Abstract
Past studies have shown that acculturation and self-efficacy can affect respite care knowledge, which are notable issues among immigrant caregivers due to the rapid increasing aging family members. The aim of this study was to investigate relationships among acculturation, self-efficacy, and respite care knowledge in immigrant caregivers, and to determine the mediating effects of self-efficacy on the relationship between acculturation and respite care knowledge. A cross-sectional design was used. We enrolled 134 female immigrant caregivers who had married Taiwanese men and lived with care recipients who used LTC services. Based on Baron and Kenny’ mediating analytic framework, multiple regression and Sobel tests were used to examine whether self-efficacy mediated the relationship between acculturation and respite care knowledge. The findings showed that after controlling for confounding factors, acculturation and self-efficacy separately affected respite care knowledge (B = 0.229, standard error (SE) = 0.084; B = 0.123, SE = 0.049, respectively). Acculturation had a positive impact on respite care knowledge through self-efficacy (B = 0.181, SE = 0.084). Therefore, self-efficacy partially mediated the effect of acculturation on respite care knowledge, and accounted for 20.9% of the total mediating effect in this study. Acculturation predicted immigrant caregiver’ respite care knowledge partially through self-efficacy. The association between acculturation and respite care knowledge was partially mediated by immigrant caregivers’ self-efficacy. As a result, it was proposed that boosting self-efficacy could increase and drive immigrant caregivers’ respite care knowledge. To assist this population in obtaining enough resources, targeted educational programs to promote immigrant caregivers’ self-efficacy should be designed and implemented. Furthermore, health care practitioners should be aware of the relevance of immigrant caregivers’ acculturation.
Highlights
People aged 65 years or over accounted for more than one-fifth of the population in 17 countries of the world (7.2%) in 2019 [1]
The final sample was composed of 134 immigrant women, among whom 50.7% were from Vietnam; 20.9% were from China; 16.4% were from Indonesia; and 12% were from
This study explored respite care knowledge among immigrant caregivers, and demonstrated that self-efficacy partially mediated the relationship of acculturation with respite care knowledge of immigrant caregivers
Summary
People aged 65 years or over accounted for more than one-fifth of the population in 17 countries of the world (7.2%) in 2019 [1]. People normally face more disease and disability problems. The increasing needs of caregivers, which include spouses, daughters, and daughters-in-laws, are the first priority in aging and disability care [2]. The results from a meta-analysis reported the prevalence of depression and being burdened in caregivers as 31.24% and 49.26%, respectively [2]. The aim of respite care services is to reduce burdening incidents and to help prevent the burden on family caregivers [3,4]. Caregiver participants in previous research agreed that accessing respite care services was beneficial to both care recipients and themselves [5], and reported a positive sleep quality when care recipients are admitted for a temporary residential respite period [6].
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