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dc.contributor.authorRoberto, Karen A.en
dc.contributor.authorMcCann, Brandy R.en
dc.contributor.authorBlieszner, Rosemaryen
dc.contributor.authorSavla, Jyoti S.en
dc.date.accessioned2020-09-18T19:02:37Zen
dc.date.available2020-09-18T19:02:37Zen
dc.date.issued2019en
dc.identifier.urihttp://hdl.handle.net/10919/99988en
dc.description.abstractBackground and Objectives: Many dementia caregivers provide care for numerous years. Exhibiting grit, or commitment and persistence in the face of adversity, may bolster their ability to manage caregiving challenges. We explored grit in relationship to memory and behavior problems and response to stressors among women engaged in long-term dementia care. Research Design and Methods: Informed by a life course perspective, and guided by stress-process theory, we interviewed 10 women with a spouse or parent initially diagnosed with mild cognitive impairment 4 times over 10 years. Using Charmaz’s analysis methods and grit as a sensitizing concept, we employed an unfolding analytic strategy involving (a) thematic analysis to identify expressions of grit in response to caregiving stressors across interviews and (b) case-by-case comparisons to assess associations of grit with the use of care strategies across caregivers over time. Results: Dementia caregivers experienced unrelenting and changing psychosocial and physical challenges. Over time, most women exhibited a sustained commitment to the relationship through the ways in which they protected the identity of the person with dementia, modified their expectations for emotional intimacy, and managed their financial affairs. They persevered as their roles and relationships fluctuated, often finding purpose and relief through employment and leisure pursuits. As care intensified, women who took charge and consciously made decisions in the best interest of the care recipient and themselves minimized stress. Discussion and Implications: While some caregivers exhibited grit from the outset, all showed enhanced perseverance and commitment to the ways they managed memory-related changes over time. Developing confidence in their ability to manage and provide care helped the caregivers respond to stressors with purpose and sustain their roles and responsibilities. Enhancing grit in long-term dementia caregivers may result in better individual and relational outcomes.en
dc.description.sponsorshipThis work was supported by the Alzheimer’s Association (IIRG-03- 5926 and IIRG-07-59078).en
dc.format.mimetypeapplication/pdfen
dc.language.isoenen
dc.publisherOxford University Pressen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectDementiaen
dc.subjectFamily caregiversen
dc.subjectLongitudinal designen
dc.subjectQualitative analysisen
dc.titleA Long and Winding Road: Dementia Caregiving With Grit and Graceen
dc.typeArticle - Refereeden
dc.contributor.departmentInstitute for Society, Culture, and Environmenten
dc.contributor.departmentCenter for Gerontologyen
dc.contributor.departmentHuman Development and Family Scienceen
dc.contributor.departmentVirginia Tech Carilion School of Medicineen
dc.description.notesSpecial Issue: Translational Research on Caregivingen
dc.title.serialInnovation in Agingen
dc.identifier.doihttps://doi.org/10.1093/geroni/igz021en
dc.identifier.volume3en
dc.identifier.issue3en


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Creative Commons Attribution 4.0 International
License: Creative Commons Attribution 4.0 International