Journal article
Primary Caregivers in a Network Context
The journals of gerontology. Series B, Psychological sciences and social sciences, Vol.75(1), pp.125-136
01/01/2020
DOI: 10.1093/geronb/gbx165
PMID: 29304203
Abstract
Abstract
Objectives
Caregiving to individuals affected by Alzheimer’s disease and related dementia (ADRD) is a family-systems process where tasks are distributed between multiple caregivers in a network. We evaluate the extent to which multiple network members nominate one another as filling primary caregiver (PCG) roles and factors associated with nomination.
Method
Data come from the Caregiving Roles and Expectations Networks project, which aimed to characterize the caregiving networks of families affected by ADRD. All persons affected by ADRD were either full-time residents in residential care facilities or community-dwelling adult day-care participants. Generalized Poisson regression was used to model the count of incoming PCG nominations of each network member.
Results
On average, there were multiple network members identified as PCGs across different network contexts. Network members who were perceived to perform essential caregiving tasks, such as making decisions on behalf of and spending time with the care recipient, received more primary caregiving nominations from their network peers, adjusting for personal attributes, and the context of care.
Discussion
Having multiple PCGs in a network may result in lack of consensus in who fills those roles, potentially putting families at risk for interpersonal conflicts. Future work aimed at intervention development should fully assess the social contexts surrounding caregiving processes in order to better understand how network composition might impact outcomes.
Details
- Title: Subtitle
- Primary Caregivers in a Network Context
- Creators
- Christopher Steven Marcum - National Institutes of Health, National Human Genome Research Institute, Social Behavioral Research Branch, Social Network Methods Section, Bethesda, MarylandSato Ashida - College of Public Health, Community and Behavioral Health, University of Iowa, Iowa CityLaura M Koehly - National Institutes of Health, National Human Genome Research Institute, Social Behavioral Research Branch, Social Network Methods Section, Bethesda, Maryland
- Resource Type
- Journal article
- Publication Details
- The journals of gerontology. Series B, Psychological sciences and social sciences, Vol.75(1), pp.125-136
- DOI
- 10.1093/geronb/gbx165
- PMID
- 29304203
- NLM abbreviation
- J Gerontol B Psychol Sci Soc Sci
- ISSN
- 1079-5014
- eISSN
- 1758-5368
- Publisher
- Oxford University Press; US
- Grant note
- DOI: 10.13039/100000002, name: National Institutes of Health, award: ZIA HG200395
- Language
- English
- Date published
- 01/01/2020
- Academic Unit
- Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984064185002771
Metrics
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