionals from a range of disciplines to help families in caregiving situations. The 72 treatment and 29 waiting-list control subjects were assessed at pretreatment and at posttest on measures of anxiety and psychological well-being. Statistically significant differences emerged between the treatment and waiting-list control groups on these measures. Positive changes for programme participants were further demonstrated by contextual analysis of evaluative responses. Implications for practitioners, educators, and policy specialists, as well as for research and programme development are discussed.



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Abel, E. K. 1990. Informal care for the disabled elderly: a critique of recent literature. Research on Aging, 12, 139157.
Australian Bureau of Statistics, 1985. Projections of the Populations for Australia, States and Territories 1984–2021 (Catalogue number 3222.0). Commonwealth Government Printer, Canberra.
Australian Bureau of Statistics. 1989. Disabled and Aged Persons, Australia 1988 (Catalogue number 4118.0). Commonwealth Government Printer, Canberra.
Australian Bureau of Statistics. 1990. Carers of the Handicapped at Home (Catalogue number 4122.0). Commonwealth Government Printer, Canberra.
Barusch, A. S. 1988. Problems and coping strategies of elderly spouse caregivers. The Gerontologist, 28, 677685.
Bass, D. M., Bowman, K. and Noelker, L. S. 1991. The influence of caregiving and bereavement support on adjusting to an older relative's death. The Gerontologist, 31, 3242.
Bowers, B. J. 1987. Intergenerational caregiving: aging caregivers and their aging parents. Advances in Nursing Science, 9, 2031.
Bradburn, N. M. and Noll, C. E. 1969. The Structure of Psychological Well-being. Aldine, Chicago.
Braithwaite, V. 1990. Bound to Care. Allen and Unwin, Sydney.
Brody, E. 1990. Women in the Middle: Their Parent Care Years. Springer, New York.
Bureau of Immigration Research. 1990. Australia's population trends and prospects 1989. (Catalogue number 89 1140 8). Australian Government Printing Office.
Chappell, N. L. 1990. Aging and Social Care. In Binstock, R. H. and Shanas, E. (eds), Handbook of Aging and the Social Sciences, 3rd edn.Academic Press, New York.
Chappell, N. L. and Blandford, A. 1991. Informal and formal care: exploring the complimentarity. Ageing and Society, II, 299317.
Clark, N. M. and Rakowsky, W. 1983. Family caregivers of older adults: improving helping skills. The Gerontologist, 23, 637641.
Doty, P. 1986. Family care of the elderly: The role of public policy. The Milbank Quarterly, 64, 3475.
Edgar, D. 1992. Sharing the Caring: Rethinking Current Policies (Family Matters, no. 31, pp. 4055). Melbourne: Australian Institute of Family Studies.
Folkman, S., Lazarus, R. S., Scott, P. and Novacek, J. 1987. Age differences in stress and coping processes. Psychology and Aging, 2, 171184.
Gallagher, D. E. 1985. Intervention strategies to assist caregivers of frail elders: current research and future research directions. In Eisdorfer, C. (ed.), Annual Review of Gerontology and Geriatrics, vol. 5, pp. 249282. Springer, New York.
Gallagher, D., Lovett, S. and Zeiss, A. 1989. Interventions with couples of frail elderly persons. In Ory, M. G. and Bond, K. (eds), Aging and Health Care, Routledge, London.
George, L. K. and Gwyther, L. P. 1986. Caregiver well-being: a multidimensional examination of family caregivers of demented adults. The Gerontologist, 26, 253259.
Gilleard, C. J., Belford, H., Gilleard, E., Whittick, J. E. and Gledhill, K. 1984. Emotional distress amongst the supporters of the elderly mentally infirm. British Journal of Psychiatry, 145, 172177.
Greene, V. L. and Monahan, D. J. 1989. The effects of a support and education program on stress and burden among family caregivers to frail elderly persons. The Gerontologist, 29, 472477.
Haley, W. E. 1989. Group intervention for dementia family caregivers: a longitudinal perspective. The Gerontologist, 29, 478480.
Haley, W. E., Brown, S. L. and Levine, E. G. 1987. Experimental evaluation of the effectiveness of a group intervention for dementia caregivers. The Gerontologist, 27, 376382.
Hasselkus, B. R. 1988. Meaning in family caregiving: perspectives on caregiver/professional relationships. The Gerontologist, 28, 686691.
Hernandez, G. G. 1991. Not so benign neglect: Researchers ignore ethnicity in defining family caregiver burden and recommending services. The Gerontologist, 31, 271.
Hicks, C. 1988. Who Cares: Looking After People at Home. Virago Press, London.
Jacobs, M. K. and Goodman, G. 1989. Psychology and self-help groups: predictions on a partnership. American Psychologist, 44, 536545.
Kendig, H. 1988. Ageing, intergenerational support, and social change in Australia. In Bergener, M., Ermini, M. and Stanelin, H. B. (eds), Crossroads in Ageing, Academic Press, London.
Kendig, H. 1990. Ageing, policies and politics. In Kendig, H. and McCallum, J. (eds), Grey Policy: Australian Policies for an Ageing Society, pp. 122. Allen & Unwin, Sydney.
Kendig, H., McVicar, G., Reynolds, A. and O'Brien, A. 1992. The Victorian Linkage Evaluation: Executive Summary (Tech. Rep. for the Department of Health, Housing and Community Services). La Trobe University, Lincoln Gerontology Centre, School of Health Sciences, and McVicar and Reynolds Pty. Ltd, Melbourne.
