ERIC Number: EJ824331
Record Type: Journal
Publication Date: 2003-Dec
Abstractor: As Provided
Reference Count: 0
Evaluating a Practice-Oriented Service Model to Increase the Use of Respite Services among Minorities and Rural Caregivers
Montoro-Rodriguez, Julian; Kosloski, Karl; Montgomery, Rhonda J. V.
Gerontologist, v43 n6 p916-924 Dec 2003
Purpose: The goal of this study was to evaluate the practice-oriented model of service use (Yeatts, Crow, & Folts, 1992) relative to the more widely used behavioral model (Andersen, 1968) in its ability to explain the use of respite services by caregivers of Alzheimer's patients. Unlike the behavioral model, which focuses primarily on characteristics of the service user, the practice-oriented model focuses primarily on characteristics of the service. Design and Methods: Interview data from 1,158 caregivers participating in the Alzheimer's Disease Demonstration Grants to States program (Montgomery, Kosloski, Karner, & Schaefer, 2002) were analyzed. Separate regression models were estimated for adult day care and in-home respite, using the full information maximum likelihood procedure described by Arbuckle (1996), and ordinary least squares regression with listwise deletion of missing data. Results: The findings indicate that the factors related to respite use tapped by the practice-oriented model add significantly to explanatory models of service use over models that use only the factors typically represented by the behavioral model. Additional analyses, including a set of interactions with ethnicity, indicated that this improvement occurs primarily for White and Hispanic caregivers, and less so for African Americans. Implications: The findings are discussed in terms of their implications for enhancing the timely use of respite services and directions for future research.
Descriptors: Rural Areas, Access to Health Care, Alzheimers Disease, Caregivers, Maximum Likelihood Statistics, Least Squares Statistics, Respite Care, Models, Regression (Statistics), Ethnicity, Correlation, Whites, Hispanic Americans, African Americans, Racial Differences, Adults
Gerontological Society of America. 1030 15th Street NW Suite 250, Washington, DC 20005. Tel: 202-842-1275; Fax: 202-842-1150; e-mail: email@example.com; Web site: http://www.geron.org/journals/gsapub.htm
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Authoring Institution: N/A