Michigan Developmental Disabilities Institute & Department of Helath Care Sciences, Wayne State University, Detroit, Michigan, USA.
School of Social Work, Eastern Michigan University, Ypsilanti, Michigan, USA.
J Gerontol Soc Work. 2023 Apr;66(3):413-432. doi: 10.1080/01634372.2022.2110347. Epub 2022 Aug 11.
Providing care to a family member with intellectual and developmental disabilities (I/DD) takes a toll on the health of the caregiver and the family, especially as they age. Research shows that peer mediated family support programs can improve caregiver health and well-being. To date, most family support programs have focused on family caregivers of children and youth with I/DD. The purpose of this study was to examine the benefits of participating in the Michigan Older Caregivers of Emerging Adults with Autism and Neurodevelopmental Disabilities (MI-OCEAN) family support program grounded in the Family Quality of Life (FQOL) framework. Specifically, we examined the effect of participation on health care utilization, caregiver well-being, and perceptions of global FQOL for older caregivers of adults with I/DD. Quantitative analysis of data gathered from 82 caregivers (age 50 and older) indicated that study participation was associated with increased use of Medicaid and improved caregiver well-being (reduced burden, stress, depression; increased health satisfaction and FQOL). Future research is needed to examine the long-term impact of the family support programs in improving the health and well-being of older caregivers of adults with I/DD.
为有智力和发育障碍(I/DD)的家庭成员提供护理会对护理人员和家庭的健康造成影响,尤其是随着他们年龄的增长。研究表明,同伴介导的家庭支持计划可以改善护理人员的健康和幸福感。迄今为止,大多数家庭支持计划都集中在有 I/DD 儿童和青少年的家庭护理人员上。本研究的目的是根据家庭生活质量(FQOL)框架,研究参加密歇根州新兴成年自闭症和神经发育障碍(MI-OCEAN)家庭支持计划对成年 I/DD 患者老年护理人员的健康护理利用、护理人员幸福感和全球 FQOL 认知的影响。具体来说,我们研究了参与对医疗保健利用、护理人员幸福感以及对 I/DD 成年患者老年护理人员全球 FQOL 的认知的影响。对从 82 名护理人员(年龄在 50 岁及以上)收集的数据进行的定量分析表明,研究参与与 Medicaid 使用增加和护理人员幸福感提高(负担减轻、压力减轻、抑郁减轻;健康满意度和 FQOL 提高)相关。需要进一步研究家庭支持计划在改善成年 I/DD 患者老年护理人员健康和幸福感方面的长期影响。