Lazarus, R. S. and Launier, R. 1978. Stress-related transactions. In Pervin, L. and Lewis, M. (eds), Perspectives in Interactional Psychology, Plenum, New York.
McCallum, J. and Gelfand, D. E. 1990. Ethnic Women in the Middle: A Focus Group Study of Daughters Caring for Older Migrants in Australia. Australian National University, National Centre for Epidemiology and Population Health, Canberra.
Midre, G. and Synak, B. 1989. Between family and state: ageing in Poland and Norway. Ageing and Society, 9, 241259.
Montgomery, R. J. V. and Borgatta, E. F. 1989. The effects of alternative support strategies on family caregiving. The Gerontologist, 29, 457464.
Ory, M., Williams, T. F., Emr, M., Lebowitz, B., Rabins, P., Salloway, J., Sluss-Radbaugh, T., Wolff, E. and Zarit, S. 1985. Families, informal supports, and Alzheimer's disease. Research on Aging, 7, 623644.
Pearlin, L. I., Mullan, J. T., Semple, S. J. and Skaff, M. M. 1990. Caregiving and the stress process: An overview of concepts and their measures. The Gerontologist, 30, 584594.
Pearlin, L. I. and Schooler, C. 1978. The Structure of Coping. Journal of Health and Social Behavior, 19, 221.
Pratt, C. C., Schmall, S. W., Wright, S. and Cleland, M. 1985. Burden and coping strategies of caregivers to Alzheimer's patients. Family Relations, 34, 2733.
Schon, D. A. 1983. The Reflective Practitioner. Basic Books, New York.
Schultz, C. L. and Schultz, N. C. 1990a. As People Grow Older: Caregiving, Health, and Psychological Well-being. Lincoln Papers in Gerontology No. 5. La Trobe University, Bundoora, Melbourne.
Schultz, C. L. and Schultz, N. C. 1990b. Caring for family caregivers. Australian Journal of Marriage & Family, II, 8493.
Schultz, C. L. and Schultz, N. C. 1990c. Caring for family caregivers: Group leader manual. Available from Highfields Caregiving, P.O. Box 55, Ivanhoe, Australia, 3079.
Schultz, C. L., Schultz, N. C. and Greenwood, K. M. 1992. Caring for family caregivers: a replication study. Australian Psychologist, 27, 181185.
Schultz, C. L., Smyrnios, K. X., Kemm, M. M., Bruce, E. J., Grbich, G. F. and Schultz, N. C. 1993. Caring for parent caregivers: fathers and mothers of children with intellectual disabilities. Australia and New Zealand Journal of Developmental Disabilities (in press).
Schultz, C. L., Smyrnios, K. X., Schultz, N. C. and Grbich, G. F. 1993. Longitudinal outcomes of psychoeducational support for family caregivers of dependent elderly persons. Australian Psychologist, 28, (1) (in press).
Schultz, N. C. and Schultz, C. L. 1990. The Key to Caring. Longman Cheshire, Melbourne.
Schultz, N. C., Schultz, C. L., Smyrnios, K. X. and Grbich, G. F. 1993. Caring for family caregivers through group leadership training. Australian Journal of Marriage & Family, 14, (1) (in press).
Sheehan, N. W. and Nuttall, P. 1988. Conflict, emotion, and personal strain among family caregivers. Family Relations, 37, 9298.
Spielberger, C. D. 1983. Manual for the State-Trait Anxiety Inventory STAI (Form γ, ‘Self Evaluation Questionnaire’). Consulting Psychologists Press, Palo Alto, CA.
Spielberger, C. D., Gorsuch, R. L. and Lushene, R. F. 1970. Manual for the State-Trait Anxiety Inventory (‘Self evaluation questionnaire’). Consulting Psychologists Press, Palo Alto, CA.
Toseland, R. W., Rossiter, C. M. and Labrecque, M. S. 1989. The effectiveness of peer-led and professionally led groups to support family caregivers. The Gerontologist, 29, 465471.
Toseland, R. W. and Rossiter, C. M. 1989. Group interventions to support family caregivers: A review and analysis. The Gerontologist, 29, 438448.
Ungerson, C. 1987. Policy is Personal: Sex, Gender, and Informal Care. Tavistock, London.
Walker, A. J. and Pratt, C. C. 1991. Daughters' help to mothers: intergenerational aid versus caregiving. Journal of Marriage and the Family, 53, 312.
Watson, E. and Mears, J. 1990. Women in the Middle: Care-Givers with a Double Burden of Care. MacArthur Institute of Higher Education, Cambelltown, New South Wales.
Wells, Y. D., Jorm, A. F., Jordan, F. and Lefroy, R. 1990. Effects on care-givers of medical day care programmes for dementia sufferers. Australian and New Zealand Journal of Psychiatry, 24, 8290.
Whittick, J. E. 1989. Dementia and mental handicap: attitudes, emotional distress and caregiving. British Journal of Medical Psychology, 62, 181189.
Wilson, H. S. 1989. Family caregiving for a relative with Alzheimer's dementia: coping with negative choices. Nursing Research, 38, 9498.
Zarit, S. H., Anthony, C. R. and Boutselis, M. 1987. Interventions with caregivers of dementia patients: comparison of two approaches. Psychology and Aging, 2, 225232.
Zarit, S. H., Todd, P. A. and Zarit, J. M. 1986. Subjective burden of husbands and wives as caregivers: a longitudinal study. The Gerontologist, 26, 260266.
Zarit, S. R. 1989. Do we need another stress and caregiving study? The Gerontologist, 29, 147148.

Caring for Family Caregivers in Australia: A Model of Psychoeducational Support

  • Cynthia L. Schultz (a1), Kosmas X. Smyrnios (a1), Carolyn F. Grbich (a2) and Noel C. Schultz (a3)


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