{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:39:44Z","timestamp":1790008784013,"version":"4.0.1"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T00:00:00Z","timestamp":1368662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To examine differences between users and non\u2010users of community services in caregivers of persons with dementia (<jats:styled-content style=\"fixed-case\">PWD<\/jats:styled-content>). A profile of who used services versus did not use services was developed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Sample<\/jats:title><jats:p>Existing cross\u2010sectional data from the <jats:styled-content style=\"fixed-case\">NINR<\/jats:styled-content> funded National Caregiver Training Project (data collected 1995\u20131997) were used. The sample (<jats:italic>N<\/jats:italic>\u00a0=\u00a0241) of caucasian, well\u2010educated caregivers reflected a mix of spouse and adult caregivers with a mean age of 64.8\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measures<\/jats:title><jats:p>Variables measured included caregiver social support, burden, and depression as well as problem behavior of <jats:styled-content style=\"fixed-case\">PWD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The majority of caregivers did not attend support groups (73%) or use respite services (79%). Among caregivers who did not use services, 78% lived with the recipient and 77% were spouses. The profile of non\u2010users compared to users revealed that non\u2010users were significantly older, more depressed, and received less social support. On the other hand, non\u2010users provided fewer hours of care per week to recipients who had less cognitive and functional deterioration and fewer behavior problems.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings provide public health nurses with knowledge about service use in caregivers of <jats:styled-content style=\"fixed-case\">PWD<\/jats:styled-content>. Recommendations regarding caregiver needs for assistance and increased use of services before a crisis ensues are presented.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.12041","type":"journal-article","created":{"date-parts":[[2013,5,16]],"date-time":"2013-05-16T11:30:08Z","timestamp":1368703808000},"page":"501-510","source":"Crossref","is-referenced-by-count":59,"title":["Differences Between Dementia Caregivers Who are Users and Nonusers of Community Services"],"prefix":"10.1111","volume":"30","author":[{"given":"Karen M.","family":"Robinson","sequence":"first","affiliation":[{"name":"School of Nursing University of Louisville Louisville Kentucky"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Buckwalter","sequence":"additional","affiliation":[{"name":"College of Nursing University of Iowa Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Reed","sequence":"additional","affiliation":[{"name":"Cecil G. 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