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Family Home Caregivers for Old Persons in the Arab Region: Perceived Challenges and Policy Implications

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DOI: 10.4236/jss.2016.41019    3,543 Downloads   3,860 Views   Citations


The profound demographic changes that the Arab region has experienced during the past few decades have led to slow, albeit noteworthy increase in the proportion of older people, which will inevitably place heavy burdens on families who are assumed the responsibility in providing care for its older members. Although there has been much research about elderly caregiving issues in other regions around the world, less is known about aging family member caregiving, the challenges that family member caregivers face in the Arab region, and the facilities provided for family support to the elderly and to the caregivers themselves. Thus, the purposes of this study are to gain an overview of the current situation of ageing and elderly family member caregiving in the Arab region; to address the challenges family caregivers face, such as necessary skills and know- ledge, communication, cultural issues, health, financial burdens and enhancement of quality of life in association with their care-giving role. These challenges can negatively impact the quality of life for the caregiver and the care receiver. The importance of implementing research and policy intervention to meet these challenges for all concerned will be discussed.

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Abdelmoneium, A. and Alharahsheh, S. (2016) Family Home Caregivers for Old Persons in the Arab Region: Perceived Challenges and Policy Implications. Open Journal of Social Sciences, 4, 151-164. doi: 10.4236/jss.2016.41019.


[1] Palloni, A., Peláez, M. and Wong, R. (2006) Introduction: Aging among Latin American and Caribbean Populations. Journal of Aging and Health, 18, 149-156.
[2] Economic and Social Commission for Western Asia (ESCWA) (2014) Aging in the Arab Region: Trends, Implications and Policy Options. E/ESCWA/SDD/2013/Technical Paper. 15, Beirut.
[3] Abdulrahim, S., Ajrouch, K.J., Jammal, A. and Antonucci, T.C. (2012) Survey Methods and Aging research in an Arab Sociocultural Context—A Case Study from Beirut, Lebanon. Journal of Gerontology, 67, 775-782.
[4] Yount, K.M. and Sibai, A.M. (2009) Demography of Ageing in Arab Countries. In: Uhlenberg, P., Ed., International Handbook of Population Ageing, 1, Springer, Netherlands, 277-315.
[5] Sinunu, M.A., Yount, K.M. and El-Afify, N.A. (2008) Informal and Formal Long-Term Care for Frail Older Adults in Cairo, Egypt: Family Caregiving Decisions in a Context of Social Change. Journal of Cross Cultural Gerontology, 24, 63-76.
[6] Economic and Social Commission for Western Asia (ESCWA) (2008) Situational Analysis of Population Aging in the Arab Countries: The Way Forward Towards Implementation of MIPAA. E/ESCWA/SDD/2008/ Technical Paper. 2, United Nations, New York.
[7] Given, B., Sherwoon, P. and Given, C. (2008) What Knowledge and Skills Do Caregivers Need? Journal of Social Work Education, 108, 115-123.
[8] United Hospital Fund (2014) Home Care: A Family Caregiver Guide.
[9] Al-Shammari, S.A., Al Mazrou, Y., Jarahhal, J.S., Al Ansary, L., El-Shabrawy, A.M. and Bamgboye, E.A. (2000) Appraisal of Clinical, Psychological and Environmental Health of the Elderly in Saudi Arabia: A Household Survey. International Aging Human Development, 50, 43-60.
[10] Abyad, A. (2001) Health Care for Older Persons: A Country Profile—Lebanon. Journal of American Geriatrics Society, 49, 1366-1370.
[11] Precision Home Health Care (2014) Benefits of Home Care for the Elderly.
[12] Saxena, P. (2008) Ageing and Age-Structural Transition in the Arab Countries: Regional Variations, Socioeconomic Consequences and Social Security. Genus, 64, 37-74.
[13] United Nations (2012) World Population Prospects: The 2012 Revision. Department of Economic and Social Affairs, United Nations, New York.
[14] Economic and Social Commission for Western Asia (ESCWA) (2013) The Demographic Profile of the Arab Countries. (E/ESCWA/SDD/2013/Technical Paper 14). Beirut.
[15] Walker, A., Pratt, C.C. and Eddy, L. (1995) Informal Caregiving to Aging Family Members: A Critical Review. Family Relations, 44, 404-411.
[16] National Association of Social of Social Workers (2010) NASW Standards for Social Worker Practice with Family Caregivers of Older Adults.
[17] Smith, C.E. (1994) A Model of Caregiving Effectiveness for Technologically Dependent Adults Residing at Home. Advances in Nursing Science, 17, 27-40.
[18] Schumacher, K.L., Stewart, B.J., Archbold, P.G., Dodd, M.J. and Dibble, S.L. (2000) Family Caregiving Skill: Development of the Concept. Research in Nursing & Health, 23, 191-203.<191::AID-NUR3>3.0.CO;2-B
[19] Bowers, B.J. (1987) Intergenerational Caregiving: Adult Caregivers and Their Aging Parents. Advances in Nursing Science, 9, 20-31.
[20] Boggatz, T., Farid, T., Mohammedin, A. and Dassen, T. (2009) Attitudes of Older Egyptians towards Nursing Care at Home: A Qualitative Study. Journal of Cross Cultural Gerontology, 24, 33-47.
[21] Lowenstein, A. and Katz, R. (2009) Rural Arab Families Coping with Caregiving. Marriage and Family Review, 30, 179-197.
[22] Margolis, S.A. and Reed, R.L. (2001) Institutionalizing Older Adults in a Health District in the United Arab Emirates: Health Status and Utilization Rate. Gerontology, 47, 161-167.
[23] Atallah, R., Nehme, C., Seoud, J., Yertzian, J., Zablit, C., Levesque, L. and Ducharme, F. (2005) Caregivers of Elderly People with Loss of Autonomy in Lebanon: What Is the Context of Their Health Care? Recherche en Soins Infirmiers, 81, 122-138.
[24] Keller, I., Makpiaa, A., Kalensher, T. and Kalache, A. (2002) Global Survey on Geriatrics in the Medical Curriculum. World Health Organization, Geneva.
[25] Hafez, G., Bagchi, K. and Mahaini, R. (2000) Caring for the Elderly: A Report on the Status of Care for the Elderly in the Eastern Mediterranean Region. Eastern Mediterranean Health Journal, 6, 636-643.
[26] Given, B.A., Given, C.W. and Kozachik, S. (2001) Family Support in Advanced Cancer. CA: A Cancer Journal for Clinicians, 51, 213-231.
[27] Northouse, L.L., Mood, D., Templin, T., Mellon, S. and George, T. (2000) Couples’ Patterns of Adjustment to Colon Cancer. Social Science Medicine, 50, 271-284.
[28] Cameron, J.L., Franche, R.-L., Cheung, A.M. and Stewart, D.E. (2002) Lifestyle Interference and Emotional Distress in Family Caregivers of Advanced Cancer Patients. Cancer, 94, 521-527.
[29] Gitlin, L.N., Hauck, W.W., Dennis, M.P. and Winter, L. (2005) Maintenance of Effects of the Home Environmental Skill Building Program for Family Caregivers and Individuals with Alzheimer’s Disease and Related Disorders. The Journals of Gerontology: Series A, 60, 368-374.
[30] Pinquart, M. and Sorensen, S. (2003) Associations of Stressors and Uplifts of Caregiving with Caregiver Burden and Depressive Mood: A Meta-Analysis. The Journals of Gerontology: Series B, 58, 112-128.
[31] Farran, C.J., Gilley, D.W., McCann, J.J., Bienias, J.L., Lindeman, D.A. and Evans, D.A. (2007) Efficacy of Behavioral Interventions for Dementia Caregivers. Western Journal of Nursing Research, 29, 944-960.
[32] Bakas, T., Austin, J.K., Jessup, S.L., Williams, L.S. and Oberst, M.T. (2004) Time and Difficulty of Tasks Provided by Family Caregivers of Stroke Survivors. Journal of Neuroscience Nursing, 36, 95-106.
[33] Corcoran, M. (2003) Practical Skills Training for Family Caregivers.
[34] University of Cincinnati College of Nursing (2011) Aging and Communications: Engaging Older People. Centre for Aging with Dignity.
[35] Kozier, B., Harvey, S. and Morgan-Samuel, H. (2011) Fundamentals of Nursing: Concepts, Process and Practice.
[36] World Health Organization (2015) Elder Abuse.
[37] Glasgow, K. and Fanslow, J.L. (2007) Family Violence Intervention Guidelines: Elder Abuse and Neglect. Ministry of Health, Wellington.
[38] Gupta, R. and Chaudhuri, A. (2008) Elder Abuse in a Cross-Cultural Context: Assessment, Policy and Practice. Indian Journal of Gerontology, Special Issue on Elder Abuse and Neglect, 22, 373-393.
[39] Latha, K. (2008) Elder Abuse and Neglect: A Review. Indian Journal of Gerontology, Special Issue on Elder Abuse and Neglect, 22, 467-479.
[40] Ibrahim, H. and ElSelwy, K. (2006) Elderly Abuse in El Hodeidah City, Yemen. El-Minia Medical Bulletin, 17, 245-257.
[41] Salama, R. and El-Soud, F. (2012) Caregiver Burden from Caring for Impaired Elderly: A Cross Sectional Study in Rural Lower Egypt. Italian Journal of Public Health, 9.
[42] Ahmad, K. (2012) Informal Cregivers to Chronically III Older Family Members: Caregiver’s Experiences and Problems. South Asian Studies. A Research Journal of South Asian Studies, 27, 101-120.
[43] Lopez, J., Crespo, M. and Zarit, S. (2007) Assessment of the Efficacy of a Stress Management Program for Informal Caregivers of Dependent Older Adults. The Gerontologist, 47, 205-214.
[44] Zahid, M. and Ohaeri, J. (2010) Relationship of Family Caregiver Burden with Quality of Care and Psyopathology in a Sample of Arab Subject with Schizophrenia. BMC Psychiatry, 10, 71.
[45] Lai, D. (2012) Effect of Financial Costs on Caregiving Burden of Family Caregivers of Older Adults. Sage Open, 2.

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