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Caregiver Knowledge of Long-Term Services and Supports: Effects of Rurality and Support

Caregivers often lack knowledge regarding available long-term services and supports (LTSS). Certain barriers, such as rurality and levels of social support, may contribute to a lack of knowledge and accessibility of LTSS. The Caregiver Beginnings Workshop, held in 12 communities throughout 11 counti...

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Detalles Bibliográficos
Autores principales: Stratton, Lauren, Richter, Nichole, Shelley, Mack, Margrett, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741821/
http://dx.doi.org/10.1093/geroni/igaa057.1146
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author Stratton, Lauren
Richter, Nichole
Shelley, Mack
Margrett, Jennifer
author_facet Stratton, Lauren
Richter, Nichole
Shelley, Mack
Margrett, Jennifer
author_sort Stratton, Lauren
collection PubMed
description Caregivers often lack knowledge regarding available long-term services and supports (LTSS). Certain barriers, such as rurality and levels of social support, may contribute to a lack of knowledge and accessibility of LTSS. The Caregiver Beginnings Workshop, held in 12 communities throughout 11 counties in Iowa, was a one-time educational session created to increase knowledge and awareness of LTSS. Data were collected from pre- and post-tests completed during the workshop (N = 98). To assess caregivers’ initial knowledge of LTSS, a hierarchical regression model was estimated to examine knowledge of LTSS in caregivers as predicted by caregiver education, number of health problems in care recipient, relationship type, feelings of social support, and rurality. Results showed that rurality (β = 0.33, p = 0.047) and infrequent or no support (β = -0.30, p = 0.02) were significant predictors (R2 = 0.21), indicating that caregivers living in rural areas reported higher knowledge of LTSS and those who reported infrequent or no support reported less knowledge. Additional analyses examined county-level data to better understand the availability of community resources in rural areas. County-level variables (e.g., number of home healthcare services, education level, income, health status) were included in a regression model to predict knowledge of LTSS. The results indicated that median income (β = -0.32, p = 0.002) and an educational attainment of an associate’s level degree or higher (β = -0.30, p = 0.004) were significant predictors. Discussion focuses on the importance of support and accessible resources for caregivers in all geographic areas.
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spelling pubmed-77418212020-12-21 Caregiver Knowledge of Long-Term Services and Supports: Effects of Rurality and Support Stratton, Lauren Richter, Nichole Shelley, Mack Margrett, Jennifer Innov Aging Abstracts Caregivers often lack knowledge regarding available long-term services and supports (LTSS). Certain barriers, such as rurality and levels of social support, may contribute to a lack of knowledge and accessibility of LTSS. The Caregiver Beginnings Workshop, held in 12 communities throughout 11 counties in Iowa, was a one-time educational session created to increase knowledge and awareness of LTSS. Data were collected from pre- and post-tests completed during the workshop (N = 98). To assess caregivers’ initial knowledge of LTSS, a hierarchical regression model was estimated to examine knowledge of LTSS in caregivers as predicted by caregiver education, number of health problems in care recipient, relationship type, feelings of social support, and rurality. Results showed that rurality (β = 0.33, p = 0.047) and infrequent or no support (β = -0.30, p = 0.02) were significant predictors (R2 = 0.21), indicating that caregivers living in rural areas reported higher knowledge of LTSS and those who reported infrequent or no support reported less knowledge. Additional analyses examined county-level data to better understand the availability of community resources in rural areas. County-level variables (e.g., number of home healthcare services, education level, income, health status) were included in a regression model to predict knowledge of LTSS. The results indicated that median income (β = -0.32, p = 0.002) and an educational attainment of an associate’s level degree or higher (β = -0.30, p = 0.004) were significant predictors. Discussion focuses on the importance of support and accessible resources for caregivers in all geographic areas. Oxford University Press 2020-12-16 /pmc/articles/PMC7741821/ http://dx.doi.org/10.1093/geroni/igaa057.1146 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Stratton, Lauren
Richter, Nichole
Shelley, Mack
Margrett, Jennifer
Caregiver Knowledge of Long-Term Services and Supports: Effects of Rurality and Support
title Caregiver Knowledge of Long-Term Services and Supports: Effects of Rurality and Support
title_full Caregiver Knowledge of Long-Term Services and Supports: Effects of Rurality and Support
title_fullStr Caregiver Knowledge of Long-Term Services and Supports: Effects of Rurality and Support
title_full_unstemmed Caregiver Knowledge of Long-Term Services and Supports: Effects of Rurality and Support
title_short Caregiver Knowledge of Long-Term Services and Supports: Effects of Rurality and Support
title_sort caregiver knowledge of long-term services and supports: effects of rurality and support
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741821/
http://dx.doi.org/10.1093/geroni/igaa057.1146
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