Overview
Immediate family members shoulder the majority of care responsibilities for persons living with dementia. However, due to various societal changes, elder care responsibilities have expanded to extended family members, including grandchildren, siblings, nieces/nephews, siblings, and step-kin.
The main objective of this study is to understand the caregiving journeys of various extended family members involved in dementia care. We aim to learn about caregivers' care management strategies; their use of home and community-based services and informal support; and barriers to service usage. We will use the results from the study to help enhance service delivery, alleviate care-related stress, and improve the quality of life of dementia patients and their caregivers.
We will use a mixed-methods design to explore the challenges faced by caregivers as well as their service usage for the person living with dementia. Our methodology involves an initial telephone interview (approx. 70 minutes) that includes open-ended questions, standard items, and structured measures, followed by an 8-day semi-structured daily diary interview about daily care responsibilities and experiences with services (15-20 minutes each evening). This study will be conducted with 240 extended family members serving as one of the main caregivers for a person living with dementia in a community setting.
Eligibility
Inclusion Criteria:
- Speaks/reads English
- Resident of Virginia, North Carolina, Maryland, West Virginia, Tennessee, Kentucky or Washington, D.C.
- Age 18+
- Is either the grandchild, sibling, niece/nephew, step-kin, adult child or spouse of the person living with dementia
- Is providing hands-on care and/or overall management of care for a person living with dementia in the community
- Caregiver co-resides with the person with dementia or has face-to-face contact with the person with dementia at least 3 days/week
- Has no difficulty talking/hearing on the telephone
Exclusion Criteria:
- Caregiver of persons with mild cognitive impairment
- Person with dementia lives in service-enriched housing such as a continuing care community, or residential facilities, such as assisted living facilities or nursing homes