THE FAMILIES WHO CARE PROJECT: MEETING THE EDUCATIONAL NEEDS OF AFRICAN AMERICAN AND RURAL FAMILY CARE GIVERS DEALING WITH DEMENTIA

Successful educational outreach to address the informational needs of African American and rural families dealing with dementia requires a concerted strategy that fosters trust and conveys a genuine commitment to the targeted communities. The Families Who Care project formed a partnership that included majority and minority institutions of higher education, state and local human services organizations, and two chapters of the Alzheimer's Association. These advisory groups were asked to identify the educational needs of family caregivers and guide the implementation of a train-the-trainer effort in Virginia. The results of strategic planning sessions are detailed, and analyses of evaluation data point to racial and cultural differences in the project's effect on participating family caregivers. Conclusions support increasing the availability of cultural competence training for those who provide services to diverse caregiving families. elders and their families and communities through the development and dissemination of culturally relevant materials emphasizing both the established facts about {Alzheimer's disease and related disorders} and the efficacy of seeking treatment''(Advisory Panel on Alzheimer's Disease, 1992, p. 50). There is a similar need to train family caregivers of rural elders with dementia, whose informational and service needs     

PARTICIPATION IN A COURSE ON AGING: KNOWLEDGE,ATTITUDES, AND ANXIETY ABOUT AGING IN ONESELF AND OTHERS

Knowledge, anxiety, and attitudes about older adults and one's own aging were assessed in 256 college students. The Facts on Aging Quiz (Palmore, 1988), the Knowledge of Aging and the Elderly Quiz (Kline, Scialfa, Stier, & Babbitt, 1990), the Anxiety about Aging Scale (Lasher & Faulkender, 1993) and the Aging Semantic Differential (Rosencranz & McNevin, 1969) were administered at the end of the semester to students enrolled in an upper level psychology course on aging and students enrolled in an introductory psychology course (who had never had a course on aging). Comparisons of those finishing the psychology of aging course and those never having taken a course on aging revealed significant differences in knowledge of aging and the elderly and attitudes toward the average 70-year-old. Interestingly, the two groups of students did not differ in personal anxiety about aging and attitudes about one's own aging. The implications of these findings are discussed in relation to attitudinal judgments of oneself versus others and the differential benefits of education for attitudes and anxiety about other old adults versus attitudes and anxiety about one's own aging.     

FINDING THE COMMON GROUND OF FAMILY AND PROFESSIONAL CAREGIVING: THE EDUCATION AGENDA AT THE ROSALYNN CARTER INSTITUTE

The Rosalynn Carter Institute (RCI) for Human Development is the only national institute or center to integrate both professional and family caregiver issues in research, education, and advocacy agendas. This paper focuses on caregiver education and support and includes: (1) a discussion of the limitations of models that separate family versus professional caregivers, (2) a brief overview of the Rosalynn Carter Institute and the conceptual basis for the Institute's integrated caregiving agenda, and (3) precepts of effective caregiver education and support that guide activities at the RCI.     

ADULTS IN EXPANDED GRANDPARENT ROLES: CONSIDERATIONS FOR PRACTICE,POLICY, AND RESEARCH

The number of middle-aged and older adults assuming primary caregiver roles to their grandchildren has dramatically increased in the past decade due to a myriad of serious family-related problems. Gerontology professionals in human service and mental health positions as well as policy makers and researchers can play important roles in helping these women and men function effectively in their expanded grandparent roles. The primary goal of this article is to provide a representative picture of (1) the circumstances surrounding grandparents' acquisition of the surrogate parent role; (2) the consequences of the caregiving roles for the older generation (positive as well as negative outcomes); and (3) recommendations of types of support (socioemotional and instrumental) that would be most helpful for grandparents raising their grandchildren. Recommendations for future programs, policies, and research on this growing population of family caregivers are also provided.     

Special care needs and risk for child maltreatment reports among babies that graduated from the Neonatal Intensive Care

Newborns discharged from intensive care are at elevated risk for child welfare reports, especially for child neglect. This study investigates the role of caregiving burden as a risk predictor among the NICU graduate population. Discharge data were captured for 2,463 infants graduating from a Neonatal Intensive Care Unit (NICU) during 2005–2008, then linked to child welfare reports at a median 3.2 year follow-up. Survival analyses were used to examine child welfare report outcomes conditional on caregiving burden and its moderating relationships with other family risk factors. Caregiving burden was associated primarily with an increased risk of child welfare reporting during the first few months to first year of life, after which risk was similar to NICU graduates without caregiving burden. Caregiving burden effects were potentiated by having three or more siblings in the family. A history of prior child welfare reports predicted very high risk, regardless of caregiving burden. Young maternal age increased risk. The findings suggest that the immediate months after NICU discharge may be an important window of child neglect prevention opportunity among newborns with special caregiving needs. This may be a key time to provide caregiver support and monitoring, particularly when caregivers have multiple children.     

