Association between Advance Care Planning for Older Adults and Family Caregivers’ Sense of Security in Home Care Settings
A Prospective Cohort Study
Bibliographic Data
| ID | 15087201 |
|---|---|
| Authors | Masumi Shinohara (0000-0002-3552-6067, The University of Tokyo, corresponding author), Mariko Sakka (0000-0002-0694-8439, University of Tsukuba), Taisuke Yasaka (0000-0003-4400-8576, The University of Tokyo), Asa Inagaki (0000-0001-5058-3441, The University of Tokyo), Chie Fukui (0000-0001-9739-9561, The University of Tokyo), Maiko Noguchi‐Watanabe (0000-0001-6915-927X, Tokyo Medical and Dental University), Ayumi Igarashi (0000-0002-5292-8893, The University of Tokyo), Noriko Yamamoto‐mitani (0000-0002-1704-7011, The University of Tokyo) |
| Editors | Gianpiero Greco (0000-0002-5023-3721) |
| Year | 2023 |
| Volume | 2023 |
| Pages | 1-11 |
| Publication date | 2023-04-03 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Social Care in the Community (JOURNAL) |
| Journal identifiers | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1155/2023/4250408 |
| OpenAlex | W4362579536 |
| Language | EN |
| Citations received | 1 |
| References cited | 24 |
Family caregivers’ sense of security benefits older adults who receive home care. Advance care planning (ACP) is reported to affect family caregivers’ experience positively, but it might differ depending on family caregivers’ kin relationships with the older adults. This study aimed to investigate whether ACP for older adults in home care settings is associated with family caregivers’ sense of security and whether such an association depends on the family caregivers’ status as spouses or adult children. Clarifying this association may offer practical support for implementing ACP while maintaining family caregivers’ sense of security. This study was part of a prospective cohort study in Japan. The participants were older adults who used home-visit nursing services, their family caregivers, and the nurses who cared for them, recruited through the professional associations of home care nurses across Japan. Family caregivers answered a sense of security questionnaire, and the nurses were asked whether ACP was conducted. Data were collected three times from nurses and twice from family caregivers over a three-month period from August 2019 to June 2020. Multivariate logistic regression analyses were performed to examine the association between ACP implementation and positive changes in the sense of security scores after three months. Data from 169 cases were analyzed; 28.1% of the family caregivers were men and 55.6% were spouses. ACP was performed in 53.8% of the cases. The multivariate analysis showed an interactive effect between ACP implementation and family caregivers’ kin relationships. For spouses, ACP was significantly associated with a positive change in their sense of security. For adult children, such an association was not found. Thus, ACP might have a positive effect on caregiving spouses’ sense of security. Adult child caregivers, who often have multiple responsibilities and have difficulties facing their parents’ physical decline, may need support in addition to ACP
Affect (linguistics) · Association (psychology) · Cohort · Cohort study · Family caregivers · Logistic regression · Multivariate analysis · Next of kin · Family and Patient Care in Intensive Care Units · Geriatric Care and Nursing Homes · Medicine · Palliative Care and End-of-Life Issues · Psychology · Gerontology
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| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |