Older Husbands as Caregivers: Factors Associated with Health and the Intention to End Home Caregiving

Older Husbands as Caregivers: Factors Associated with Health and the Intention to End Home Caregiving

Older Husbands as Caregivers: Factors Associated with Health and the Intention to End Home Caregiving

Older Husbands as Caregivers: Factors Associated with Health and the Intention to End Home Caregivings

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Référence bibliographique [2621]

Ducharme, Francine, Lévesque, Louise, Lachance, Lise, Gangbè, Marcellin, Zarit, Steven H., Vézina, Jean et Caron, Chantal D. 2007. «Older Husbands as Caregivers: Factors Associated with Health and the Intention to End Home Caregiving ». Research on Aging, vol. 29, no 1, p. 3-31.

Fiche synthèse

1. Objectifs


Intentions :
« The purpose of this study, based on Pearlin et al.’s model, was to determine the factors associated with the health of older husband caregivers and with their intention to end home caregiving for their wives. » (p. 3)

2. Méthode


Échantillon/Matériau :
« Of the 411 husbands solicited, 323 took part in the study (a refusal rate of 22%). [...] The mean age of husbands was 73 years (SD = 6.95 years), with 17% over the age of 80 years. The mean age of wives was 72 years (SD = 7.8 years). » (p. 11)

Instruments :
- « The Bem Sex-Role Inventory (BSRI; Bem 1974, 1981), the French short version (20 items) of which was validated by Alain (1987) » (p. 11);
- « A 100-mm visual analog scale (Aitken 1969) » (p. 11);
- « The scale developed by Gendron and Lévesque (1993) » (p. 12)
- « The Revised Memory and Behavior Problems Checklist (Teri et al. 1992) » (p. 12);
- « The three four-item scales developed by Semple (1992) » (p. 13);
- « The Inventory of Socially Supportive Behaviors (Krause 1995; Krause and Markides 1990) (p. 13);
- « The Carers’ Assessment of Managing Index (Nolan, Grant, and Keady 1995) » (p. 14);
- « [M]eans of the scale developed by Bandura (1977) » (p. 14);
- « The Psychological Distress Index, an adapted version of the Psychiatric Symptom Index (Ilfeld 1976) » (p. 14);
- Guide d’entretien standardisé (p. 15).

Type de traitement des données :
Analyse statistique

3. Résumé


« The results showed subjective stressors to be associated with outcomes. Role overload was linked to psychological distress and to lower self-perceived health, whereas role captivity was associated with psychological distress and the intention to end home caregiving. The likelihood of ceasing home caregiving increased when caregivers reported high relational deprivation. A high percentage of the variance in psychological distress was explained (51%). The quality of prior husband-wife relationships, the frequency of disruptive behaviors, family conflicts, and self-efficacy were associated with this variable. Self-efficacy had a mediating effect between subjective stressors and psychological distress, whereas the number of services received had a moderating effect on the intention to end home caregiving among husbands with high role captivity. This study provides avenues for interventions sensitive to male caregivers. » (pp. 3-4)