Evaluating a practice-oriented service model to increase the use of respite services among minorities and rural caregivers.
OBJECTIVE
The goal of this study was to evaluate the practice-oriented model of service use (Yeatts, Crow, & Folts, 1992) relative to the more widely used behavioral model ( Andersen, 1968) in its ability to explain the use of respite services by caregivers of Alzheimer's patients. Unlike the behavioral model, which focuses primarily on characteristics of the service user, the practice-oriented model focuses primarily on characteristics of the service.


METHODS
Interview data from 1,158 caregivers participating in the Alzheimer's Disease Demonstration Grants to States program ( Montgomery, Kosloski, Karner, & Schaefer, 2002) were analyzed. Separate regression models were estimated for adult day care and in-home respite, using the full information maximum likelihood procedure described by Arbuckle (1996), and ordinary least squares regression with listwise deletion of missing data.


RESULTS
The findings indicate that the factors related to respite use tapped by the practice-oriented model add significantly to explanatory models of service use over models that use only the factors typically represented by the behavioral model. Additional analyses, including a set of interactions with ethnicity, indicated that this improvement occurs primarily for White and Hispanic caregivers, and less so for African Americans.


CONCLUSIONS
The findings are discussed in terms of their implications for enhancing the timely use of respite services and directions for future research.
Montoro-Rodriguez
Julian
J
Kent State University, School of Family and Consumer Studies, 142 Nixson Hall, Kent, OH 44242-0001, USA. jmontoro@kent.edu
Kosloski
Karl
K
Montgomery
Rhonda J V
RJ
D000544:Alzheimer Disease / Q000208:ethnology / Q000451:nursing*; D017028:Caregivers / Q000523:psychology*; D016009:Chi-Square Distribution; D005006:Ethnicity; D006801:Humans; D012044:Regression Analysis; D012144:Respite Care / Q000706:statistics & numerical data*; D012424:Rural Population; D014481:United States