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Four styles for ot audience cotton 1


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Four styles for ot audience cotton 1

  1. 1. Caregiving StylesMary A Corcoran PhD, OT/LProfessor and Associate DeanGeorge Washington University
  2. 2. Why Study Caregiving Styles? “If you’ve seen onecaregiver, you’ve seen one caregiver”
  3. 3. The Caregiving Style StudiesSpouses (68) 5 years National Institute on AgingAdult children (33) 1 year Virginia Commonwealth, ARDRAF
  4. 4. Mixed Methods Design• QUAL-quant • Grounded theoryFocusing on qualitative analysis today
  5. 5. Data• Qualitative • Long interview (250+ total hours) • Videotapes (33+ total hours)• Quantitative • Sociodemographics • Measures of well-being
  6. 6. Qualitative Analytic ApproachThree iterative tasks Coding Describe what is going on Categories Identify larger “parts” Theme Develop a theory of caregiving style
  7. 7. Getting from Codes to CategoriesCoding – unlinked descriptions of dataCategories – arrange codes as hierarchies Hierarchies of what?
  8. 8. BeliefsMeanings Actions Style
  9. 9. Categories: Elements of StyleBeliefs  What is …?Meanings  The role signifies …?Actions  Caregiving gets done by …?
  10. 10. Action: Taking Care of SelfLooking at data as a whole, caregivers take care of self by Reducing demands of role Doing something important Getting healthy Staying connected
  11. 11. Taking Care of Self No Has strategies strategies Does not Does not Meets meet meet needs needs needs
  12. 12. Three groupsCompare and contrast throughaxial coding Causes Consequences Context Conditions
  13. 13. Example: Exercise andConditions No exercise CR not Help OK alone CR OKExercise alone
  14. 14. Example: Exercise andConsequences
  15. 15. Four Caregiving StylesFacilitating Directing Balancing Advocating
  16. 16. Facilitating Caregiver Priority Strategy Emotional Interaction Anything thathealth, identity of Cooperative involves self CR Needs Emotions Recognizes but Worries about doesn’t address ability to provide own needs best care
  17. 17. Directing Caregiver Priority Strategy InteractionPhysical health of Verbal Limited or none CR Needs EmotionsRecognized needs Frustrated and limited to work stressed
  18. 18. Balancing Caregiver Strategy Priority Environmental Interaction Maintaining the status quo controls, supervision, repetitive Parallel activities Emotions Needs Generally satisfied with careHas help and meets own needs provision
  19. 19. Advocating Caregiver Interaction Priority Strategy Range withManaging others Vigilance and purpose of to support CR advocacy assessment Emotions Needs Generally satisfied Has help and with caremeets own needs provision
  20. 20. Conclusion• Caregivers may - demonstrate a mix of styles - change over time; circumstances• Understanding priorities of caregiver regarding self and care recipient is key
  21. 21. Caveats• Styles are a guide, not a prescription• Theory - Requires further testing
  22. 22. ReferenceCorcoran, M.A. (2011). Caregiving Styles: ACognitive and Behavioral Typology AssociatedWith Dementia Family Caregiving. TheGerontologist 51, 4, 463-472.doi:10.1093/geront/gnr002