Multiple determinants of caregiver behavior in child care centers

In this study of the multiple determinants of professional caregiving, 237 caregivers (age range: 18–56 years) from 64 Dutch child care centers were extensively observed during their interactions with the children (0–4 years) in their usual care group. The choice of potential determinants of the caregiving quality was guided by Belsky's [Belsky, J. (1984). The determinants of parenting: A process model. Child Development, 55, 83–96] model of the determinants of parenting. Consistent with Belsky's model, quality of caregiving was found to be multiply determined by characteristics of the caregiver, the children and the caregiving context. More specifically, lower-quality care was provided by younger caregivers, to younger children, and by caregivers reporting higher physical occupational workloads. The differences between the participating child care centers proved to explain more variance in the quality of professional caregiving than the differences between the individual caregivers.     

The family caregiver after the institutionalization of the dependent elderly relative

The objective of this study was to assess the relationship between the institutionalization of a dependent elderly relative and the family caregiver’s mental health, quality of life and caregiving satisfaction. We present data from 140 family caregivers caring for elderly family members, of whom 77 continued to live with family members and 63 had been institutionalized. We evaluated the factors influencing the decision to institutionalize the dependent relative, the effect of institutionalization on the caregiver’s psychological well-being and quality of life and the impact of strategies to find the meaning and cope with the relative’s placement on the caregiver’s emotional health and quality of life. Care does not end after institutionalization, but the stressors the caregiver faces change. Our results suggest that finding meaning increases satisfaction and reduces feelings of overload. They show that after institutionalization, stressors affecting caregivers are partly relieved, and that finding meaning increases the caregiver’s satisfaction, while decreasing the degree of overload. Our data, further, indicates that a good relationship and cooperation between the staff of the institution and the family are important to improve the caregivers’ emotional health and quality of life, and consequently, the quality of life of the dependent elderly relative.     

Mixed-Age Interactions in Family Child Care

Preschool-age children's experiences within the mixed-age setting of family child care homes and the influences of these experiences on development were examined. Development variables included social and cognitive play, and receptive and expressive language. Consistent with Vygotsky's developmental theory, children's interactions with mixed-age peers were more powerful predictors of development than the mere availability of mixed-age peers. Interactions with older peers were associated with more complex cognitive play behaviors. Interactions with younger and same-age peers were associated with less complex social and cognitive play and lower receptive language scores. Characteristics of the child care setting appeared to moderate children's behavior in the mixed-age environment. Children in higher quality family child care homes with responsive caregivers were less likely to interact with younger children. No evidence was found of different developmental outcomes across developmental domains for older versus younger children.     

Youthful Ideals of Older Adults: An Analysis of Children's Drawings

Over the years, disparities have continued to emerge about what factors influence children's views of older adults. The purpose of this study was to gain further understanding regarding youthful ideals of aging through an analysis of children's drawings. After completing their drawings, the children were interviewed to provide a better understanding and to give clarity of the drawn images. The sample included 141 children ages 8–12 from different Boys and Girls Clubs of America across the United States. Overall, the children produced a generally positive image (84.8%) with most drawing a family member who was happy, healthy, active, and with positive physical characteristics. Significant differences were found between the genders as the girls drew more positive images than the boys; however, no significant differences existed between children from different races and ages.     

The effectiveness of a life story program on stress reduction among chinese american family caregivers of older adults

The study aims to examine the effectiveness of a life story program on reducing Chinese American family caregivers’ stress due to the burden of caregiving. This study conducted a quasi-experimental pre-posttest research design. A simple one-way ANOVA was performed to test the significance of the intervention on caregivers’ burden. The life story was not found to be directly statistically significant on reducing burden. However, through the life story intervention, it was discovered that among Chinese American family caregivers their perceived lower dependency of the care receiver, fewer needs of the care receiver and unknown time frame of continuation of care were statistically significant on the burden scale. The life story intervention improved family caregivers’ insight and judgment on the effect that care receivers’ needs and demands had on their continuation of caregiving.     

Child abuse by adolescent caregivers

The purpose of this analysis was to estimate the frequency and severity of child abuse committed by adolescents who were in nonparental caregiving roles. The sample was composed of cases in which either physical or sexual abuse was substantiated through child welfare investigation. The main comparisons were between adolescent and adult caregivers. While caregiver age did not appear to have a consistent effect on the occurrence of physical abuse, notable differences between adolescents and adults were found in the area of sexual abuse. Not only were adolescents observed to commit substantially more sexual abuse than older caregiver cohorts, but the sexual abuse they committed was more likely to involve intercourse and physical assault. These findings have implications for future research and practice.     

Cortisol levels of caregivers in child care centers as related to the quality of their caregiving

The present study examined whether stress in professional caregivers – as reflected in salivary cortisol levels – is related to the quality of their caregiving behavior. The 221 professional female caregivers in 64 child care centers were observed in three different situations and saliva samples were taken three times during the morning. Results showed that higher levels of cortisol, particularly at the beginning of the workday, predicted lower-quality caregiver behavior beyond the contribution of three other predictors, namely a higher self-reported physical workload, more children under age two in the care group, and lower caregiver age. Contrary to the expectation, higher cortisol levels did not mediate the relation between higher self-reported physical workload and more children under age two on the one hand and lower-quality caregiving behavior on the other.     

