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A triadic perspective on elder neglect within the home care arrangement

Published online by Cambridge University Press:  06 February 2015

LIAT AYALON
LIAT AYALON*
Affiliation:
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Israel.
*
Address for correspondence: Liat Ayalon, Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel E-mail: liatayalon0@gmail.com
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Abstract

The present study evaluates a conceptual model of elder neglect within the home care arrangement that takes into consideration the older adult, his or her family members, and the home care worker. Data from 223 complete care-giving units, which consist of an older adult, a family member and a home care worker, were analysed using structural equation modelling. Overall, 31.5 per cent of the older adults, 18 per cent of the care workers and 32.3 per cent of the family members reported at least one type of elder neglect. The proposed model showed a reasonable fit to the data. There was an inverse effect from type of home care to family member's burden and elder neglect, with live-in (around the clock) care being associated with lower levels of family member burden and elder neglect compared with live-out Israeli home care (provided for several hours per week). The amount of informal assistance provided by family members was inversely related to the amount of burden reported by home care workers, with greater informal assistance being associated with lower levels of worker burden. The findings call for the important role of formal home care by demonstrating a potentially protective effect for live-in migrant home care. The study also emphasises the shared burden between formal and informal sources of care.

Keywords

maltreatmentneglectabuselong-term careformal careinformal carehome careolder adults

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Type
Articles
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Ageing & Society , Volume 36 , Issue 4 , April 2016 , pp. 811 - 836
Copyright
Copyright © Cambridge University Press 2015 

