Institute for Social Research, University of Michigan, Ann Arbor.
Jennifer Cornman Consulting, Granville, Ohio.
Gerontologist. 2019 Sep 17;59(5):e441-e450. doi: 10.1093/geront/gny175.
The diminished wellbeing of caregivers is well documented, but studies typically draw upon coarse measures of time use and thus provide limited understanding of the role of specific care activities in the daily lives of care providers. This study uses time diary data to explore whether there are signature care patterns throughout the day and whether these care patterns have implications for caregivers' experienced wellbeing.
Using a national sample of 511 time diaries from older caregivers in the Disability and Use of Time supplement to the Panel Study of Income Dynamics, we examine minutes of care provided on the prior day, overall and for four broad care categories (household, personal care, transportation, and visiting), and patterns of care over the day, the latter based on sequence and cluster analysis.
Older caregivers spend on average 2.3 hr providing care to another adult on care days. Caregiving follows a roller-coaster pattern over the day, peaking at mealtimes. Sequence analysis suggests five distinctive caregiving patterns, which vary by both demographic characteristics of the caregiver (gender, work status) and care arrangement type (relationship to recipient, whether sole caregiver to recipient). The 40% who provide only marginal assistance of about 1 hr report lower experienced wellbeing than the 28% who provide sporadic assistance with a mix of activities for about 2 hr.
A substantial share of older caregivers provides only 1 hr of assistance on a given day but appears to be at risk for reduced wellbeing. Better understanding of the reason for their marginal involvement and reduced wellbeing is warranted.
照料者的幸福感下降已得到充分证实,但这些研究通常依赖于粗略的时间使用测量方法,因此对特定照料活动在照料者日常生活中的作用的理解有限。本研究使用时间日记数据来探讨全天是否存在典型的照料模式,以及这些照料模式是否对照料者的体验幸福感有影响。
我们使用来自收入动态面板研究残疾和时间补充调查的 511 份全国性时间日记样本,研究了前一天提供的护理分钟数,总体护理和四个广泛的护理类别(家务、个人护理、交通和探访),以及全天的护理模式,后者基于序列和聚类分析。
老年照料者在护理日平均每天提供 2.3 小时的护理。全天的护理呈过山车模式,在进餐时间达到高峰。序列分析表明,有五种不同的护理模式,这些模式因照料者的人口特征(性别、工作状态)和护理安排类型(与受护者的关系、是否是受护者的唯一照料者)而异。提供约 1 小时少量帮助的 40%的人报告的体验幸福感低于提供约 2 小时混合活动间歇性帮助的 28%的人。
相当一部分老年照料者在特定的一天只提供 1 小时的帮助,但他们似乎有降低幸福感的风险。需要更好地理解他们参与度低和幸福感降低的原因。