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Caregiver Resources and Facilitation of Elderly Care Recipient Adherence to Health Regimens*

Published online by Cambridge University Press:  31 March 2010

Haya Greenberger
Affiliation:
Israeli Ministry of Health
Howard Litwin*
Affiliation:
Hebrew University of Jerusalem
*
Requests for offprints should be send to: / Les demandes de tirés-à-part doivent être addressées à: Howard Litwin, DSW, Paul Baerwald School of Social Work, Hebrew University of Jerusalem, Mount Scopus, Jerusalem IL-91905, Israel. (mshowie@mscc.huji.ac.il)

Abstract

We studied the relationship between caregivers' personal and social resources and facilitation of adherence by elderly care recipients to a prescribed health regimen. Adherence facilitation was measured among 240 caregivers on a 45-item instrument constructed for this research. The facilitation score was regressed on caregivers' role-specific self-concept (e.g., caregiver competence), informal social network support, utilization of the informal network as a lay referral system, formal network support, and reported health status of the care recipient. Background variables and health beliefs were considered as control variables. The resource variable best correlated with adherence facilitation was the personal resource of caregiver competence — perception of oneself as a good caregiver — followed by two social resources: support of the professional health care provider and the presence of a lay referral system (R2 = 0.37). Thus, although the care recipient is the beneficiary of adherence facilitation, the caregiving characteristics of the caregiver appear to affect its extent.

Résumé

Nous avons étudié la relation existant entre les ressources personnelles et sociales des soignants naturels et leur aptitude à encourager l'adhésion des patients âgés au traitement qui leur est prescrit. Cette aptitude a été mesurée chez 240 soignants naturels au moyen d'un instrument statistique à 45 volets conçu tout exprès pour cette recherche. Nous avons évalué, au moyen d'une analyse régressive, la perception que les soignants naturels ont de leur rôle (p. ex., de leur compétence), le soutien du réseau social informel, le recours au réseau informel comme système d'aiguillage non professionnel, le soutien du réseau formel, et l'état de santé de la personne soignée. Nous avons utilisé les variables sur les antécédents et les croyances en matière de santé comme variables de contrôle. La ressource personnelle la plus étroitement liée à l'aptitude à encourager l'adhésion au traitement était la compétence du soignant naturel – la perception de soi comme d'un bon soignant naturel – venaient ensuite deux ressources sociales : soutien du fournisseur de services de santé et existence d'un système d'aiguillage non professionnel (R2 = 0,37). Ainsi, bien que l'aptitude à encourager l'adhésion au traitement profite à la personne soignée, le degré d'adhésion semble dépendre des circonstances particulières du soignant naturel.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2003

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Footnotes

*

The study on which this article is based was carried out with the support of grants from “ESHEL”, the Association for the Planning and Development of Services for the Aged, and from the Municipality of Jerusalem.

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