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The Experiences of Workers Hired Under Consumer Direction in ...

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• <strong>The</strong> consumer’s health and function<strong>in</strong>g <strong>in</strong>dicators (whether needs help with variousactivities, self-rat<strong>in</strong>g <strong>of</strong> health)• <strong>The</strong> consumer’s need for decision-mak<strong>in</strong>g support (has representative, had proxycomplete the <strong>in</strong>terview)• Paid and unpaid help consumer received prior to enrollment• <strong>The</strong> consumer’s experience as supervisor• Length <strong>of</strong> time the consumer has received PCS• <strong>The</strong> consumer’s unmet needs, liv<strong>in</strong>g situation• Whether the primary <strong>in</strong>formal caregiver was employed• Hours <strong>of</strong> care <strong>in</strong> the consumer’s care plan• <strong>The</strong> consumer’s reason for enrollment• <strong>The</strong> worker’s characteristics (age, sex, race, education, marital status, whether haschildren, whether has another job)Many hypotheses could be formulated concern<strong>in</strong>g what relationships might be expectedbetween these characteristics and the worker’s emotional stra<strong>in</strong>, satisfaction with wages andwork<strong>in</strong>g conditions, and desire for more respect from the consumer or the consumer’s family.However, they are difficult to test, given the high correlation among many <strong>of</strong> the characteristicsand the modest sample size (391). Thus, we f<strong>in</strong>d few statistically significant relationships <strong>in</strong> ouranalyses. <strong>The</strong> most noteworthy f<strong>in</strong>d<strong>in</strong>gs (see Appendix Table A.4) are:• <strong>Workers</strong> were less satisfied with work<strong>in</strong>g conditions when the consumer was underage 40.• <strong>Workers</strong> <strong>of</strong> those consumers who needed limited decision-mak<strong>in</strong>g support (def<strong>in</strong>ed asconsumers who had a representative but were able to respond to the surveythemselves) were less satisfied with work<strong>in</strong>g conditions, more likely to feel that theylacked respect from the consumer, and more likely to receive both health care andpersonal care tra<strong>in</strong><strong>in</strong>g than the workers <strong>of</strong> consumers who did not need any decisionmak<strong>in</strong>gsupport. 11 <strong>Workers</strong> who needed the most decision-mak<strong>in</strong>g support (def<strong>in</strong>ed as consumers who had arepresentative and a proxy survey respondent) generally did not have significantly different49

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