Adapters, strugglers, and case managers: a typology of spouse caregivers.

Journal Article (Journal Article)

Although family home care problems are frequently described in the health care literature, the ways in which families and other informal caregivers manage those problems are not often addressed. We conducted a descriptive analysis of interviews in which spouses caring for a partner with Alzheimer's or Parkinson's disease were asked to describe difficult home care problems and how they managed those problems. Analysis of these interviews indicated three recurring management styles. Adapters told stories about applying pre-existing skills to manage home care problems. Strugglers told stories of reoccurring home care problems for which they had few or no management strategies. Case managers' interview stories focused on the challenges of finding and coordinating home care services. These findings suggest that caregiving burden might be influenced more by the caregiver's management style than the demands of the care situation. Suggestions for tailoring support programs for the three types of caregivers are proposed.

Full Text

Duke Authors

Cited Authors

  • Davis, LL; Chestnutt, D; Molloy, M; Deshefy-Longhi, T; Shim, B; Gilliss, CL

Published Date

  • November 2014

Published In

Volume / Issue

  • 24 / 11

Start / End Page

  • 1492 - 1500

PubMed ID

  • 25189535

Pubmed Central ID

  • PMC4350575

International Standard Serial Number (ISSN)

  • 1049-7323

Digital Object Identifier (DOI)

  • 10.1177/1049732314548879


  • eng