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References

Acock, A. C. 2005. Working with missing values. Journal of Marriage and Family, 67, 4, 1012–28.Google Scholar
Aravanis, S. C., Adelman, R. D., Breckman, R., Fulmer, T. T., Holder, E., Lachs, M., O'Brien, J. G. and Sanders, A. B. 1993. Diagnostic and treatment guidelines on elder abuse and neglect. Archives of Family Medicine, 2, 4, 371–88.Google Scholar
Asparouhov, T. and Muthén, B. 2010. Mplus Technical Report Version 2. Accessed on January 8, 2015. http://statmodel2.com/download/Imputations7.pdf.Google Scholar
Ayalon, L. 2009. Fears come true: the experiences of older care recipients and their family members of live-in foreign home care workers. International Psychogeriatrics, 21, 4, 779–86.Google Scholar
Ayalon, L. 2011. Abuse is in the eyes of the beholder: using multiple perspectives to evaluate elder mistreatment under round-the-clock foreign home carers in Israel. Ageing & Society, 31, 3, 499–520.Google Scholar
Ayalon, L. 2014. Reports of elder neglect by older adults, their family caregivers, and their home care workers: a test of measurement invariance. Journals of Gerontology: Psychological Sciences and Social Sciences, pii: gbu051.Google ScholarPubMed
Ayalon, L. and Green, O. 2013. Live-in versus live-out home care in Israel: satisfaction with services and caregivers’ outcomes. Gerontologist, doi:10.1093/geront/gnt122.Google Scholar
Ayalon, L., Halevy-Levin, S., Ben-Yizhak, Z. and Friedman, G. 2013. Family caregiving at the intersection of private care by migrant home care workers and public care by nursing staff. International Psychogeriatriatrics, 25, 9, 1463–73.Google Scholar
Ayalon, L., Kaniel, M. and Rosenberg, L. 2008. Social workers’ perspectives on care arrangements between vulnerable elders and foreign home care workers: lessons from Israeli/Filipino caregiving arrangements. Home Health Care Services Quarterly, 27, 2, 121–42.Google Scholar
Ayalon, L., Shiovitz-Ezra, S. and Palgi, Y. 2012. No place like home? Potential pathways to loneliness in older adults under the care of a live-in foreign home care worker. Journal of Psychology, 146, 1/2, 189–200.CrossRefGoogle ScholarPubMed
Baruch, Y. 1999. Response rate in academic studies – a comparative analysis. Human Relations, 52, 4, 421–38.Google Scholar
Blazer, D. G., Sachs-Ericsson, N. and Hybels, C. F. 2005. Perception of unmet basic needs as a predictor of mortality among community-dwelling older adults. American Journal of Public Health, 95, 2, 299–304.Google Scholar
Blazer, D. G., Sachs-Ericsson, N. and Hybels, C. F. 2007. Perception of unmet basic needs as a predictor of depressive symptoms among community-dwelling older adults. Journals of Gerontology: Biological Sciences and Medical Sciences, 62A, 2, 191–5.Google Scholar
Blozis, S. A., Ge, X., Xu, S., Natsuaki, M. N., Shaw, D. S., Neiderhiser, J. M., Scaramella, L. V., Leve, L. D. and Reiss, D. 2013. Sensitivity analysis of multiple informant models when data are not missing at random. Structural Equation Modeling: A Multidisciplinary Journal, 20, 2, 283–98.CrossRefGoogle Scholar
Brodsky, G., Snoor, Y. and Beer, S. 2011. Elderly in Israel: Facts and Figures. Eshel, Jerusalem. (In Hebrew)Google Scholar
Casado, B. L., van Vulpen, K. S. and Davis, S. L. 2011. Unmet needs for home and community-based services among frail older Americans and their caregivers. Journal of Aging and Health, 23, 3, 529–53.Google Scholar
Chappell, N. L. and Reid, R. C. 2002. Burden and well-being among caregivers: examining the distinction. The Gerontologist, 42, 6, 772–80.CrossRefGoogle ScholarPubMed
Choi, N. G. and McDougall, G. 2009. Unmet needs and depressive symptoms among low-income older adults. Journal of Gerontological Social Work, 52, 6, 567–83.Google Scholar
Cohen, J. 1960. A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20, 1, 37–46.CrossRefGoogle Scholar
Cohen, M., Levin, S. H., Gagin, R. and Friedman, G. 2007. Elder abuse: disparities between older people's disclosure of abuse, evident signs of abuse, and high risk of abuse. Journal of the American Geriatrics Society, 55, 8, 1224–30.Google Scholar
Cook, W. L. and Kenny, D. A. 2005. The Actor–Partner Interdependence Model: a model of bidirectional effects in developmental studies. International Journal of Behavioral Development, 29, 2, 101–9.Google Scholar
