International Journal of Gerontology
Volume 3, Issue 3 , Pages 170-180, September 2009

The Correlation of Home Care With Family Caregiver Burden and Depressive Mood: An Examination OF Moderating Functions

  • Hong-Jer Chang

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr Hong-Jer Chang, Graduate Institute of Long-Term Care, National Taipei College of Nursing, 365, Ming-Te Road, Peitou District, Taipei, Taiwan

Graduate Institute of Long-Term Care, National Taipei College of Nursing, Taipei, Taiwan

Accepted 4 June 2009.

Article Outline

Summary 

Background

Amid long-term care expansion in response to a fast-growing aging population and a concomitant increase in dependency rate, home care provides a means of delivering support, under the policy tenet of “aging in place”. As supply rises, the potential function it may perform necessitates increased scrutiny. Few studies have examined home care in terms of its role as a buffer, capable of mitigating the impact of care stressors on the caregiver, such as burden or depressive mood. This study aimed to fill the gap.

Methods

Data from 1,586 dependent elderly persons and their caregivers in the Pilot Program for Long-term Care Development in Taiwan in 2003 were analyzed. Hierarchical regression was used by entering respondent characteristics, the disabilities of the aged as stressors, home care as social support, and their interactions in sequential blocks.

Results

The results indicated that home care can moderate the effects of instrumental activities of daily living (IADL) on caregiver depressive mood. It was unable to moderate the effects of activities of daily living (ADL) and cognitive deficit on depressive mood. It also failed to moderate the effects of ADL, IADL and cognitive deficit on caregiver burden.

Conclusion

The lack of a moderating effect of home care on most interaction terms may be the result of a low rate of service use. Despite low utilization, its ability to mitigate the negative impact of IADL on depressive mood reaffirms the necessity to conceptualize formal care as a type of social support and to examine its moderating function.

Key Words:  caregivers , dependency burden , functionally-impaired elderly , home care services , social support

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PII: S1873-9598(09)70043-2

doi:10.1016/S1873-9598(09)70043-2

International Journal of Gerontology
Volume 3, Issue 3 , Pages 170-180, September 2009

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