Overcoming Reluctance to Accept Home-Based Support from an Older Adult Perspective

Journal of the American Geriatrics Society
Lee A LindquistKenzie A Cameron

Abstract

To understand older adult perceptions about accepting help at home, in particular fears related to potential loss of independence. Qualitative focus groups. Rural, suburban, and urban areas of Fort Wayne, Indiana, and Chicago, Illinois. Community-dwelling adults aged 65 and older (N=68). Participants discussed decision-making, reluctance to accept home-based care, barriers, and resources that might affect remaining in the home. Three independent coders used constant comparative analysis to interpret results. Analysis revealed that reluctance to accept home-based support was associated with concerns over inability to complete tasks, perceptions of being burdensome to others, lack of trust in others, and lack of control. To overcome these concerns, some participants reframed the concept of independence to be "interdependence," with people continually depending on each other throughout their lives. Subjects noted that, even if one becomes more limited over time, the recognition that one is still contributing something meaningful to society is important to overcoming refusal of home assistance. Another strategy presented to overcome negative perceptions of accepting assistance in the home was the recognition that helping someone wh...Continue Reading

References

Aug 6, 2004·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Mary M BallBess L Combs
Apr 9, 2005·Journal of the American Geriatrics Society·Ziad S NasreddineHoward Chertkow
Jan 6, 2010·Health Affairs·H Stephen KayeMitchell P LaPlante
Feb 10, 2010·Journal of the American Medical Directors Association·Erika AveryAnne M Kenny
Dec 21, 2010·Journal of Gerontological Social Work·Eileen E MaloneBeach, Karen L Langeland
Mar 18, 2011·BMC Geriatrics·Catharina GillsjöIréne von Post
May 23, 2014·The Nursing Clinics of North America·Rebecca J RileyKathleen C Buckwalter
Mar 10, 2016·Archives of Gerontology and Geriatrics·Lee A LindquistKenzie A Cameron
Nov 2, 2017·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Lee A LindquistKenzie A Cameron

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Citations

Oct 17, 2019·Journal of the American Geriatrics Society·Katherine O'BrienLee A Lindquist
Nov 7, 2019·Journal of the American Geriatrics Society·Jennifer M ReckreyKatherine A Ornstein
Apr 9, 2020·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Kristen N RobinsonRaphael Gaeta
May 23, 2021·Professional Case Management·Mobola CampbellLee A Lindquist

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