Cooper, C., Selwood, A. and Livingston, G. 2008. The prevalence of elder abuse and neglect: a systematic review. Age and Ageing, 37, 2, 151–60.Google Scholar
Cummings, J. L. 1997. The Neuropsychiatric Inventory: assessing psychopathology in dementia patients. Neurology, 48, 5supplement 6, S10–6.Google Scholar
DeLiema, M., Gassoumis, Z. D., Homeier, D. C. and Wilber, K. H. 2012. Determining prevalence and correlates of elder abuse using promotores: low-income immigrant Latinos report high rates of abuse and neglect. Journal of the American Geriatrics Society, 60, 7, 1333–9.Google Scholar
DePalma, G., Xu, H., Covinsky, K. E., Craig, B. A., Stallard, E., Thomas, J. and Sands, L. P. 2013. Hospital readmission among older adults who return home with unmet need for ADL disability. The Gerontologist, 53, 3, 454–61.Google Scholar
Desai, M. M., Lentzner, H. R. and Weeks, J. D. 2001. Unmet need for personal assistance with activities of daily living among older adults. The Gerontologist, 41, 1, 82–8.Google Scholar
Dong, X. 2005. Medical implications of elder abuse and neglect. Clinics in Geriatric Medicine, 21, 2, 293–313.Google Scholar
Dong, X., Simon, M. A., Gorbien, M., Percak, J. and Golden, R. 2007. Loneliness in older Chinese adults: a risk factor for elder mistreatment. Journal of the American Geriatrics Society, 55, 11, 1831–5.CrossRefGoogle ScholarPubMed
Eisikovits, Z., Winterstein, T. and Lowenstein, A. 2004. A Survey of Abuse and Neglect of Older Adults in Israel. University of Haifa, Haifa, Israel. (In Hebrew)Google Scholar
Elderly Crime Victims Resource Center, Lifespan of Greater Rochester and Weill Cornell Medical Centre 2011. Under the Radar: New York State Elder Abuse Prevalence Study. Available online at http://www.ocfs.state.ny.us/main/reports/Under%20the%20Radar%2005%2012%2011%20final%20report.pdf. (Accessed on January 8, 2015)Google Scholar
Fulmer, T., Paveza, G., VandeWeerd, C., Fairchild, S., Guadagno, L., Bolton-Blatt, M. and Norman, R. 2005. Dyadic vulnerability and risk profiling for elder neglect. The Gerontologist, 45, 4, 525–34.Google Scholar
Gaugler, J. E., Kane, R. L., Kane, R. A. and Newcomer, R. 2005. Unmet care needs and key outcomes in dementia. Journal of the American Geriatrics Society, 53, 12, 2098–105.Google Scholar
Giraldo-Rodríguez, L. and Rosas-Carrasco, O. 2013. Development and psychometric properties of the Geriatric Mistreatment Scale. Geriatrics & Gerontology International, 13, 2, 466–74.Google Scholar
Hu, L.-T. and Bentler, P. 1995. Evaluating model fit. In Hoyle, R. H. (ed.), Structural Equation Modeling. Concepts, Issues, and Applications. Sage, London, 76–99.Google Scholar
Hu, L. T. and Bentler, P. M. 1999. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.Google Scholar
Iecovich, E. 2007. Client satisfaction with live-in and live-out home care workers in Israel. Journal of Aging & Social Policy, 19, 4, 105–22.Google Scholar
Iecovich, E. 2012. The Long-Term Care Insurance Law in Israel: present and future. Journal of Aging & Social Policy, 24, 1, 77–92.Google Scholar
Katz, S., Downs, T. D., Cash, H. R. and Grotz, R. C. 1970. Progress in development of the index of ADL. The Gerontologist, 10, 1 part 1, 20–30.Google Scholar
Kenny, D. 1996. Models of non-independence in dyadic research. Journal of Social and Personal Relationships, 13, 279–94.Google Scholar
Kenny, D. A., Kashy, D. A. and Cook, W. L. 2006. Analyzing mixed independent variables: the actor–partner interdependence model. In Kenny, D. A., Kashy, D. A. and Cook, W. L. (eds), Dyadic Data Analysis. Guilford, New York, 144–84.Google Scholar
LaPlante, M. P., Kaye, H. S., Kang, T. and Harrington, C. 2004. Unmet need for personal assistance services: estimating the shortfall in hours of help and adverse consequences. Journals of Gerontology: Psychological Sciences and Social Sciences, 59B, 2, S98–108.Google Scholar
Lawton, M. P. and Brody, E. M. 1969. Assessment of older people: self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 3 part 1, 179–86.Google Scholar
Lawton, M. P., Moss, M., Kleban, M. H., Glicksman, A. and Rovine, M. 1991. A two-factor model of caregiving appraisal and psychological well-being. Journal of Gerontology, 46, 4, P181–9.Google Scholar
Lazarus, R. S. and Folkman, S. 1984. Stress, Appraisal and Coping. Springer, New York.Google Scholar
Ledermann, T. and Macho, S. 2009. Mediation in dyadic data at the level of the dyads: a Structural Equation Modeling approach. Journal of Family Psychology, 23, 5, 661–70.CrossRefGoogle ScholarPubMed
