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Aging and caregiving in the Republic of Palau

TitleAging and caregiving in the Republic of Palau
Publication TypeJournal Article
Year of Publication2013
AuthorsFernandes, R, Osarch, S, Bell, CL, Flynn, BW, Nguyen, LV, Abad, MJ, Wen, AB, Masaki, KH
JournalJ Cross Cult GerontolJ Cross Cult Gerontol
Volume28
Pagination167-80
Date PublishedJun
ISBN Number1573-0719 (Electronic)<br/>0169-3816 (Linking)
Accession Number23636832
KeywordsAdult, Aged, Aged, 80 and Over, Aging/ psychology, Caregivers/ education/psychology, Educational Measurement, Family/ psychology, Geriatrics/education, Humans, Long-Term Care, Middle Aged, Needs Assessment, Palau, Pilot Projects, Program Development, Program Evaluation, Questionnaires, Social Support, Socioeconomic Factors
AbstractAging has been an important population trend of the twentieth century, with most elderly people living in developing countries. Little has been published on the healthcare needs of elderly in the Pacific Islands. The Pacific Islands Geriatric Education Center, at the University of Hawaii, has a mission to promote training in geriatric education in the Pacific Islands to improve healthcare to the elderly. The aim of this project was to develop and test a family caregiver training program for Palau and was achieved in two phases: (1) assessing needs by interviewing key informants and surveying elders and (2) evaluating the caregiver training program that was designed based on findings from the assessment. The Ecological Systems Theory provided the theoretical framework for this study. The needs assessment identified training and education of family caregivers as a top priority, with the Palauan culture of family caring for seniors presently threatened by caregiver burnout. Nearly all of the long-term care in Palau is provided by families, and elders have high prevalence of geriatric syndromes. A family caregiver train-the-trainer workshop was subsequently conducted in February 2011. Forty-four trainers, including 12 from other Pacific Islands, attended the workshop. To assess changes in knowledge and confidence to teach, we compared scores on pre- and post-questionnaires using paired t tests. The train-the-trainer workshop resulted in significantly improved self-assessed competence and confidence to teach in all geriatric syndromes, including dealing with difficult behaviors, gait and transfer training, caregiver stress relief, and resources for caregivers (p