Self-reported depression in nonfamilial caregivers: prevalence and associations with caregiver behavior in child-care settings

The current study describes the prevalence of self-reported depressive symptoms in a sample of 1217 nonfamilial caregivers and examines the relation between depression and the quality of interactions between caregivers and young children. One hundred and fourteen of these caregivers (9.4%) reported clinically significant levels of depressive symptoms. Analyses provided evidence of small, but consistent and unique associations between caregivers’ self-reported depression and the quality of their interactions with children. Caregivers reporting more depression were less sensitive and more withdrawn than caregivers reporting fewer depressive symptoms. Depression was more closely associated with negative behavior for caregivers working in family child-care settings, as well as among caregivers with less education and among those that spend more time without other adults present. The current study provides preliminary evidence that expanding knowledge of caregivers’ characteristics may be an important component of understanding the nonfamilial caregiving environment.     

Social Work Faculty's Knowledge of Aging: Results from a National Sample

Social work students have reported in previous studies that they receive insufficient coursework and training to work effectively with older adults. A critical factor in these deficiencies may be the level of knowledge of social work faculty. This study sought to assess social work faculty's knowledge of aging using the Knowledge of Aging for Social Workers (KASW) quiz. Using systematic random sampling, schools of social work in the United States were selected, and individual faculty members were invited by e-mail to participate in an online survey. Results show that social work faculty's (N = 609) knowledge about aging was found to be either less or comparable to other study populations. Knowledge levels were related to having an interest in policy, educational level, teaching aging courses on a regular basis, and confidence level in covering aging content. This study is the first to investigate social work faculty knowledge about aging and older adults. It may offer insight as to faculty competencies, which can have direct implications for student learning and interest in gerontology.     

Associations of Warmth and Control of Filipina Domestic Helpers and Mothers to Hong Kong Kindergarten Children's Social Competence

Research Findings: Across 63 Hong Kong families, both Filipina domestic helpers and mothers separately rated their own caregiving style (warmth and control) and kindergarten children's social competence. Results indicated that Filipina helpers rated themselves as higher in warmth than mothers did. In addition, self-rated warmth of both caregivers, and Filipina domestic helpers' self-perceived control were correlated with children's social competence. With ratings of warmth and control from both Filipina helpers and mothers included in separate regression equations, mothers' warmth was a strong unique correlate of all measures of children's social competence. However, Filipinas' warmth was uniquely associated with children's responsibility only, whereas their control was uniquely associated with children's assertion and responsibility. Practice or Policy: Results extend previous research on the importance of nonparental caregivers for children's social development in a new cultural context.     

Who cares for the child in day care? An examination of caregivers from three types of care

As part of a larger study, the Victoria Day Care Research Project, caregivers representing three different types of caregiving arrangements (licensed center-based day care, licensed family day care homes, and unlicensed family day care homes) were interviewed. The structured interviews of approximately 1 hour covered the following caregiver-related areas: caregiver personal, socioeconomic status (SES), and support system factors; caregiver relationships with the chldren's mothers and general attitudes towards maternal employment; caregivers' perceptions of their own programs and children they care for; and caregivers' satisfaction with their employment. From the interview data, distinctive profiles emerged for each of the three caregiving groups. The data on the three caregiver groups and their composite profiles are presented in the article.     

Ageism and aging anxiety among young adults: relationships with contact,knowledge, fear of death,and optimism

ABSTRACT

Ageism refers to discrimination against individuals based on age, while aging anxiety is defined as fear about getting older. We were interested in whether ageism and aging anxiety had distinct correlates among young adults. The purpose of this study was to explore the effects that knowledge of aging, contact with older adults, fear of death, and optimism have on ageism and aging anxiety in young adults (N = 623). Knowledge of aging and contact with older adults were associated with lower ageism. Aging anxiety was associated with greater fear of death and lower optimism. Results indicate that the positive effects of contact and knowledge on the attitudes of young adults toward the older adult population. Increased education on the aging process and improving quality of contact with older adults could help reduce ageism and ageing anxiety.     

INTERGENERATIONAL ACTIVITY ANALYSIS WITH THREE GROUPS OF OLDER ADULTS: FRAIL,COMMUNITY‐LIVING,AND ALZHEIMER'S

This study documents the effects of utilizing different types of activities (i.e., cognitive, rote, active, passive) in fostering positive intergenerational exchanges between preschool‐aged children and three groups of older adults—frail, community‐living, and elders diagnosed as in the early to mid‐stage of Alzheimer's disease. Results suggested that, overall, simple and largely unstructured activities with one or two steps and very few rules can be most successfully utilized with all three groups of elders when interacting with young children. Community‐living older persons and children were found to enjoy the widest range of activities, while intergenerational contact involving frail elders and those with Alzheimer's disease needed to be approached with care in order to maintain the dignity of the elders, the positive perceptions of the children toward the older generation, and the comfort of staff members.