Table 3.
Older Adult Characteristics Prior to Home Health Associated with Family Caregivers’ Identified Training needs during Home Health, by Caregiving Activity(n=1,758 unweighted, n=8,477,990 weighted)*
| Older adult characteristics (measured prior to home health): | Family caregiver has identified training need with: | ||||||
|---|---|---|---|---|---|---|---|
| Medically-oriented activities | Functional activities | ||||||
| Medical procedures | Equipment management | Medication management | Self-care tasks | Patient supervision | Household chores | Advocacy | |
| aOR‡(95% CI) | aOR‡(95% CI) | aOR‡(95% CI) | aOR‡(95% CI) | aOR‡(95% CI) | aOR‡(95% CI) | aOR‡(95% CI) | |
| Age | 1.01 (0.98, 1.03) | 1.02 (0.98, 1.06) | 0.99 (0.97, 1.01) | 1.02 (0.99, 1.04) | 0.99 (0.96, 1.01) | 1.00 (0.97, 1.03) | 0.99 (0.97, 1.02) |
| Male sex | 1.01 (0.68, 1.49) | 1.23 (0.74, 2.06) | 0.81 (0.58, 1.12) | 1.13 (0.84, 1.54) | 1.11 (0.67, 1.85) | 1.37 (0.91, 2.06) | 1.17 (0.76, 1.80) |
| Non-white race | 0.81 (0.46, 1.41) | 0.73 (0.39, 1.37) | 1.01 (0.68, 1.51) | 0.78 (0.53, 1.15) | 0.91 (0.61, 1.36) | 0.97 (0.66, 1.42) | 0.81 (0.51, 1.29) |
| Medicaid enrolled | 0.99 (0.53, 1.88) | 0.73 (0.36, 1.48) | 1.06 (0.70, 1.60) | 0.70 (0.46, 1.05) | 0.73 (0.43, 1.24) | 0.79 (0.46, 1.37) | 0.73 (0.39, 1.36) |
| Medicare Advantage enrolled | 0.86 (0.55, 1.33) | 1.09 (0.57, 2.06) | 1.18 (0.81, 1.70) | 1.12 (0.79, 1.59) | 1.39 (0.88, 2.19) | 0.96 (0.62, 1.51) | 1.12 (0.68, 1.83) |
| Education: | |||||||
| High school or less | REF | REF | REF | REF | REF | REF | REF |
| Some college | 1.54 (1.04, 2.30) | 2.38 (1.23, 4.63) | 0.98 (0.68, 1.43) | 1.12 (0.77, 1.63) | 1.04 (0.69, 1.57) | 1.05 (0.72, 1.53) | 0.92 (0.59, 1.43) |
| Lives alone | 1.15 (0.76, 1.75) | 1.69 (0.94, 3.03) | 1.34 (1.01, 1.78) | 1.15 (0.81, 1.65) | 1.15 (0.77, 1.71) | 1.14 (0.80, 1.63) | 1.10 (0.72, 1.66) |
| Has paid caregiver | 0.86 (0.53, 1.39) | 1.15 (0.52, 2.55) | 0.83 (0.57, 1.23) | 0.83 (0.60, 1.16) | 0.49 (0.29, 0.82) | 0.73 (0.46, 1.15) | 0.40 (0.17, 0.95) |
| Hours/month of caregiver help | 0.99 (0.99, 1.00) | 0.99 (0.99, 0.99) | 1.00 (0.99, 1.00) | 0.99 (0.99,1.00) | 1.00 (0.99, 1.00) | 0.99 (0.99, 1.00) | 1.00 (0.99, 1.00) |
| Types of caregiver help: | |||||||
| Household, mobility, or self-care tasks | 0.55 (0.33, 0.93) | 0.35 (0.20, 0.63) | 0.63 (0.44, 0.90) | 0.69 (0.50, 0.96) | 0.53 (0.36, 0.76) | 0.58 (0.38, 0.87) | 0.56 (0.34, 0.92) |
| Medication management | 0.33 (0.18, 0.63) | 0.25 (0.12, 0.53) | 0.47 (0.33, 0.65) | 0.63 (0.42, 0.94) | 0.46 (0.30, 0.69) | 0.67 (0.43, 1.02) | 0.49 (0.29, 0.81) |
| Probable dementia | 0.42 (0.23, 0.79) | 0.32 (0.16, 0.65) | 0.61 (0.41, 0.91) | 0.67 (0.45, 1.00) | 0.63 (0,41, 0.99) | 0.73 (0.47, 1.15) | 0.47 (0.24, 0.90) |
| 2+ chronic conditions‡ | 0.53 (0.34, 0.82) | 0.59 (0.30, 1.13) | 0.56 (0.40, 0.78) | 0.50 (0.36, 0.71) | 0.67 (0.41, 1.09) | 0.46 (0.28, 0.76) | 0.77 (0.44, 1.37) |
| Fell in past year | 0.60 (0.37, 0.96) | 0.64 (0.40, 1.03) | 0.85 (0.61, 1.18) | 0.92 (0.65, 1.29) | 0.75 (0.49, 1.14) | 0.95 (0.65, 1.40) | 0.79 (0.55, 1.13) |
*
Linked National Health and Aging Trends Study (NHATS) and Outcome and Assessment Information Set (OASIS) data for Medicare beneficiaries receiving family caregiver assistance during a home health episode, 2011–2016.
†
Adjusted Odds Ratio. Adjusted for characteristics measured during home health episode: post-acute entry into home health, cognitive impairment, functional impairment, and clinical severity.
‡
Chronic conditions include heart attack in previous year, heart disease, high blood pressure, diabetes, lung disease, and stroke in previous year.