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Title: Can domestic helpers moderate distress of offspring caregivers of cognitively impaired older adults?
Author(s): Chong, Alice Ming Lin 
Author(s): Kwan, C. W.
Lou, V. W. Q.
Chi, I.
Issue Date: 2017
Publisher: Routledge
Journal: Aging & Mental Health 
Volume: 21
Issue: 10
Start page: 1023
End page: 1030
Objective: This study examined the moderating effect of domestic helpers on distress of offspring caring for parents with cognitive impairments and with or without behavioural problems.

Method: This secondary analysis of data involved 5086 Hong Kong Chinese adults aged 60 or older applying for public long-term care services from 2010 to 2012. All variables were measured using the mandatory Hong Kong version of the Minimum Data Set-Home Care 2.0.

Results: Regarding taking care of parents with cognitive impairments, 10.7% of offspring primary caregivers were aided by domestic helpers, 55.54% reported distress, and 75.70% lived with their parents. Assistance from domestic helpers reduced offspring caregiver distress if the offspring provided psychological support to parents (ratio of OR = 0.655, p < .05) and were not living with parents (ratio of OR = 1.183, p < .01).

Conclusion: These findings might suggest: a) the positive effects of audience on psychological responses to stress; b) caregiving is usually less stressful for informal caregivers not residing with care recipients. Conversely, having a domestic helper could add to caregiving distress if offspring caregivers live with their parents, most likely because offspring may witness difficulties that domestic helpers face in providing dementia care.
DOI: 10.1080/13607863.2016.1191059
CIHE Affiliated Publication: No
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