Lee, M. and Kolomer, S. 2005. Caregiver burden, dementia, and elder abuse in South Korea. Journal of Elder Abuse & Neglect, 17, 1, 61–74.CrossRefGoogle ScholarPubMed
Levine, J. M. 2003. Elder neglect and abuse. A primer for primary care physicians. Geriatrics, 58, 10, 37–40, 42–4.Google Scholar
Litwin, H. and Attias-Donfut, C. 2009. The inter-relationship between formal and informal care: a study in France and Israel. Ageing & Society, 29, 1, 71–91.Google Scholar
Lorenz, F. O., Conger, R. D., Simon, R. L., Whitbeck, L. B. and Elder, G. H. Jr 1991. Economic pressure and marital quality: an illustration of the method variance problem in the causal modeling of family processes. Journal of Marriage and the Family, 53, 2, 375–88.Google Scholar
Lowenstein, A., Eisikovits, Z., Band-Winterstein, T. and Enosh, G. 2009. Is elder abuse and neglect a social phenomenon? Data from the First National Prevalence Survey in Israel. Journal of Elder Abuse and Neglect, 21, 3, 253–77.Google Scholar
Lyons, K. S. and Sayer, A. G. 2005. Using multilevel modeling in caregiving research. Aging & Mental Health, 9, 3, 189–95.Google Scholar
Lyons, K. S., Zarit, S. H., Sayer, A. G. and Whitlatch, C. J. 2002. Caregiving as a dyadic process: perspectives from caregiver and receiver. Journals of Gerontology: Psychological Sciences and Social Sciences, 57, 3, P195–204.CrossRefGoogle ScholarPubMed
Musil, C. M., Jones, S. L. and Warner, C. D. 1998. Structural equation modeling and its relationship to multiple regression and factor analysis. Research in Nursing & Health, 21, 3, 271–81.Google Scholar
Muthén, L. K. and Muthén, B. O. 1998–2011. Mplus User's Guide. Muthén & Muthén, Los Angeles.Google Scholar
National Insurance Institute of Israel (NIII) 2011. Annual Review: Long Term Care Community Law. NIII, Jerusalem. (In Hebrew)Google Scholar
National Research Council 2003. Elder mistreatment: abuse, neglect, and exploitation in an aging America. In Bonnie, R. J. and Wallace, R. B. (eds), Committee on National Statistics and Committee on Law and Justice, Division of Behavioral and Social Sciences and Education. The National Academies Press, Washington DC. Available online at http://www.nap.edu/catalog.php?record_id=10406.Google Scholar
Otero, A., de Yebenes, M. J., Rodriguez-Laso, A. and Zunzunegui, M. V. 2003. Unmet home care needs among community-dwelling elderly people in Spain. Aging Clinical and Experimental Research, 15, 3, 234–42.Google Scholar
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, 5, 583–94.Google Scholar
Post, L., Page, C., Conner, T., Prokhorov, A., Fang, Y. and Biroscak, B. J. 2010. Elder abuse in long-term care: types, patterns, and risk factors. Research on Aging, 32, 3, 323–48.Google Scholar
Preacher, K. J., Zyphur, M. J. and Zhang, Z. 2010. A general multilevel SEM framework for assessing multilevel mediation. Psychological Methods, 15, 3, 209–33.Google Scholar
Quail, J., Wolfson, C. and Lippman, A. 2011. Unmet need and psychological distress predict emergency department visits in community-dwelling elderly women: a prospective cohort study. BMC Geriatrics, 11, 1, 86.Google Scholar
Raykov, T., Tomer, A. and Nesselroade, J. R. 1991. Reporting structural equation modeling results in Psychology and Aging: some proposed guidelines. Psychology and Aging, 6, 4, 499–503.Google Scholar
Rose, M. H. and Killien, M. 1983. Risk and vulnerability: a case for differentiation. ANS Advanced Nursing Science, 5, 3, 60–73.Google Scholar
Schafer, J. L. and Graham, J. W. 2002. Missing data: our view of the state of the art. Psychological Methods, 7, 2, 147–77.Google Scholar
Son, J., Erno, A., Shea, D. G., Femia, E. E., Zarit, S. H. and Parris Stephens, M. A. 2007. The caregiver stress process and health outcomes. Journal of Aging and Health, 19, 6, 871–87.Google Scholar
Tatara, T. 1994. Understanding the nature and scope of domestic elder abuse with the use of state aggregate data. Journal of Elder Abuse & Neglect, 5, 4, 35–57.Google Scholar
Vlachantoni, A., Shaw, R., Willis, R., Evandrou, M., Falkingham, J. and Luff, R. 2011. Measuring unmet need for social care amongst older people. Population Trends, 145, 56–72.Google Scholar
Yates, M. E., Tennstedt, S. and Chang, B.-H. 1999. Contributors to and mediators of psychological well-being for informal caregivers. Journals of Gerontology: Psychological Sciences and Social Sciences, 54B, 1, P12–22.Google Scholar