Availability and acceptability of Canadian home and community-based services: Perspectives of family caregivers of persons with dementia

Dorothy A. Forbes, Maureen Markle-Reid, Pamela Hawranik, Shelley Peacock, Dawn Kingston, Debra Morgan, Sandra Henderson, Beverley Leipert, S. Lynn Jansen

Research output: Contribution to journalJournal Articlepeer-review

36 Citations (Scopus)

Abstract

Thirty-five percent of Canadians over the age of 85 have dementia, and up to 90% of their home care is provided by family and friends. The purpose of this study was to explore the use and satisfaction with home and community-based services for persons with dementia from the perspectives of family caregivers. The study was conducted using an interpretive, descriptive, qualitative approach. Six focus groups (N = 36) and three personal interviews were conducted with rural and urban caregivers in Ontario, Manitoba, and Saskatchewan, Canada. Using Lubrosky's (1994) thematic analysis, the overarching themes identified were availability and acceptability of services. The findings suggest a need for an integrated continuing care model that includes the person living with dementia and their family caregivers as partners in care, addresses all of the determinants of health, and embraces sensitivity, diversity, flexibility, and supportive services to enhance the availability and acceptability of Canadian home and community-based services.

Original languageEnglish
Pages (from-to)75-99
Number of pages25
JournalHome Health Care Services Quarterly
Volume27
Issue number2
DOIs
Publication statusPublished - 2008

Keywords

  • Availability and acceptability of home and community-based services
  • Family caregivers of persons with dementia
  • Integrated, continuing care model
  • Interpretive, descriptive, qualitative approach

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